Continuous Quality Improvement Manager

Bay Human Services is seeking a motivated and enthusiastic Manager of Accreditation and Continuous Quality Improvement.

Job Title: Manager of Accreditation and Continuous Quality Improvement

• Reports To: Chief Operating Officer
• FLSA Classification: Exempt
• Salary - To Be Determined by Experience

Summary of Benefits:

• Medical
• Dental
• Vision
• Voluntary Life, Accident, and Critical Illness
• Employer provided Basic Life
• 403(b) retirement with employer match
• Earned time off

Job Summary/Objective:

The Manager of Accreditation and Continuous Quality Improvement is responsible for accreditation and preparing for site reviews, as well as providing direction to management on continuous quality improvement errors, including the development and maintenance of the yearly CQI plan, assuring a meaningful quality of life for all the persons receiving supports through Bay Human Services.

Travel

• This position requires consistent travel to visit licensed locations, and other locations within Michigan. Overnight travel will be required.

Essential Duties and Functions:

• Responsible for developing and implementing a yearly “Continuous Quality Improvement” plan.
• Maintains an awareness of grant opportunities and coordinates grant proposal development/application.
• Provide a systematic way of assuring that the Quality of Life of all persons served is assessed and supported.
• Facilitates and documents professional staff development related to Quality of Life, CQI and Clinical issues through planning, coordinating and periodically conducting training and orientation sessions.
• Advises leadership on all accreditation requirements.
• Consults with staff, directors and others regarding processes related to accreditation and quality improvement activities.
• Ensures accreditation requirements are documented and processed in accordance with established timelines, including completion of annual reporting requirements and preparing for cyclical accreditation reviews and site visits.
• Develops and maintains continuous quality improvement dashboards.
• Acts as the Corporate Compliance Officer.
• Contributes to the development of policies, procedures, manuals, and other written communications required as supporting documentation for each of the accreditation processes, including but not limited to policies and procedures, handbooks and website content.
• Ability to manipulate data within and across MS Office products.
• Ability to manage and prioritize multiple tasks and responsibilities with minimal supervision.
• Ability to work with staff, from a variety of disciplines and administration.
• Ability to manage complex tasks/projects in a timely manner with a high degree of quality and to mobilize relationships and resources in a collaborative manner.
• Develops and analyzes statistical data to determine present standards and establish proposed quality and reliability expectancy of services.
• Formulates and maintains quality control objectives complementary to organizational policies and goals as well as compliance with regulations/standards at local, state and federal level.
• Investigates and adjusts stakeholder complaints regarding quality, grievances, client rights, security and privacy.
• Performs root cause analysis, performance improvement, clinical safety reviews.
• Assist with the on-going data collection and evaluation.
• Leverage data to identify targeted quality improvement opportunities
• Analyze and interpret data from various internal and external sources relative to quality assurance by:
• Importing, cleaning, and transforming into information for purposes of drawing conclusions for management decision making.
• Presenting data in charts, graphs, and tables for management reports.
• Present, interpret, discuss or write about conclusions, inferences, and results gained from research data.
• Conducting exploratory data analysis and creation of data reports as required.
• Perform audits of claims processed or initial set-up to assess compliance with company procedures and contract language.
• Review existing business processes to identify inefficiencies in processing and potential weaknesses that may cause inaccurate processing. Coordinate finding with the training coordinator for documentation.
• Assume lead role in assuring compliance and financial regulations are being followed, including Sarbanes-Oxley Act, HIPAA and Best Claims Practices.
• Observe internal control procedures and evaluate their effectiveness.
• Manage projects, including departmental and division initiatives.
• Remain current on technological and business process trends in the industry.

Qualifications:

• A bachelor’s degree in human services management, compliance, quality management, business management, business analyst, or other human services related fields.
• Demonstrate proficiency in computer skills and software systems such as TEAMS, Outlook, Word and Excel.
• Strong writing, editing, and verbal communication skills
• Sound personal organizational skills
• Demonstrated ability to work independently
• Familiarity with principles of Continuous Quality Improvement
• Familiarity with principles of Corporate Compliance.
• Within scope of job requires critical thinking skills and ability to exercise good judgment
• Ability to work collaboratively with internal and external teams
• Excellent organizational, presentation and communication skills
• The ability to collect, analyze and present data
• Advanced computer skills, including report writing
• An entrepreneurial spirit, creative energy and sense of humor.
• A desire to support an underserved population.

Physical Requirements:

• Professional office environment that generates noise from computer equipment/peripherals.
• Possible exposure to health risks (violence and infectious diseases).
• Sometimes lifts, carries, or move objects up to 25 lbs.
• May be required to work variable hours/shifts.