Quality Assurance Director-Manager III

About the role

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey.

Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more.

Responsibilities

The Quality Assurance Director (QAD) performs complex supervisory and consultative work requiring specialized knowledge in the planning, development, implementation, and monitoring of quality assurance systems.

• Ensures the facility conforms to the conditions of participation for the facility as a Centers for Medicaid and Medicare Services (CMS) provider serving persons with mental health diagnoses, the Joint Commission (TJC) standards, and all other relevant state and federal laws, rules, and regulations.
• Interprets regulations/standards, develops, and disseminates policy, performs advanced consultative services to program staff, and coordinates a comprehensive system of implementing and reporting on quality enhancement efforts.
• Ensures a system is maintained to effectively assess service delivery and compliance with HHSC policies and procedures and CMS conditions of participation, including analyzing and evaluating program operations, procedures, and systems and recommending modifications for improvement.
• Develops and ensures provision of in-service/training modules to address issues as needed.
• Analyzes data from multiple sources for trends, systemic issues, and areas for improvement, including verifying accuracy of data.
• Proactively identifies issues and provides solutions.
• Implements directives.
• Responds to crisis/emergency situations and takes immediate action to resolve the issue(s).
• Develops, schedules, and prioritizes processes for achieving established goals.
• Oversees development and implementation of plans of correction and other plans of correction.
• Develop reports as directed.
• Hires, develops, plans, assigns, and supervises the work of others.
• Oversees the Quality Assurance/Quality Management team and serves on and/or chairs other committees and work groups.
• Acts as the liaison between HHSC Regulatory, CMS, TJC and the facility.
• Works collaboratively with the Superintendent and all other department leads.

Requirements

• Knowledge of CMS conditions of participation, The Joint Commission standards, interpretive guidelines, and survey process.
• Knowledge of Texas Administrative Code, HHSC policies and procedures related to State Hospitals.
• Knowledge of and experience in ensuring the provision of quality services, treatment, training and supports for patients with a mental health diagnosis.
• Knowledge of developing and implementing plans of correction.
• Knowledge of how a quality improvement program effects positive change on the implementation of services.
• Skills in defining problems, collecting data, establishing facts, conducting root cause analysis.
• Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Skills in using computers and agency/facility software including, but not limited to, Microsoft Word, Excel, PowerPoint, Access, Outlook, and SharePoint.
• Skill in motivating all levels of staff.
• Skill in facilitating change.
• Skill in writing quality improvement plans.
• Skill in developing and implementing a tracking system.

Qualifications

The ideal candidate will have experience in quality assurance, quality management, and supervisory roles, with a strong background in healthcare, particularly in mental health services.

Skills

The candidate should possess excellent communication, leadership, and problem-solving skills, with the ability to work collaboratively with various stakeholders, including staff, patients, and regulatory agencies.

Benefits

Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more.

Pay

The salary range for this position is $5,425.33 - $8,886.16 per month.

Schedule

This is a full-time position, with a regular schedule of Monday through Friday, and may require occasional overtime, evening, or weekend work.