Essential Functions:

• Coordinate all quality management activities, relating directly to health center activities, including medical, EHR and clinical audits. Monitor and maintain audits on care and services; compile data and assist centers in developing corrective action plans. This includes, but is not limited to, follow-up referrals, HIPAA, contraceptive management, special services, surgical procedures and consumer feedback.
• Serve as agency HIPAA Privacy Officer.
• Compile statistical data and write narrative reports summarizing quality assurance findings, for internal quality improvement purposes, and as required by PPFA,Title X, NAF, VFC, etc.
• Document, evaluate and follow-up on any medical occurrences. Oversee the Incident Reporting system per current ARMS guidelines. Prepare quarterly summary report for Medical Management Team and annual report for PPCW Board of Directors.
• Maintain legal hold system and coordinates release of information from medical records.
• Provide ongoing training and develop training tools for all health center staff on Quality Management as it relates to clinical practice.
• Coordinate the Employee Exposure/Blood Borne Pathogen program in collaboration with Human Resources.
• Conduct clinical safety meetings with the safety clinic assistants every other month.
• Receive and relay all legal correspondence for review by Chief Operating Officer, Corporate Compliance Manager, ARMS and agency counsel as appropriate.
• Manage laboratory services in conjunction with the Director of Laboratory Services ensuring quality and cost-effective lab services, including proficiency testing and applications, licensure applications, CLIA laboratory quality assurance assays, and associated report preparation and submission.
• Ensure compliance with Vaccine for Children (VFC) program and other vaccine administration.
• In collaboration with the Medical Management Team, PS Administration and the Chief Operating Officer, update appropriate departmental policies and procedures.