Quality Assurance/Quality Improvement Manager

QA/QI Managers ensure the delivery of high-quality, compliant, and effective clinical services by reviewing and auditing documentation for accuracy, timeliness, and adherence to regulatory standards; implement data-driven continuous quality improvement initiatives; and collaborate across teams to enhance performance and implement best practices.

Bachelor’s degree in human service, healthcare or related field or WV Registered Nurse licensure required. Experience in behavioral health and/or quality assurance/continuous quality improvement experience preferred.

Other bachelor’s degrees with relevant QA/QI experience considered.

Valid driver’s license and vehicle required.

Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES and a drug screen.

SKILLS AND KNOWLEDGE REQUIRED

Communication and interpersonal skills to effectively interact with employees and others. Organizational skills to manage multiple tasks, prioritize workload and meet deadlines.

Proficient with Microsoft Office (Outlook, Word, Excel).

Proficiency in Microsoft Word and Excel.

Knowledge of behavioral health and health care regulations and compliance.

ESSENTIAL FUNCTIONS:

• Review and audit clinical documentation for accuracy and timeliness.
• Collaborate on the implementation of a data-driven Continuous Quality Improvement Plan.
• Utilize data to improve performance in key performance indicators by participating in root-cause analysis, action planning and process development.
• Collaborate with clinical, administrative and support staff to implement quality improvement initiatives.
• Become a Subject Matter Expert (SME) in CCBHC, documentation and other regulatory compliance requirements.
• Maintain knowledge of Acentra, CCBHC, OHFLAC, BMS and CARF Standards and other regulatory requirements.
• Assist QA/QI Director with the information provided to CCBHC Advisory Committee and Leadership Team to ensure ongoing compliance.
• Maintain professional and technical knowledge by attending educational workshops; obtaining required continuing education as required by professional license; reviewing professional publications; establishing personal networks; and reviewing relevant rules and regulations regarding the provision of services.
• Assure the provision of high-quality services for clients by becoming knowledgeable of and adhering to rules, regulations, and legal requirements; secure information and protect operations by adhering to HIPAA and 42 CFR Part 2 regulations and Seneca privacy policies and keeping client and corporate information confidential.
• Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca’s Code of Conduct and Ethical Practice.
• Other duties as assigned by supervisor.

Minimum Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit; use of arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard. The employee is occasionally required to stand; walk; reach with hands and arms; climb stairs; balance; bend or crouch; talk and hear; and drive a motor vehicle. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision and distance vision.

This job description reflects management's assignment of essential functions; it does not restrict the tasks that may be assigned.