Quality Assurance/Quality Improvement Director - CTSHealth : Job Details

The Quality Assurance/Quality Improvement Director reports to the CEO and the Corporate Compliance Committee. This position safeguards agency standards by ensuring compliance with established external and internal control procedures and regulations. Working together with the Corporate Compliance Committee, this role is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program and to propose policy and procedural changes for consideration.

Quality Assurance/Quality Improvement Job Function:

Will oversee the activity of the quality assurance department and staff, developing, implementing, and maintaining a system of quality and reliability testing for the organization's products and/or development processes.

Responsibilities and Duties

• Monitor risk management activities
• Review the implementation and efficiency of the agency's quality systems
• Drive quality control programs to meet high-quality standards by auditing systems for quality documentation and client health records to ensure compliance with Medicaid and other auditing agency standards such as LME.
• Analyze and communicate areas for quality data improvement to department managers/supervisors
• Develop, recommend, and monitor corrective and preventative actions
• Lead and facilitate continuous quality improvement efforts using analytical methodologies
• Collect and compile statistical quality data
• Coordinate and support on-site audits by external providers
• Evaluate audit findings, interpret, and implement quality assurance and improvement standards and procedures
• Identify training needs and organize training interventions to meet quality standards
• Attend and participate in quarterly QA/QI committee meetings
• Perform other job-related duties as assigned by supervisor
• Maintain strict confidentiality according to all Federal and State guidelines
• Exemplify personal and professional conduct
• Uphold the Professional Code of Ethics
• Maintain cooperative relationships with employees, medical staff, and others
• Adhere to and support facility policies and activities
• Demonstrate tact, courtesy, and positive communication
• Ensure a safe, clean, and drug-free environment
• Willingness to work beyond required hours and travel for education

Communication:

• Collaborate with team members to ensure compliance
• Work with department heads to integrate QA/QI into daily operations
• Present findings and recommendations to leadership
• Serve as liaison with external regulatory bodies
• Report concerns promptly and seek supervisor's guidance
• Follow chain of command for problem resolution
• Participate proactively in decision-making
• Provide on-site coverage as needed
• Attend meetings and training sessions
• Manage assigned equipment

Requirements

Education: Bachelor's degree required; Master's preferred.

Experience: Minimum five (5) years in healthcare, including leadership, with knowledge of operational, financial, quality assurance, and HR procedures.

Qualifications:

• Pass criminal records, fingerprinting, and background checks
• Complete required trainings
• Reliable transportation, valid driver's license, and insurance; willingness to travel
• Knowledge of accreditation, compliance, documentation, research, and communication skills