Director of Quality and Compliance

Description

As a recognized leader in our field, The Guidance Center provides a broad range of services that have helped children, adults and families unlock potential and build better lives since 1958. With over 25 programs, we offer treatment, prevention, growth and education services to more than 15,000 people annually. Together we: Nurture development. Foster resilience. Cultivate well-being.

We have an exciting opportunity for a Director of our Quality and Compliance Department to join our team of talented professionals. Please note, the incumbent filling this position is expected to begin on or around July 2, 2025. 

Reporting to the Chief Strategy Officer (CSO), the Director of Quality and Compliance is responsible for the implementation of the agency’s Quality and Compliance Program and oversight of related committees and staff in alignment with The Guidance Center’s mission and values. Specific responsibilities include:

1. Coordinate and administer the agency’s overall Quality Improvement Program.
2. As Privacy Officer, coordinate and administer the HIPAA Compliance Program.
3. As Compliance Officer, coordinate and administer the Corporate Compliance Plan.
4. As Infection Control Officer, coordinate and oversee the Infection Control function and policies of the agency.
5. As Customer Service Representative, assist consumers in addressing their needs, track and report patterns of customer service problem areas, display proficiency in conflict resolution, consumer advocacy, rights protection, grievance and appeals process and cultural competency. Oversee the coordination of customer satisfaction surveys and results.  
6. As Recipient Rights Advisor, assist consumers with rights protection and the recipient rights processes including implementing agency corrective action plans when required.
7. As Limited English Proficiency (LEP) Officer, coordinate language access activities, including assisting in identification of and coordination with language services, staff training on LEP requirements and access to interpreters and language activities.
8. Oversee the agency’s Occurrence Reporting system and coordinate with the TGC Safety & Security Officer on monitoring and implementation of agency safety policies and procedures.
9. Oversee the agency’s quality department including but not limited to: improvement monitoring and evaluation processes, clinical record reviews, Medicaid claims audits, utilization management, case conferences, root cause analyses, program switch processes, independent facilitator process, medical records, and compliance audits.
10. Collaborate with Director of Electronic Health Record Services to enhance and improve use of the agency’s electronic medical record and metrics.
11. Provide oversight of the agency’s Total Quality Management Committee. Actively implement the agency’s quality improvement initiatives within their assigned areas, monitor the implementation and adherence to the established quality improvement initiatives, activities and policies. Act as a liaison between Senior Leadership and the TQM sub-committees.
12. Coordinate the agency’s overall credentialing and impaneling processes, ensuring staff and agency are qualified to perform services under MDHHS, DWIHN, CCBHC or other funder guidelines. Review and approve job descriptions.
13. Coordinate quarterly Medical Staff Meetings and meet with Medical Director, monthly.
14. Ensure that all regulations, guidelines and laws within scope of responsibility are appropriately addressed by the agency. Inform, consult and collaborate with the agency’s legal counsel on matters as needed.
15. Prepare agency departments and programs for audits and reviews and coordinate, preparation and completion of any plans of correction.
16. Conduct an annual review of the Total Quality Management program and its goals and objectives.
17. Direct programs as necessary to ensure contract compliance with accrediting bodies and funding sources.
18. Collect, analyze and disseminate program outcomes. Report to the Program Committee of the Board and attend Board Meetings as necessary.
19. Working with HR and Senior Management to maintain an employee performance evaluation, which meets the needs of The Joint Commission, funders, and best employment practices. Makes recommendations re: 
20. Managing staff and department within span of control, including but not limited to: making recommendations with particular weight as to the interviewing, selecting, hiring, and termination of staff; setting and adjusting hours of work; on-boarding and training staff; directing work and assignments; appraising and evaluation of staff work performance; handling of staff complaints and grievances; and making recommendations re: employee discipline.  
21. Other duties as necessary.

Regular working hours are 8:30 to 5:00 Monday through Friday. Due to the needs of the program and service participants, additional hours, including evenings and weekends, may also be required. 

The Guidance Center believes that our team members are our most valuable resources, and we invest in them accordingly. We offer our employees a competitive salary, health/dental/vision benefits, 401(k), Life Insurance, a generous paid time off package, flexible scheduling opportunities, a team-oriented work environment and much more!

The Guidance Center is an equal opportunity employer and is committed to creating an inclusive, welcoming place for everyone. Creating a culture in which we embrace diversity, equity and inclusion and strive to dismantle oppression is critical to our mission to: Nurture development. Foster resilience. Cultivate well-being.

Requirements

 To qualify for this position, you will need:

1. Must have a master’s degree in social work, counseling, psychology, nursing, health information administration or other related field and multiple years of experience in a behavioral health setting. 
2. At least 5 years of prior supervisory experience required.
3. Experience is required in the management and analysis of data, process improvement initiatives, HIPAA Compliance, Medicaid and Private Insurance. 
4. Working knowledge of MDHHS Medicaid Guidelines, HIPAA, Compliance, Electronic Medical Records, The Joint Commission, OSHA, and NCQA standards is highly desired.
5. Experience working with the Detroit Wayne Integrated Health Network is preferred. 
6. Additional requirements include good written and verbal communication skills, and the ability to manage multiple concurrent and overlapping projects and initiatives. 
7. Individual must be highly organized. 
8. Demonstrated competence in provision of assistance to service participants in behavioral health services is required.