Quality Assurance & Improvement Manager - RN

About the role

Under the direction of the Director of Quality and Population Health, is responsible for oversight of clinical regulatory matters and facilitation of the accreditation process - readiness, onsite review, corrective action planning, monitoring, education, training and performance improvement - related to vaccine management, CLIA certification, and Patient-Centered Medical-Home programs; and manages clinical supply ordering and training for all practice locations. Creates an environment that fosters a just culture, patient and employee satisfaction and aids clinical teams in achieving quality outcomes that are in line with the mission, values and goals of The Jane Pauley Community Health Center (JPCHC). This individual is an integral member of the Quality and Population Health team. Essential Duties and Responsibilities include the following. Other duties may be assigned. Maintains and updates CLIA certification for JPCHC sites. Oversees and updates registration on clinical accounts with vendors such as McKesson, VFC, vaccine manufacturers. Maintains formulary for medications and clinical supplies; approves and sources new medications and clinical supplies. Maintains Safety Data Sheet Repository and provides staff training related to SDS Oversees compliance with VFC requirements for site enrollment and deactivation of sites. Serves as organizational contact for Accuvax. Oversees audits at each JPCHC site in accordance with organizational standards , and coordinates departmental level performance improvement in collaboration with practice managers Provides reports to the leadership team, Risk Management and Quality, Safety, and Population Health Committee s as needed Oversees vaccines utilization and periodic audit through report reconciliation between CHIRP and EMR. Participates and assists in the development of clinical policies, protocols, and procedures Coordinates PCMH applications and renewals for applicable sites Ensures compliance with PCMH standards and manages p erformance i mprovement a ctivities related to PCMH certification s Leads process improvement activities related the quality and safety of patient care. These opportunities may be identified through event reporting, quality planning, or stakeholder feedback. Functions as a resource for infection control processes across all JPCHC sites. Oversee the performance and continual learning of vaccine and supply management of clinical support staff in coordination and collaboration with practice management. Manages and coordinates training programs for staff related to vaccine management, clinical supplies and equipment, CLIA Waived Testing, and infection control. Works with health center leadership to create efficient practice clinical services for vaccine and supply management, implement process improvements and excellence in patient care. Maintains current experience with clinical workflows and best practices. Supervisory Responsibilities This position will act as a direct supervisor as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience Valid and unrestricted RN License in Indiana BSN required; MSN preferred. Minimum of three (3) to five (5) years' experience as a supervisor or charge nurse in ambulatory care setting such as pediatric or family medicine, preferred. 1 year in a Patient-Centered Medical Home clinical setting or knowledge of the Patient-Centered Medical Home initiative preferred Ability to travel up to 75% of the time to practice locations Attention to detail, organization, and follow-up skills Knowledge of project management or Lean Six Sigma Self-disciplined, proactive, passionate, innovative, team-oriented. Strong oral and written communication skills. Demonstrates sound judgment, decision-making and problem-solving skills. Able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations. Computer Skills To perform this job successfully, an individual should have p

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Additional Information

Empowering communities through accessible, inclusive, and compassionate care, this is the work we do every day. At Jane Pauley Community Health Center , every role is connected to something bigger. As a Federally Qualified Health Center (FQHC), we deliver integrated, whole-person care to individuals and families across Indiana, regardless of income or insurance status. Our teams work at the intersection of clinical excellence and community impact, supporting underserved populations while building a culture rooted in collaboration, respect, and growth. Here, you are not just joining a workplace, you are becoming part of a mission that truly matters.

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