Leads the implementation of clinical processes and clinical programs through program discovery, design, spread and optimization phases with a focus on standardization and reduction of practice pattern variation.
Maintains strong knowledge of current regulatory requirements, best practice clinical standards and evidence based care guidelines acting as a resource to market Quality and Operational leadership to ensure that practices are meeting and exceeding quality and utilization targets.
Serves as subject matter expert regarding clinical quality goals, target and benchmark setting. Assist markets with specialty specific metric identification, goal setting and strategies to attain targets.
Supports the development of innovate models of care, clinical care team development and optimization and the evolution of current delivery platforms.
Develops appropriate reporting mechanisms to provide timely and accurate information on clinical initiatives.
Develops and implements evidence based practices across the system, identifying tools, programs and/or clinical decision support that facilitate attaining triple aim goals of value, quality and patient experience.
Ensure regulatory compliance, data integrity and documentation for participation in CMS and commercial quality programs.
Works with system leaders, Program Directors and Medical Directors to develop quality goals and standards of care for the targeted patient population served by AH.
Develops audit process for clinical and medical documentation to ensure compliance with regulatory and program standards.
Lead the documentation content and clinical workflow and work collaboratively with IT leadership to ensure this is applied within the EHR system.
Ensure clinical product development is evidence-based and clinical content reflects clinical best practice
Ensure our clinical products meet necessary health care quality, accessibility, and regulatory requirements
Keep up to date on clinical/healthcare best practices and standards of care in order to identify and prioritize evolving needs and solutions
Critically review and synthesize scientific evidence and clinical materials relevant to PE.
Support development and creation of patient facing materials and communication.
What You Will Need:
Bachelors Science Degree in a clinical profession - RN, NP or PA
Masters Degree in a related field
Minimum 5 years’ clinical experience direct patient care setting, preferably ambulatory setting
Minimum 5 years’ quality, population health or managed care experience
Minimum 5 years’ leadership experience, large integrated healthcare network
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
RN or relevant clinical certification
KNOWLEDGE AND SKILLS REQUIRED:
Results orientation accompanied by the skill set required to conceptualize, implement, and operationalize various clinical programs.
Strong consultant skillset, with ability to influence all levels in the organization
Displays strong interpersonal, written communication and team-building skills to engage all levels of the organization, including Physicians, APPs, and clinical teams
Demonstrates leadership ability and project management skills to include effective partnerships with physicians and leaders.
Exhibits strong quantitative, organizational, operational and administrative skills.
Highly motivational communication skills accompanied by the ability to analyze and present data to influence behavior, stimulate innovation, promote best practices, and drive organizational change.
Excellent presentation style, including the ability to present data to clinicians and staff at all levels of the organization.
A highly skilled change agent with demonstrable sensitivity to the interpersonal, group dynamic, organizational, political, and perceptual issues associated with change.
Demonstrated ability to create and sustain momentum through relationship building, and collaborative management.
The Director of Clinical Programs and Quality has responsibility for developing and leading the Clinical Program and Quality strategy for AdventHealth Physician Enterprise practices. The Director provides overall strategic planning; administrative, regulatory, financial and quality outcomes for Clinical Programs and Quality across the organization. The Director collaborates with system clinical, operational and AIT leaders to develop and implement clinical programs and processes, maintaining documentation, training and standards that meets all stated goals and requirements. The Director leads Quality and Regulatory Compliance in collaboration with the MSO across the organization developing risk mitigation and outcome optimization strategies. The Director translates clinical best practices and standards of care into a patient and provider experience that seamlessly integrates across the patient's ambulatory care journey.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.