Director of Quality Improvement

Description

Job Summary

Under the supervision of the VP of Strategy, Impact & Innovations, the Director of Quality Improvement (QI) will develop strategies to plan, organize and coordinate agency compliance efforts for licensure, accreditation, and contractual agreements. The Director of QI leads in collaboration a culture of continuous quality improvement, innovation and transformation.

Essential Functions

• Oversee agency compliance with relevant county, state, federal and COA regulations/standards. 
• Supervise and manage the QI department by establishing team goals, completing evaluations, hiring, training and coaching the team members to maintain client record audit readiness.
• Actively participate during agency external audits, program reviews and site certifications.
• Ensure privacy of client PHI through compliance with HIPAA by establishing/maintaining procedures and protocols associated with the release of client information and educating staff on all regulations associated with maintaining client confidentiality
• Prepare and present QI in LOS meeting
• Plan and conduct new hire orientation on HIPAA, and QI related regulations
• Attend required DMH QIC meetings
• Conduct clinical documentation training for staff
• Create and maintain QI and related policies
• Ensure communication of changes and updates to compliance and documentation requirement for all agency client programs
• Serve as a resource for staff implementation of departmental Quality Management and Utilization Review
• Sensitive and responsive to the cultural differences among the agency’s client population
• Works to promote and support justice, equity, diversity, and inclusion at all levels in the organization.
• Works to promote a trauma-informed work culture

The Director of QI will take on special projects or additional duties as assigned.

Qualifications

Competency Requirements

-Highly organized

-Experience with training and orienting staff on regulatory updates

-Ability to speak, read, write and understand English

-Ability to work effectively as a member of a multi-disciplinary team

-Must have excellent oral and written communication skills

-Must have working knowledge of Council on Accreditation (COA), DMH, DCFS and Probation standards and regulations

Education and Experience

-Master’s degree in Social Work or related field

-Experience in Quality Improvement/Utilization Review/Clinical Records Programs in a hospital or mental health setting preferred

-Experience in a supervisory position preferred

Certifications/Licenses

-LMFT or LCSW Clinical license issued by the Board of Behavioral Sciences

-Valid CA driver’s license

Additional Requirements

-Tuberculosis clearance

-Department of Justice/Fingerprint clearance

-Satisfactory completion of health screening

-Proof of legal eligibility to work in the United States

-Satisfactory driving record

Delegates Authority To

Quality Improvement Specialist

Lead QI Specialist

Assistant Director of QI

Physical Demands

While performing the duties of a Director of QI, the employee is frequently required to sit, stand and use his/her fingers to manipulate a keyboard or writing instrument. The employee is occasionally required to walk, drive, bend, or lift objects heavier than 10 pounds. The employee is rarely required to run.