YaleNew Haven Health System

Manager of Clinical Risk and Quality Improvement

YaleNew Haven Health System • $75K — $95K *
New Haven, CT 06511In-Person
Healthcare
5 - 7 years of experience
Reposted Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree required; graduate degree preferred in nursing, public health, or related field
  • Minimum of 5 years of professional experience
  • Excellent communication skills in verbal, written, and presentation formats
  • Strong project management skills for complex, multifaceted projects
  • Experience in quality improvement, systems change, and policy development
  • Analytical skills, with expertise in mining data from Electronic Health Records (EHR)
  • Knowledge of federal and state regulations

Responsibilities

  • Manage clinical risk and quality improvement programs; report to Chief Corporate Compliance Officer
  • Lead the preparation of Risk Management and Credentialing sections of FTCA applications
  • Conduct comprehensive annual clinical risk assessments across all departments
  • Facilitate investigations into clinical incidents and lead Root Cause Analysis (RCA)
  • Oversee the formal patient grievance process, identifying and addressing systemic issues
  • Synthesize clinical risk data into high-level reports for strategic decision-making
  • Coordinate the Risk Management Committee, preparing agendas and minutes

Benefits

  • Opportunity to lead critical quality improvement initiatives
  • Access to ongoing professional development and training resources
  • Collaborative work environment with clinical leadership
  • Role contributes to organizational compliance and patient safety
  • Impactful position within a mission-driven healthcare organization
Full Job Description
Job purpose

The Manager of Clinical Risk and Quality Improvement manages the day-to-day operations of the organization's clinical risk mitigation and quality improvement analysis. This role ensures continuous compliance with Federal Tort Claims Act (FTCA) deeming standards and HRSA Health Center Program requirements. The manager identifies clinical vulnerabilities through formal assessments and collaborates with the Data and Analytics Department to interpret dashboards and lead performance improvement projects.

Duties and responsibilities

Reporting to the Chief Corporate Compliance Officer, the Manager of Clinical Risk and Quality Improvement manages Center's clinical risk and quality improvement programs. Typical duties include but are not limited to:

FTCA & Clinical Risk Operations
  • Deeming Application Management: Leads the technical data collection and administrative assembly of the Risk Management and Credentialing and Privileging (C&P) sections of the annual FTCA deeming and redeeming applications to ensure all submissions meet HRSA/BPHC standards.
  • Systemic Risk Assessments: Executes comprehensive annual clinical risk assessments across all departments to identify vulnerabilities and satisfy federal requirements.
  • Incident & RCA Coordination: Facilitates investigations into clinical incidents and "near misses," leading Root Cause Analysis (RCA) in collaboration with clinical leadership.
  • Patient Grievances: Oversees the formal grievance process, ensuring systemic issues are identified and addressed to mitigate organizational liability.
  • Risk Reporting: Synthesizes clinical risk data into high-level reports for the CCO, CMO, and the Board of Directors to guide strategic decision-making.
  • Committee Support: Coordinate the Risk Management Committee, including agenda preparation and minute-taking.
Compliance Monitoring
  • Credentialing & Privileging Compliance Monitoring: Monitors the overall compliance of the Credentialing & Privileging system, ensuring that processes for Licensed Independent Practitioners (LIPs), Other Licensed or Certified Practitioners (OLCPs), and Other Clinical Staff (OCSs) meet HRSA standards.
  • Regulatory Auditing: Conducts periodic audits of credentialing files and tracking systems to ensure primary source verification and fitness for duty are documented correctly by the Credentialing Manager.
  • Performance Tracking Oversight: Monitors the administrative framework for Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE) to ensure timely completion.
Quality Improvement & Committee Support
  • Support to CCO: Provides analyzed clinical data and evidence-based findings to the CCO to support their reporting to the QIC and the Board of Directors.
  • QI Analysis: Partners with the Data and Analytics Department to review generated dashboards, identifying trends and opportunities for clinical performance improvement.
  • Focused Projects: Designs and executes targeted QI projects based on FTCA, The Joint Commission Ambulatory Care and PCMH requirements, and clinical outcomes.
  • Technical Guidance: Facilitates the "Plan-Do-Study-Act" (PDSA) cycle for clinical teams and provides "just-in-time" coaching on QI methodologies.
  • Accreditation Readiness: Maintains clinical documentation for The Joint Commission (TJC) and NCQA PCMH status to ensure workflows meet patient safety standards.
Education, Training, & Policy Implementation
  • Training Curriculum: Designs and implements the annual clinical risk and privacy training plan for all staff to satisfy mandatory FTCA requirements.
  • Staff Education: Conducts educational sessions for clinical and administrative staff on risk reduction and regulatory compliance.
  • Policy Integrity: Leads the drafting and periodic revision of clinical risk policies to reflect current regulatory changes and internal audit outcomes.
Qualifications
  • Bachelors' degree required; graduate degree in nursing, public health, or other relevant field is preferred; at least 5 years of professional experience also required. The selected candidate will have:
  • Excellent communication (verbal, written, and presentation) skills
  • Strong project management skills managing complex, multifaceted projects resulting in measurable successes and program growth
  • Quality improvement, systems change, and policy development skills
  • Strong analytic skills; experience mining an EHR for required data
  • Demonstrated knowledge of federal and state regulations
Direct Reports
  • None

About YaleNew Haven Health System

A Safe Haven Foundation is a 501(c)3 not for profit, social enterprise that helps people aspire, transform and sustain their lives as they transition from homelessness to self-sufficiency with pride and purpose.

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Yale New Haven Health offers a plethora of job opportunities, from clinical positions to administrative roles, each contributing to the seamless delivery of quality healthcare. The company supports career advancement through leadership training, professional development programs, and continuing education opportunities.

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Learn more about YaleNew Haven Health System
Industry
Hospitals & Medical Centers
Founded
1996
* Ladders Estimates

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