Requisition Number: FAMPR-CLCOO-H-07-2020-02
Job Title: Quality Manager
City: Philadelphia
State: PA

Minimum Degree Required: C - 4 Year Degree
Minimum Years of Experience: 2
Salary Range: $72,000-80,000

Quality Manager

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Description/Job Summary

Family Practice & Counseling Network is seeking a Quality Coordinator to join our network; This position works under the supervision of the Executive Clinician to oversee key Network programs including Continuous Quality Improvement, Clinical Quality Data and Reporting, Care Coordination, and Quality Assurance.


Continuous Quality Improvement

  1. Oversees the Networks’ Continuous Quality Improvement program. Utilizes clinical data and analytics to continually evaluate and improve programs, services, and patient care outcomes.
  2. Coordinates the network CQI team, including collaborating with all Department Directors to prepare and present written reports on network CQI activities quarterly.
  3. Coordinates with the Senior Leadership Team and network sites to plan and implement quick cycle analyses of workflows and processes.
  4. Coordinates with the Quality Data Specialist to provide data to end users for the promotion of quality improvement activities.
  5.  Assists with the coordination and planning of Insurance Company PI efforts aimed at improving pay for performance, collaborating with the P4P Manager and Coding Specialist.

Clinical Quality Data and Reporting

  1. Contributes qualitative and quantitative analyses of data and service provision for documentation of Patient-Centered Medical Home Activities, pay for performance initiatives, and grant-focused and project-based initiatives.
  2. Under the direction of the Executive Leadership Team, contributes to reporting requirements related to HEDIS, NCQA, UDS, and HRSA requirements.
  3. Liaison to the Health Federation and other quality-oriented regional and state programs and committees.
  4. With Quality Data Specialist and Department Directors, communicates data and quality measures on a regular basis to staff for provider review, benchmarking, and quality improvement purposes
  5. Acts as liaison and representative from FPCN to conferences, meetings, and insurances to report quality-related data and measures

Care Coordination

  1. Manage the FPCN Care Coordination program and staff.
  2. Responsible for tracking of Care Coordination program. Actively retrieves Care Gap reports from payors, distributes panels to appropriate staff. Works with QI data analyst to create, track and maintain Care Coordination reports in i2i.
  3. Collaborates with the Care Coordinators and Care Managers at each site to ensure care coordination activities align with quality improvement measures, initiatives, and national/ state standards.
  4. Identify gaps in care of FPCN primary care patients and collaborate with the Executive Clinician and Department Directors to develop network and site strategies to amend.  Delegate tasks to Care Coordinators as appropriate for patient recall.

Quality Assurance

  1. Provides oversight for the Network’s Immunization services program. 
  2. Ensures compliance with all policies and procedures of the Vaccines for Children Program (VFC) and the Vaccines for Adults at Risk (VFAAR) program.
  3. Oversees the monitoring of vaccine reports and participates in the identification of errors and trends in usage
  4. Maintains and updates the organization’s Vaccine Manual annually.
  5. Ensures that the Network utilizes current CDC and ACIP guidelines for vaccine administration
  6. Ensures staff  have the appropriate resources and training to fulfill the functions of the VFC coordinator role.
  7. Includes scheduling and coordinating of the chart audits by external entities while ensuring that the auditing entity has appropriate access to the charts and required documentation, obtains audit report when concluded, develops actions plans as needed.
  8. In conjunction with Director of Primary Care, ensure lab Quality Assurance processes are followed and staff trained in accordance with relevant safety and regulatory standards.
  9. In conjunction with Executive Clinician, Department Directors, and credentialing, ensure providers have appropriate ongoing training and support to comply with all credentialing and privileging requirements of their role.

Required Experience

  • Supervisory experience a plus 
  • Must be able to provide data analysis
  • Strong understanding of applicable computer programs (EHR experience a plus) and networks
  • Strong written, verbal, analytical and interpersonal skills
  • Ability to travel to all primary care sites on a routine basis
  • Ability/willingness to accept direction and follow established policies and procedures
  • Ability and willingness to carry out duties while staying calm, courteous, and polite  during stressful times
  • Ability and willingness to work in a professional manner with patients and staff
  • Ability and willingness to show cultural competence in regards to  both patients and staff
  • Ability and willingness to lead teams in a competent, collaborative manner that results in improved outcomes
  • Demonstrated ability to interact with a high level of tact and diplomacy regarding sensitive matters; and ability to prioritize and manage multiple simultaneous responsibilities.
  • Honor patient and staff confidentiality in compliance with HIPPA standards

Required Education

  • Bachelor’s prepared Registered Nurse or equivalent clinical or non-clinical degree (ex., public health, epidemiology, health information management) 
  • Master’s degree in Nursing or a related healthcare specialty preferred but not required

Required Qualifications

  • At least 2 years’ experience in outpatient health center setting or healthcare quality improvement

Program Summary

Family Practice and Counseling Network, a program of Resources for Human Development, is a network of community health centers providing comprehensive primary care, dental and behavioral health services. The Network consists of four health centers in Philadelphia – Abbottsford-Falls Family Practice & Counseling in the Northwest, the Stephen and Sandra Sheller 11th Street Family Health Services of Drexel University in the North, the Health Annex in the Southwest, and Annex West Health Center in West Philly housed in Action Wellness building (formerly Action AIDS); a convenient care clinic in Philadelphia.  Today the Network serves more than 20,000 patients annually and is an NCQA certified Patient-Centered Medical Home.

The Network’s mission is to provide person-centered, integrated and comprehensive health services to individuals and families across their lifespan. The Network promotes resiliency and well-being among patients, staff and surrounding communities. Network services are targeted to the surrounding communities and the advisory committee that guides services primarily consists of people from the communities served.

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Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.