CQI Compliance Supervisor

CQI Compliance Supervisor

GENERAL RESPONSIBILITIES:

The Continuous Quality Improvement (CQI) Department Compliance Supervisor is responsible for assisting the department Director with implementing, designing, monitoring, and execution the various roles required to ensure the quality of agency service delivery, the consumer experience at the organization, the quality-driven utilization of each program's resources and timeliness in executing contractually expected services, as well as the survey and analysis of staff related contract compliance and workplace satisfaction. Case record reviews and utilization reviews must occur for each program quarterly; which includes an assessment of quality trends and patterns (strengths and improvement areas), that drive the real-time and annual CQI plan updates and collaborations with program managers and administration.

DUTIES AND RESPONSIBILITES:

• Assist with the quality department conversion to include a broadened review of quality, incorporating the areas of program compliance with design and contractual outcomes, the measurement of consumer progress, case record review, utilization review, staff satisfaction, staff training needs and training implementation compliance to ensure the overall quality of agency services.
• Collaborate with VP of Quality Assurance, to implement collaborative corrective action planning and support with program managers to improve program compliance with design and contractual outcomes. This includes brainstorming with managers to draft measurement metrics that are tied to process and outcome evaluation metrics contained in their program proposals and executed contracts.
• Collaborate with the VP of Quality Assurance for the incorporation of evaluation metrics into the agency electronic medical record and/or outcome performance software.
• Make, and engage in executing approved, recommendations when compliance trends (strengths and improvement areas) need to be addressed agency-wide and program specifically.
• Ensure the continuation of agency case record reviews, utilization reviews, consumer satisfaction survey receipt/analysis, as well as staff satisfaction survey receipt/analysis.
• Participate in the planning of, and implementation of, routine Continuous Quality Improvement meetings with agency staff.

· Receiving ongoing training for the gradual assumption of Corporate Compliance responsibilities to ensure internal agency compliance undergirds the quality of consumer services and business operations.

• Participate in the Corporate Compliance monitoring and investigation processes, as outlined in BFDl's Code of Ethics.
• To train and monitor any agency Quality Assurance Assistants participating in case record reviews, utilization reviews, and contract monitoring components related to consumer well-being and satisfaction.
• To perform data analysis and compliance improvement in partnership with managers to improve outcomes. Data analysis and compliance improvement planning with managers will concentrate on case record, consumer satisfaction, utilization review, contract performance, and credentialing/training data to collaboratively design and implement approved outcome improvement plans.
• Provide oversight over contract compliance for agency programs and subcontractors. This entails reading & analyzing program proposals and contract material, then collaboratively drafting CQI materials and data driven performance elements that ensure actual program activities, service frequencies, staff performance, and outcome results match contractually expected results.
• Support the Sentinel Event reviews, and CQI Committee meetings as requested by the VP of Quality Assurance.
• Assist, if needed, with CAFAS, PECFAS, and other external contract compliance reports, if requested by the VP of Quality Assurance.
• Other duties as assigned.

COMPETENCIES:

• BFDI Code of Ethics, Personnel/Workforce Development Manual, as well as other agency Policies and Procedures
• Case Record, and Utilization, Reviews
• Teamwork, Collaboration, and Partnership Towards Common Agency Vision
• Corporate Compliance Policies and Investigative Procedures
• Contract Management (tool designing/implementation, monitoring, data collection, analysis/evaluation, and developing collaborative CQI recommendations)

QUALIFICATIONS:

A Master's degree is preferred with 10 years of experience as a Quality Assurance Assistant. Strong knowledge of agency quality standards. Strong history of team partnership. Willingness to learn and collaboratively work with managers to develop, automate performance find accountability systems with equity.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Do you have Quality Assurance experience in mental/behavioral health? If so, how many years of experience do you have?
• What are your salary expectations? (Candidates may not be considered if this question is left blank).

Work Location: In person

Salary : $60,000 - $70,000