Coordinating quality improvement initiatives and ensures the integrity of the Agency’s services. Responsible for monitoring the quality and delivery of support services to the organization’s consumers and veterans. Assists in ensuring regulatory and accreditation compliance.

Leadership Responsibilities

• Lead people toward meeting the organization’s vision, mission and strategic goals.
• Assists in monitoring service delivery and compliance with all regulatory, contractual, agency and life safety standards.
• Collaborates with program leadership to identify initiatives and implement action plans aimed at value-based performance improvement and service enhancement that is consistent with Written Program Plans, as directed.
• Serves as a direct resource to clinical program personnel.
• Acts as chairperson to assigned organizational interdepartmental meetings and committees.
• Provides employee training as necessary for other departments (i.e. New Employee Orientation).
• Assist Compliance and Quality Director with mentoring new and current department employees to enhance their professional growth.
• Responsible for assisting Compliance and Quality Director with developing new forms and programs in Footholds. Assists with user management and Help Desk inquiries.
• Assist with research and development of new policies.
• Assist Compliance and Quality Director with assigned special projects and audits.
• Assists with inquiries and requests from outside entities in absence of Compliance and Quality Director.
• Performs all other duties and responsibilities associated with position and as assigned by the Compliance and Quality Director and/or Senior Management.

Performance Management/Quality Assurance/Safety and Risk Management Activities

• Prepares monthly/quarterly outcomes reports and the Annual Performance Management Report. Assists Compliance and Quality Director with the overall content and visual presentation of the report.
• Provides feedback on services in order to assist in improving and enhancing programs.
• Coordinates and distributes recurring and Annual Satisfaction Surveys.
• Completes monthly and annual unusual incident review and analysis; provides guidance and instruction to program leadership regarding unusual incidents, as needed.
• Participate in Quality Council and Chair Sub-Committees as assigned.
• Acts as the Ombudsperson for assigned programs.
• Assists in licensing and accreditation activities as directed.
• Provides technical support of the electronic health record to program staff.
• Participates in the record review process and any relevant committees to ensure quality documentation that conforms to recordkeeping policies and regulations.
• Keeps abreast of current trends in the fields related to best practices that pertain to the populations served by Community Hope, Inc.
• Maintains the assigned vehicle including scheduled maintenance and follows related policies.
• Participates and leads in safety and risk management activities, as assigned.

Grants & Contracts Activities

• Monitor the data integrity of Electronic Healthcare Record (EHR) data.
• Assists with development of new policies for new programs along with updating current policies.
• Conducts internal compliance reviews of Federal billing practices.
• Conducts program site visits for monitoring compliance with organizational policies and regulatory requirements. Formulate recommendations on compliance processes as needed.
• Assists and/or prepares required programmatic monthly, quarterly and annual reports for perspective and current funding sources.
• Maintains knowledge of required regulating standards (i.e. Medicaid, State, County, CARF, etc.)
• Conducts additional grants-related tasks as assigned by the Compliance and Quality Director and/or the Chief Operating Officer.

QUALIFICATIONS:

• Bachelor’s degree in non-profit and/or human services administration/management with a minimum of two years quality assurance experience in a human services or related setting; Master’s degree in related field preferred.
• Must have knowledge of quality improvement process.
• Must possess a valid driver’s license, with a good driving record.
  VEVRAA Federal Contractor. Request Priority Protected Veteran Referral. EOE Minorities/Females/Protected Veterans/Disabled Contact

• Lead people toward meeting the organization’s vision, mission and strategic goals.
• Assists in monitoring service delivery and compliance with all regulatory, contractual, agency and life safety standards.
• Collaborates with program leadership to identify initiatives and implement action plans aimed at value-based performance improvement and service enhancement that is consistent with Written Program Plans, as directed.
• Serves as a direct resource to clinical program personnel.
• Acts as chairperson to assigned organizational interdepartmental meetings and committees.
• Provides employee training as necessary for other departments (i.e. New Employee Orientation).
• Assist Compliance and Quality Director with mentoring new and current department employees to enhance their professional growth.
• Responsible for assisting Compliance and Quality Director with developing new forms and programs in Footholds. Assists with user management and Help Desk inquiries.
• Assist with research and development of new policies.
• Assist Compliance and Quality Director with assigned special projects and audits.
• Assists with inquiries and requests from outside entities in absence of Compliance and Quality Director.
• Performs all other duties and responsibilities associated with position and as assigned by the Compliance and Quality Director and/or Senior Management