Director of Compliance and Quality Improvement

Description

The Compliance and Quality Improvement Director is responsible for overseeing and ensuring regulatory compliance, quality assurance, and program improvement within Caring Hands & More. This role involves the management of documentation, audits, service tracking, training, member services administration, and policy development, to enhance service delivery and uphold the organization's mission.

Key Responsibilities

• Develop and execute comprehensive quality improvement plans aligned with organizational goals, identifying key performance indicators (KPIs) and targets.
• Lead data collection, analysis, and interpretation to identify trends, root causes of issues and opportunities for improvement.
• Oversee quality improvement projects, including assigning tasks, managing timelines, and ensuring successful implementation.
• Build and manage a team of quality improvement professionals, providing coaching, mentoring, and development opportunities.
• Collaborate with department leaders and other stakeholders to identify quality concerns, develop solutions, and ensure buy-in across the organization.
• Ensure compliance with relevant quality standards and regulations, including reporting requirements, including Medicaid, HHS, and DIA.
• Regularly monitor performance metrics to track progress on quality improvement initiatives and identify areas needing further attention.
• Ensure documentation compliance and conduct audits regularly and at the request of stakeholders.
• Address, investigate, and document, grievances and incidents.
• Conduct trainings to ensure staff understanding and compliance with regulatory requirements.

Oversees member services administration, including:

• Ensuring timely documentation and administration of member benefits, including SNAP, housing assistance, Medicaid, Social Security, and other member benefits.
• Process and monitor the utilization of member funding sources.
• Oversee and ensure timely completion of member documents, including Person Centered Service Plans (PCSP), annual service agreements, releases of information, and other documents as required.
• Oversee the document and data management systems for records relating to all members served.

Qualifications

• Proficiency in data analysis techniques, statistical methods, and data visualization tools to interpret complex data sets.
• Proven experience in leading and motivating teams to achieve quality improvement goals within related settings.
• Ability to plan, execute, and monitor, quality improvement projects within budget and timelines.
• Excellent written and verbal communication skills to effectively convey complex information to diverse audiences.
• Understanding of Supported Community Living (SCL) programs, Day Habilitation, and Adult Day Care programs, and relevant regulatory requirements.
• Grant writing and administration experience preferred.

• Bachelor’s or Master’s degree in healthcare administration, social services, nursing, or a related field, or equivalent professional experience.
• Proficiency in Microsoft Office Suite or Google Workforce and electronic health record systems.

Work Environment:
This role requires a combination of office work and occasional on-site visits to service locations. The Compliance and Quality Improvement Director will collaborate closely with various departments to ensure adherence to policies and continuous service improvement.

Benefits

• Collaborative and respectful working relationships
• Simple IRA with up to 3% agency match
• Health, Dental and Vision insurance for all full-time staff with the agency paying 75% of the premium
• Personal paid time off and paid company holidays
• Skill development- The skills you learn at CHAM are applicable to all parts of life. These skills include effective communication, creative problem-solving and collaboration with diverse teams. CHAM provides many opportunities for training to support personal and professional growth and development.