To provide oversight, guidance, and leadership in the development and maintenance of critical quality and operational functions, in accordance with the clinic’s strategic, quality, payment, and process improvement initiatives.

Position Qualifications:

Bachelor’s degree in nursing or a graduate of an accredited School of Registered Nursing. Must have excellent written and verbal communication skills. Ability to effectively lead and communicate in diverse settings. Ability to problem-solve complex issues. Ability to manage multiple priorities. Strong attention to detail. Must be passionate about contributing to an organization focused on continuous improvement.

Experience:

Minimum of five years of clinical nursing experience and three years managerial experience required. Experience in revenue cycle, clinical coding and documentation experience preferred. Must have experience guiding business and leadership in quality assurance and process improvement.

Licenses/Certifications:

Valid West Virginia RN License.

Reports to: Chief Executive Officer

Supervises: Care Coordinators, Care Coordination Assistants, and Patient Navigators

Job Responsibilities:

• Provide supervision and leadership for the quality department.
• Ongoing review of Clinic quality measures from ACO and other alternative payment models. Director of Quality will work closely with CNO, CMO, Care Coordinator, and CFO to identify opportunities to maximize quality payment revenue
• Develop plan structure for RCBC’s Quality initiatives, to include the development of how QAPI, Lean and continuous process improvement will be implemented throughout the Clinic
• Ensure the EHR’s quality reports are reflective of patient population and accurately demonstrate provider attribution; develop alternate reporting structures
• Participate in regular physician and staff meetings to promote and operationalize quality in all aspects of patient care.
• In conjunction with CNO, CMO, Care Coordinator and EHR Analyst, develop and maintain optimal work-flow process regarding quality measure communication, including notification of overdue quality measures, preparation, and distribution of quality reports. The Director of Quality will continuously assess the communication workflow to identify its usefulness to the providers and clinical teams.
• Assist with training of new clinical teams regarding quality measures, process improvement, and clinical operational workflow.
• Under the guidance of the COO, Develop and implement written protocols for quality enhancements to include standards of work.
• In conjunction with CMO and CEO, will serve as a primary lead and liaison in QAPI development, providing direction and assistance in the development and measurements of performance improvement projects.
• Provide education to Clinic staff regarding process improvement initiatives, including the development and utilization of Lean initiatives. Actively participate in the development of smaller-scale rapid process improvement projects using Lean principles.
• Develop protocols for CDI and other clinical documentation concepts, providing documentation education to all new RCBC providers, Residents, and nursing staff.
• Provide education to all new Residents and providers regarding clinical documentation concepts and its role in the promotion of quality, compliance, and chart integrity.
• Conduct periodic chart reviews to assess the integrity and quality of provider documentation, quality measure utilization and specificity of diagnosis utilization, to include HCC coding and its relevance to risk-based contracts, quality payment revenue, and accurate capture of patient diagnoses.
• Performs other duties as assigned

All employees must comply with RCBC’s excellent customer service standards.

Disclaimer:

Job descriptions are not intended and do not create employment contracts. RCBC maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law. All job descriptions have been reviewed in an attempt to illustrate the jobs functions and basic duties, in addition to ‘peripheral tasks’ or that could generally be considered ‘other duties as assigned.’ In no instance, however, should the duties, responsibilities and requirements be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, experiences, qualifications, knowledge, skills and abilities have been determined to illustrate the minimal standards required to successfully perform the position.

The Robert C. Byrd Clinic (RCBC) is a Rural Health Clinic accredited by the NCQA as a Patient-Centered Medical Home - Level 3. RCBC, located in historic Lewisburg, WV, offers Quality Healthcare...Close to Home.

We are located on the campus of the West Virginia School of Osteopathic Medicine (WVSOM). As a comprehensive not-for-profit health care organization, we are committed to providing quality primary health care to the residents of the greater Greenbrier Valley and surrounding areas. In addition to serving the local communities, RCBC serves as a primary clinical training site for WVSOM students, interns, and residents. We offer a wide range of primary care services, including medical acupuncture, diabetic education, acute care, family medicine, psychology, internal medicine, osteopathic manipulative medicine, pediatric medicine, proctology, mental health, and x-ray.

Employment at RCBC is contingent upon compliance with RCBC’s COVID-19 Vaccination Program and the timely and successful completion of a post-offer drug screen, U.S. Citizenship and Immigration Service’s I-9 form, and background investigation including but not limited to whether you have been sanctioned or excluded from participating in any Medicare, Medicaid, or other government-funded programs. RCBC is an Equal Opportunity Employer.