Quality Assurance Manager

Summary:

The Quality Assurance/Quality Improvement (QA/QI) Manager is responsible for overseeing and managing the agency's Quality Assurance and Continuous Quality Improvement program within the substance use treatment setting. The QA/QI Manager provides leadership and supervision to QA staff, monitors compliance with applicable regulatory and accreditation standards, coordinates internal and external audits, and develops and monitors corrective action plans.

The QA/QI Manager works collaboratively with the Director of Compliance, Executive Leadership, program directors, and management staff to identify areas of risk, improve the quality of services, strengthen documentation and operational practices, and promote a culture of accountability and continuous quality improvement.

The QA/QI Manager serves as a member of the agency's management team and participates in organizational planning, problem-solving, and quality improvement initiatives.

Qualifications:

• Bachelor's degree in Human Services, Behavioral Health, Healthcare Administration, or a related field.
• Minimum of five years of experience in substance use treatment, behavioral health, healthcare, or a related treatment setting.
• Previous supervisory or management experience required.
• Experience in quality assurance, quality improvement, compliance, auditing, or regulatory oversight preferred.
• Knowledge of applicable federal, state, county, payer, and accreditation requirements governing substance use treatment services.
• Knowledge of DHCS and CARF standards and requirements.
• Strong analytical, organizational, communication, and problem-solving skills.
• Proficiency with electronic health records, Microsoft Office, and other computer applications.
• Valid California Driver's License and proof of automobile insurance.
• Current CPR and First Aid certification.
• Must successfully pass required background screening.

Duties and Responsibilities:

• Manage and oversee the agency's Quality Assurance and Continuous Quality Improvement program.
• Supervise, direct, and support QA staff and ensure effective completion of assigned quality assurance activities.
• Establish and maintain quality monitoring processes, audit tools, and quality assurance procedures.
• Conduct and/or oversee chart reviews, documentation audits, program reviews, and other quality monitoring activities.
• Review quality assurance findings to identify trends, deficiencies, risks, and opportunities for improvement.
• Provide recommendations to management regarding quality, documentation, service delivery, and compliance concerns.
• Participate in the development and implementation of quality improvement initiatives designed to improve service quality and client outcomes.
• Plan, coordinate, and support preparation for internal and external audits, including county, state, payer, and accreditation reviews.
• Coordinate audit schedules, documentation requests, preparation activities, and follow-up actions.
• Monitor compliance with applicable federal, state, county, payer, and accreditation requirements related to substance use treatment services.
• Maintain working knowledge of DHCS, CARF, and other applicable regulatory and accreditation standards.
• Monitor agency readiness for regulatory and accreditation reviews and communicate areas of concern to the Director of Compliance and management.
• Assist management in addressing regulatory findings and maintaining ongoing compliance.
• Develop, coordinate, and monitor corrective action plans resulting from internal audits, external audits, regulatory reviews, accreditation surveys, and QA findings.
• Work with program leadership and responsible departments to establish corrective actions, timelines, and measurable outcomes.
• Monitor corrective action plans through completion and verify that identified deficiencies have been appropriately addressed.
• Report overdue, unresolved, or recurring deficiencies to the Director of Compliance and appropriate members of management.
• Evaluate corrective actions for effectiveness and identify opportunities to prevent recurring deficiencies.
• Serve as an active member of the agency's management team and participate in management meetings, organizational planning, and problem-solving activities.
• Collaborate with the Director of Compliance, Executive Leadership, Directors, Program Managers, and supervisors regarding quality, compliance, risk, and performance improvement matters.
• Communicate significant quality assurance findings, compliance concerns, trends, and recommendations to leadership.
• Participate in the development and implementation of agency policies and procedures related to quality assurance, quality improvement, documentation, and regulatory compliance.
• Promote a culture of accountability, quality, compliance, and continuous improvement throughout the organization.
• Maintain confidentiality of client and agency information in accordance with HIPAA and applicable federal and state requirements.
• Ensure adherence to agency policies, procedures, ethical standards, and applicable regulatory requirements.
• Stay current with changes in laws, regulations, accreditation standards, and best practices affecting substance use treatment services.
• Attend required management, compliance, QA/QI, and professional development meetings.
• Perform any other duties as assigned by the Director of Compliance or Executive Leadership.
• Ensure the highest level of service is provided to the people we serve.
• Ensure client anonymity and confidentiality in compliance with federal guidelines, including HIPAA regulations.
• Ensure adherence to staff Codes of Ethics and Conduct.
• Ensure adherence to policies and procedures set forth for agency.
• Ensure adherence to safety and housekeeping standards established by IVRS.
• Stay apprised of current treatment trends and updated federal, state and local laws, rules, regulations and standards governing all services provided by IVRS.

Essential Job Functions:

• Must be physically able to operate a variety of equipment including computers, copiers, calculators and fax machines.
• Must be able to prepare correspondence.
• Must be able to deal with people beyond giving and receiving instructions.
• Must be able to record and deliver information, to explain procedures, to follow oral and written instructions.

Pay: $80,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person