Director Quality and Clinical Services

Welcome to CHI Saint Joseph Medical Group, a full service network of primary care services specializing in family, internal, geriatric and pediatric care serving 88 locations across central and Eastern Kentucky. CHI Saint Joseph Medical Group is dedicated to delivering customized care based on the unique needs of our patients and is recognized as a Best Place to Work in Kentucky for two years in a row (2023-2024).  CHI Saint Joseph Health is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians. Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states. 

The Quality and Clinical Services leader provides oversight and management of all quality and clinical functions across the medical group.   The position is responsible for directing and coordinating quality, safety and performance improvement initiatives that provide more efficient, streamlined workflows in the ambulatory environment.  Responsibilities include but are not limited to serving as subject matter expert on all quality metrics the medical group is responsible for reporting.  This includes ensuring all data is captured and reported to all internal and external parties as required.  The quality and clinical service leader is responsible for educating the local market on applicable quality, safety, and clinical practice standards. Provider incentive programs are managed by the position with expected alignment with national, regional and local areas of strategic focus.   Patient Safety and Infection Prevention areas of accountability include deployment of national initiatives to achieve highly reliable processes, outstanding clinical outcomes and improvements to population health across the care continuum.  The quality and clinical services leader may have direct reports in areas such as safety, risk, HIM, clinical services, and data management.  

Job Requirements

This is an onsite role. 

Essential Function

 Leads and directs quality functions across the Medical Group

Facilitates patient experience improvement efforts.

Manages peer review and credentialing functions per applicable state rules and regulations. 

Serves as lead contact for medical group valued-based contracts with payers.

Responsible for quality data management for the medical group.

Provides oversight for patient and employee safety, including Infection Prevention activities and deployment of High Reliability practices

Supports clinical competence, oversight, and compliance in all clinical functions across the medical group.  Including but not limited to lab, imaging, nursing (including Advanced Practice as applicable), medical assistants.

Directs HIM function for medical group and coordinates privacy standards with HIM team.

Responsible for coordination of risk adjustment work in the market.

Responsible for compliance with all regulatory requirements: state, federal and local.

Serves as liaison of risk management activities across the medical group in conjunction with the safety team.

Leads and coordinates quality improvement activity with the population health team.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.

Requirements

4-6 years of Healthcare Quality experience

Bachelors of Nursing

Masters degree in health or related field

Registered Nurse (RN:KY) or Advanced Practitioner Registered Nurse (ARPN:KY) or MD or PA