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Current Job Opening

Practice Transformation Manager

Statement of Duties
The Practice Transformation Manager champions Duffy’s transformation to a patient centered medical home (PCMH) and plays a key role in ensuring that Duffy Health Center performs at the highest levels on standardized measures of clinical care quality.  Using project management and process improvement approaches, this position is responsible for oversight of practice transformation activities within the PCMH framework. Practice transformation incorporates engaged leadership; quality improvement strategies; continuous and team-based healing relationships; organized, evidence-based care; patient-centered interactions; enhanced access; and care coordination.

Responsibilities include supervision of medical floor staff to include nurses and medical assistants, and using data and quality improvement methods to develop strategies supporting practice transformation and to continuously improve team processes and activities.

Position Functions
The essential functions or duties listed below are intended only as illustration of the various types of work that may be performed.  The omission of specific statements of duties does not exclude them from the position if work is similar, related, or a logical assignment to the position.

Identification, prioritization and execution of process improvement strategies:
  1. Interacts with senior leadership and clinical champions to develop solutions that improve process performance by increasing productivity and efficiency and or managing demand while enhancing customer service;
  2. Builds strong relationships with directors and staff to enhance collaboration and multi-disciplinary practice;
  3. Engages and develops staff through team work and a high level of participation;
  4. Reports and communicates the results from process improvement efforts to key stakeholders;
  5. Prepares plans for helping stakeholders through change, and provides training and mentorship on process improvement methods;
  6. Participates in the development and implementation of data collection tools and ensures accurate collection of data.  Reviews accuracy of data from clinical records and other sources. 
Facilitates clinical quality improvement initiatives at Duffy Health Center:
  1. Leads and facilitates agenda setting, project planning, accountability and goal setting for the PCMH workgroup. With PCMH team, facilitates implementation of PDSA and other quality improvement processes.
  2. Provides staff support to the Medical Director who chairs the Performance Improvement Committee, facilitating agenda setting and maintaining the quality improvement plan.
  3. Develop and maintain emphasis on evidence based practice through modeling, mentoring, facilitating and education to ensure key learnings are being communication.
  4. Liaison between interdisciplinary team, PCMH workgroup and Leadership Team to ensure potential needs and solutions are being identified, explored, and met in order to maintain and/or improve organizational standing (e.g., HRSA and NCQA) and strategic goals.
  5. Provides support and serve as a resource to multidisciplinary teams in the development, implementation and evaluation of quality care initiatives for specific patient populations.
  6. Ensures accurate collection of data for selected, standardized measures of clinical quality. Reports and communicates the results from quality improvement efforts to management and staff.  Supports the Medical Director in reporting to the board of directors.      
  7. Assists in developing a culture of excellence, through benchmarking and communication of best practices, and learning, applying and sharing tools and techniques. Implements and monitors adherence to clinical practice guidelines. Follows up with providers as appropriate. 
  8. Supervises nursing staff in systematization and standardization of population management. Builds and maintains disease registry in collaboration with Health Information Technology (HIT) Coordinator and provides feedback to providers on their panel.

Work is performed under the general direction of the Medical Director. The employee plans and carries out the regular work in accordance with standard practices and previous training, with substantial responsibility for determining the sequence and timing of action and substantial independence in planning and organizing the work activities, including determining the work methods.  The employee is expected to solve most problems of detail or unusual situations by adapting methods or interpreting instructions to resolve the particular problem. Instructions for new assignments or special projects usually consist of statements of desired objectives, deadlines and priorities. Technical and policy problems or changes in procedures are discussed with supervisor, but ordinarily the employee plans the work, lays it out and carries it through to completion independently. Work is generally reviewed only for technical adequacy, appropriateness of actions or decisions, and conformance with policy or other requirements; the methods used in arriving at the end result are not usually reviewed in detail.

Employee has access to confidential information including medical files and patient files.

Employee is responsible for the direct supervision of clinical support staff in the medical department: RNs, Medical Assistants, RN Care Managers, and department volunteer(s). Position has input in interviewing and recommends hiring, training; plans, assigns and directs work; evaluates performance, rewards, disciplines and terminates staff in consultation with the Medical Director, HR and CEO. 

Job Environment
The work requires examining, analyzing and evaluating facts and circumstances surrounding individual problems, situations or transactions, and determining actions to be taken within the limits of standard or accepted practices. Guidelines include a large body of policies, practices and precedents which may be complex or conflicting, at times. Judgment is used in analyzing specific situations to determine appropriate actions. Employee is expected to weigh efficiency and relative priorities in conjunction with procedural concerns in decision making. Requires understanding, interpreting and applying complex federal, state and local regulations. Work assignments typically involve evaluation and interpretation of factors, conditions or unusual circumstances; inspecting, testing or evaluating compliance with established standards or criteria; gathering, analyzing and evaluating facts or data using specialized fact finding techniques; or determining the methods to accomplish the work.

Errors could result in delay or loss of service, monetary loss, or improper or compromised patient care.

The position has constant contact with co-workers, and outside organizations, in person, via e-mail and over the phone; and occasional contact with patients. The purpose for contact is to resolve problems, coordinate work, and give or receive information and assistance. 

The nature of work and volume fluctuate cyclically. Some events can be planned for in advance, others cannot. Employee is required to work outside of normal business hours on a weekly basis, and as necessary to accomplish the position’s functions.

Recommended Minimum Qualifications
Physical and Mental Requirements
Employee works in a healthcare office and is required to walk, sit, talk/listen and use hands more than 2/3rd of the time; and stand, bend, and reach up to 1/3rd of the time. Employee occasionally lifts up to 10 lbs., and seldom lifts up to 30lbs. Normal vision is required for the position. Equipment operated includes medical equipment, office machines, and computers. Employee may be exposed to biohazards, disease, hostile individuals and/or situations.

Education and Experience
A candidate for this position must have a bachelors or masters degree in nursing and at least three years of experience in direct patient care in a clinical setting. Previous QI/PMCH management experience preferred.

Licenses and Certifications Required
Must be licensed as a Registered Nurse in the State of MA, and successfully complete the credentialing process.

Knowledge, Skills and Abilities
A candidate for this position should have:

Knowledge of:
  • Nursing theory and practice
  • Rules, regulations and policies of the health care facility
  • NCQA designation requirements
  • Care management systems 
  • Quality and Performance Improvement methodologies
Skill in:
  • Making presentations
  • Organization and project management
  • Analysis and data management skills
  • Effective communication and public relations
  • Computer programs: Excel, Word, PowerPoint, and electronic medical records
  • Problem solving
  • Conflict resolution
  • Facilitation and influencing decisions
  • Interacting effectively and appropriately with homeless and at-risk individuals
And ability to:
  • Lead the work of others successfully including ability to coach and teach staff
  • Effectively read, write, and verbally communicate. This includes the ability to read and interpret documents such as safety rules, professional journals, and technical procedures; ability to write and formulate reports/correspondence
  • Think critically
  • Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
  • Work independently with little or no supervision, and with a team
  • Prioritize, organize and coordinate work, handle multiple priorities simultaneously
  • Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
  • Work effectively with many people at various levels of the organization
  • Work collaboratively with clinical and administrative personnel
  • Work in a fast-paced environment with a complex patient population
  • Commit to the philosophy and mission of Duffy Health Center which serves the homeless  and at-risk population

Please respond with resume and cover letter including salary expectations to: hr@duffyhealthcenter.org, or Human Resources, Duffy Health Center, 94 Main Street, Hyannis, MA 02601.

Duffy Health Center is an Affirmative Action/Equal Opportunity Employer.