Director of Quality Assurance
Desert AIDS Project - Palm Springs, CA

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Reports to: Chief Executive Officer (CEO)

Status: Full Time; Salaried; Exempt

FTE: 1.0

Schedule: Generally 8 a.m. - 5 p.m. with occasional evenings and weekends to

support service delivery.


To fulfill the mission of D.A.P. in accordance with its Guiding Principles, Community Service Values and Strategic Plan, t he Director of Quality Assurance develops and facilitates effective, efficient, and compliant systems to support successful achievement of goals and objectives for a broad continuum of clinical and social services at a nonprofit Federally Qualified Health Center specializing in HIV/AIDS care, prevention and advocacy.


Ø Health Information Exchange -

o Ensure effective and efficient data collection throughout the agency, partnering with Directors to evaluate and enhance methodology, tools, training, and resources;

o Oversee the agency’s use of electronic health records with focus on Greenway PrimeSuite and its ancillary software interfaces. Serve as one of the agency’s Greenway Super Users and be responsible for staff supporting system performance, data entry, security protocols, user training, template customization, software interface, reporting/exporting, upgrades, auditing, data validation, billing functionalities, archiving, and troubleshooting.

o Supervise staff processing all requests for medical records. Ensure medical records management policies and procedures are in place and followed in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of the agency.

Ø Meaningful Use and PQRS Reporting

o Monitor changes with Meaningful Use and PQRS measurements. Work with Medical Director and EMR administrator to ensure that necessary measures are being captured.

o Track status of MU and PQRS measurements throughout the year and report deficiencies for correction.

o Perform annual MU and PQRS submissions to CMS for all eligible providers.

Ø Clinical Quality Improvement (CQI) -

o Design and implement a comprehensive outcome measurement system for programs working closely with senior staff to meet their needs for evaluation, quality assurance, compliance, and risk management.

o Lead CQI Team made up of staff and Board Members by setting goals, establishing sub-committees (e.g. Cultural & Linguistic Competency Task Force, EHR Work Group, etc.) and ensuring that Directors and their staff are equipped with the knowledge, skills and resources to execute CQI activities.

o Guide staff in using data and evaluation to develop and execute recommendations for program enhancements or improved compliance with regulatory agencies, the terms and conditions of grants and contracts, accrediting institutions, standards of care, best practices and performance measures in relevant health care and social services fields;

o Ensure that staff receive consistent, relevant, exceptional, compliant, and documented professional development training;

o Works collaboratively with Directors to coordinate response to internal and external stakeholders requesting site visits, audits, raw data, data analysis, program descriptions, and other information as it relates to CQI.

Ø Regulatory Compliance -

o Responsible for researching, retaining and disseminating up-to-date knowledge on issues of compliance with all applicable rules, regulations and standards including those set HRSA, CMS, the State of California Health and Human Services Agency, insurance companies, and CDC;

o Act as the agency’s HIPAA Privacy and Security Officer. Train all staff on HIPAA compliance, investigate incidents, serve as primary contact for selected external auditors and collaborate to implement corrective action.

Ø Client Relations -

o Oversee and coordinate activities to measure client satisfaction, including but not limited to surveys, focus groups, and other methods to collect feedback;

o Serve as staff liaison to the Client Advocacy Committee;

o Coordinate timely and appropriate response to client complaints or grievances.

o Oversee investigation of client complaints regarding quality, safety and effectiveness of services and participates in corrective action determinations.

Human Resources

Ø Recruit, train and supervise, as well as assign and direct work for 3 FTE: EMR administrator, health information exchange staff, and data entry staff.

Ø Coordinate staff schedules, leave requests and professional development;

Ø Conduct annual evaluations and ongoing assessment of performance;

Ø Oversee volunteers assigned to department.


Ø Review departmental financial statements, reporting incidents over/under spending to Chief Financial Officer.

Ø Prepare monthly reports to the Board of Directors and other reports as requested by CEO.

Ø Conduct ongoing agency Risk Management assessments and work with department leaders on managing risk.

Ø Participate as relevant in evaluation of new opportunities for partnerships, technology and expansion, business and strategic planning, grant proposal and report development, and budget development.

Ø Attend Board Meetings, Client Advocacy Committee, Medical Committee, Case Conference and other departmental meetings as requested and necessary.


Ø Strong desire to associate with D.A.P. and champion its mission;

Ø Master’s degree in a related field with a minimum of six years’ experience in records management, project management and/or evaluation in a health care field. Strong candidates with a Bachelor’s degree and distinguished experience will be considered.

Ø Minimum three years’ work experience in a supervisory role in a nonprofit, hospital, research institution or public health setting (clinical or social services environment preferred);

Ø Demonstrated success in implementing quantitative and qualitative evaluation approaches in the areas of customer service, health outcomes, communication, and/or compliance;

Ø Proficiency in comparable electronic health records management with experience navigating Access and other database applications.

Ø Sufficient familiarity and ability to evaluate performance of HIT and Medical Records staff.

Ø Experience in performing duties acting as HIPAA Privacy Officer; HIPAA Compliance Officer certification preferred;

Ability to:
Ø Build productive relationships with staff and relate to all individuals in a nonjudgmental and professional way;

Ø Work efficiently and accurately in a fast paced environment with multiple priorities;

Ø Establish and maintain professional boundaries with staff and clients at all times;

Ø Handle crisis and stressful situations in a calm and respectful manner;

Ø Effectively communicate with a diverse group of individuals at all levels;

Ø Operate computer, standard office equipment (e.g. fax, copier, etc.) and standard office software including Microsoft Office applications;

Ø Demonstrate a positive attitude, compassion, open mindedness, sound judgment, maturity and tenacity;

Ø Communicate D.A.P.’s mission and programs with sincerity, persuasion, and passion.

Desert AIDS Project is an Equal Opportuntiy Employer and a Drug Free Workplace. We value diversity. We encourage minorities to apply for open positions.

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