Quality Assurance Director

About the role

The Quality Assurance Director leads and directs all activities and management of the quality assurance and improvement for the Alexandria Community Services Board (ACSB).

Responsibilities

• Serves as a Chair for the following committees: multi-disciplinary Quality Assurance Committee, Safety Committee, Ad Hoc Corporate Compliance and Research Review Committee.
• Serves as a Co-Chair for the following committees: Policy and Procedure Committee, Root Cause Analysis Committee(s), CAP Follow Up Committee.
• Training development and didactic training to clinical staff in the documentation of clinical practices in the electronic health record.
• Makes recommendations regarding improving clinical practices and procedures to Alexandria Community Services Board Leadership Team to ensure best practice, regulatory and accredited compliance.
• Serves as Risk Manager for the CSB; oversees the CSB’s risk management activities, including maintaining and updating the Risk Management Plan.
• Strengthens organizational compliance by developing, recommending, and implementing accreditation-aligned policies and procedures for leadership approval as well as the preparation of procedures and/or reports for review and clearance by ACSB Leadership Team.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Ensures operation of all State licensed facilities and programs in accordance with State licensing requirements such as those for medical records, maintenance, personnel procedures and records, program reviews and medication procedures.
• Ensures agency-wide compliance with federal Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Works in concert with Health Information Management (HIM) on conversions necessary for compliance with the Affordable Health Care Act.
• Serves as Human Rights Advocate for State licensed programs as required by the Code of Virginia, coordinates human rights investigations and reports to State agencies and senior management as required.
• Responsible for the coordination of CSB’s accreditation and re-accreditation processes.
• Collaborates with IT, Reimbursement, and Program Evaluation Departments, coordinates implementation of EHR changes and/or updates as they relate to clinician use of the data system.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals and objectives, prepares program reports, and evaluates the effectiveness of all QA programs with CSB Leadership Team and clinical staff.
• Maintains and exercises technical expertise in interpretation and application of statutory requirements such as those pertaining to eligibility for multiple local, State and federal financial assistance programs, licensing and/or accreditation standards.
• Monitors program compliance with all required licenses and certifications.
• Affirms program quality is maintained by coordinating peer review activities and analyzing external reviews.
• Ensures maintenance of CSB licenses with the State Department of Behavioral Health and Developmental Services.
• Develops, implements and maintains record audits, including maintaining data collection data base and providing summary reporting to appropriate clinical and leadership staff.
• Serves as DCHS Corporate Compliance Officer; provides oversight for corporate compliance activities to include complaints related to ethical, legal or compliance practices.
• Establishes goals