Director of Clinical Operations & Quality Improvement

San Francisco, CA
Full Time
Senior Manager/Supervisor

The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco.  The center offers primary health care services, adult medicine, pediatrics, family planning, OB/GYN, HIV and homeless services. 

We advocate for health equity and deliver innovative, high-quality services responsive to the neighborhoods and diverse communities we serve with a focus on the Latino Spanish-Speaking Communities.

We are currently looking for qualified candidates for our Director of Clinical Operations & Quality Improvement role. This position reports to the Chief Operations Officer and is a Regular, Full Time, Non-Exempt role with a starting annual salary range of $108,000 to $122,000 with full benefits. 

Primary Objective:

The Director of Clinic Operations & Quality Improvement leads efforts to improve quality outcomes and clinic operations and to enhance clinical quality and satisfaction for patients and staff. The DCOQI will oversee and support key systems vital to clinic operations including but not limited to clinic and staff schedules, managing clinic flow, panel management, and referral processing. The DCOQI will ensure MNHC maintains Patient Centered Medical Home (PCMH) recognition, and leads key system improvements in patient access, productivity, access, population-based quality improvement, and patient care management. Evening or weekend hours may be needed to support expanded access in the future.

Essential Functions/Responsibilities:

Performance Management and Leadership Development - 20%

  1. Supervision of assigned staff including but not limited to recruitment, hiring, orientation, training, retention, performance improvement coaching, and performance evaluation. 
  2. Oversees development and implementation of a Professional Development program for Nurses and MAs in collaboration with medical leadership.

Clinic Operations Management - 70%

  1. Ensures development, maintenance, and adherence to clinic operations policies, procedures, workflows and protocols ensuring state and federal standards of care and regulations are addressed. 
  2. Oversees systems to coordinate and monitor patient flow.
  3. Coaches Clinic Managers on setting goals and implementing interventions to improve clinic operations metrics.
  4. Oversees systems for clinic staff schedule management across the organization.
  5. Oversees referral processes to assure timely, accountable and safe referrals. 
  6. Oversees immunization inventory and storage practices and ensures effective audit preparation. 
  7. Oversee laboratory systems.
  8. Works collaboratively with MNHC Directors to develop, implement and evaluate joint strategies and improvement plans such as those that affect our revenue and required data capture.

Quality Improvement - 10%

  1. Oversees the review, implementation, and monitoring of MNHC’s Quality Management Plan.
  2. Co-Chairs the Quality Management Committee. 
  3. Provides leadership and oversight for primary care service delivery improvement initiatives and programs such as NCQA Patient Centered Medical Home. 
  4. Oversees MNHC’s participation in health plan Pay for Performance programs.
  5. Coordinates preparation for external audits and site visits by health plans and governmental agencies.


  1. Master’s Degree in Public Health, Health Services Administration or Business Administration required
  2. Two years’ experience in ambulatory care clinic or hospital experience; community clinic experience preferred.
  3. Three years increasingly responsible management and supervisory experience.
  4. Familiarity with Title XXII California Code of Regulations.
  5. Commitment to the populations served by Mission Neighborhood Health Center.
  6. Bilingual Spanish/English preferred.

To learn more about our organization, please visit our website at We offer a full range of benefits which includes the following:

  • Medical Insurance – MNHC pays 90-100% based on plan
  • Dental and Vision Insurance – free to employee
  • Life Insurance – free basic policy plus voluntary option
  • Flexible Spending Accounts for health & dependent care expenses
  • Commuter benefits for public transportation expenses
  • Vacation – 2 weeks (3 weeks after 5 yrs; 4 weeks after 8 yrs)
  • 12 Paid Holidays plus your birthday and 12 Sick Days each year
  • 40 hours Paid Educational Leave
  • 401k Retirement Savings Plan with Company Contribution

Mission Neighborhood Health Center is an Equal Employment Opportunity employer committed to fostering an inclusive environment for our diverse workforce. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, or other applicable legally protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider employment for qualified applicants with arrest and conviction records.


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