Quality Improvement Specialist- Cayuga Addiction Recovery Services Men's Residence- Full Time- Days
for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. We need to include sections only when posting has real specific content.
We need to extract content: Job Summary (maybe About the role). Core Job Functions (Responsibilities). Required Education / Experience Qualifications (Qualifications). Preferred (maybe Skills). Pay Range Disclosure (Pay). Location and Travel Requirements (Schedule? Actually location and shift). Benefits? Not mentioned. So we can omit Benefits if not present.
We need to preserve all substantive info, no boilerplate. Remove EEO etc. Also remove application instructions, etc.
We need to format using headings, - for lists,
for prose.
We need to include Pay section with salary range.
Schedule: shift Monday-Friday 8am-4pm, location, travel rotating between sites.
We need to include maybe "Location and Travel" as Schedule? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use Schedule heading for shift/location/travel.
We need to avoid filler like "commensurate with experience". Not present.
We need to ensure we don't include duplicated lines.
Let's craft:
About the role
... job summary ...
Responsibilities
- ... each core function ...
Qualifications
Required Education / Experience ...
Maybe separate Required and Preferred? Could combine under Qualifications with subpoints.
But we can also have Skills heading for preferred qualifications.
Let's do:
Qualifications
Bachelor's degree in healthcare, social work, psychology, public health, or a related behavioral health field. Certified Professional in Healthcare Quality (CPHQ) required within two years of hire. Minimum 3-5 years of experience in substance use disorder/behavioral health quality improvement, regulatory compliance, or performance analytics. Demonstrated understanding of OMH, OASAS, and SAMHSA program standards and reporting requirements. Experience in data analysis, performance tracking, and process improvement methodologies such as Lean, Six Sigma, or QI Model for Improvement. Proficiency in EHR systems, data visualization tools (e.g., EPIC, Vizient, PHP), and project documentation.
Skills
Preferred: Clinical or behavioral health licensure (e.g., LCSW, LMHC, CASAC, or RN). Experience with Substance Use Disorder, Behavioral Health, and Addiction Medicine programs. Experience supporting program accreditation or certification (e.g., CCBHC, CARF, and Joint Commission Behavioral Health). Knowledge of value-based behavioral health metrics, population health integration, and trauma-informed care frameworks. Lean Six Sigma Green Belt or equivalent improvement certification.
Pay
$80,000 - $100,000 per year
Schedule
Location: CARS Residential Campus- 6621 NYS Route 227, Trumansburg, NY 14886. Shift: Monday - Friday, 8am - 4pm. Travel: Rotating between Trumansburg, Ithaca, and Cortland locations as needed.
We need to ensure we didn't include any boilerplate like EEO etc.
Check for duplication: The job summary includes some text that may be repeated elsewhere; we need to preserve all substantive info but not duplicate. We'll include job summary in About the role.
Let's extract job summary text:
"Job Summary The Quality Improvement Specialist (QIS) for Substance Use Disorder and Behavioral Health will serve the Cayuga Addiction Recovery Service programs by providing operational and tactical leadership in advancing the quality, safety, and compliance of programs and entities governed and credentialed by the New York State Office of Mental Health (OMH), Office of Addiction Services and Supports (OASAS), Substance Abuse and Mental Health Services Administration (SAMHSA), Drug Enforcement Agency (DEA) and Commission on Accreditation of Rehabilitation Facilities (CARF). Reporting to the Sr. Director of Operations, this position executes the organization's quality and performance improvement initiatives within behavioral health and substance use disorder entities, including Cayuga Addiction and Recovery Services for the Ithaca, Cortland, and Trumansburg Programs. The QIS partners with clinical, operational, and data leaders to ensure program fidelity, regulatory readiness, and continuous improvement in patient outcomes and experience (perception of care for CARS). The QIS reports to the Sr. Director of Operations of Cayuga Addiction Recovery Services, ensuring that priorities are adequately aligned both operationally and strategically. The QIS will be responsible for Perception of Care Surveys, Client Experience, Utilization Review, and the execution of the Quality Assurance and Performance Improvement Plan approved annually. The role plays a critical part in aligning behavioral health and substance use disorder activities under Centralus Health's broader quality strategy, integrating regulatory compliance, value-based measures, and population health priorities across the continuum of care."
We'll put that in .
Now responsibilities: list each core function bullet.
Let's extract core functions:
- Implement and evaluate quality improvement initiatives across OMH-, OASAS-, and SAMHSA-governed programs to enhance clinical outcomes, patient experience, and compliance with agency standards and evidence-based practice models.
- Responsible for providing all regulatory required reports to the Board of Directors in accordance with regulation.
- Responsible for developing and implementing quality management plans, conducting audits, OASAS mock audits and reviews, evaluating performance data, and leading corrective action processes to enhance client care and outcomes.
- Ensure continuous readiness for OMH, OASAS, and SAMHSA site reviews, audits, and certification surveys by maintaining program documentation, tracking corrective actions, and ensuring fidelity to federal and state behavioral health/substance use disorder regulations.
- Partner with the Quality Department to collect, validate, and analyze behavioral health/ substance use disorder performance metrics, including incident trends, access, continuity of care, engagement, and readmission data. Use data visualization and analytics tools to translate findings into actionable improvement plans.
- Collaborate with CARS leadership to monitor adherence to program-specific requirements such as CQI standards, OASAS Part 822 & 820, and SAMHSA evidence-based model fidelity
- Assist in developing and maintaining policies, workflows, and documentation tools that reflect current OMH/OASAS/SAMHSA standards, ensuring consistent implementation and audit readiness.
- Translate quality goals into structured project plans; track milestones, measure outcomes, and adapt based on emerging performance data or regulatory updates.
- Create and maintain dashboards and reports that display behavioral health outcomes, regulatory compliance status, and improvement progress. Present findings to CARS Program Leadership and Sr. Director of Operations
- Apply Lean, Six Sigma, and QI methodologies to behavioral health improvement projects. Support team development and organizational learning through sharing best practices and facilitating staff education.
- Other duties as assigned.
- Demonstrated execution of quality improvement projects
- Support patient safety initiatives
- Use verbal and written communication skills to establish and maintain effective relationships, facilitate multi-disciplinary teams, and produce written and/or verbal reports
We need to ensure not to duplicate "Demonstrated execution of quality improvement projects" maybe it's a success factor? Actually appears under Core Job Functions list. We'll keep as a bullet.
Now success factors maybe not needed as separate section; could be omitted unless we have Skills. But we could incorporate into Skills? The instruction: use sections only when posting has real specific content. Success factors is specific content; but we don't have a heading for it in the list; we could put under Skills or Qualifications. But better to keep as maybe "Skills" includes success factors? However success factors are more about behaviors. Could be placed under Skills. But we already have Skills for preferred qualifications. Could add another section "Key Competencies" but not in allowed headings. The allowed headings list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we could put success factors under Skills or Qualifications. Since they are not exactly qualifications but more like competencies, we could put under Skills.
Thus Skills section could include both preferred qualifications and success factors.
Let's combine: Skills: Preferred qualifications + Success Factors.
We'll list them as bullet list.
Now we need to ensure we don't include any boilerplate like "Other duties as assigned." That's okay.
Now produce HTML.
Check for any leftover boilerplate: The text includes "Centralus Health and its affiliates are committed to treating all patients..." that's EEO boilerplate; we must remove. Also the long statement about equal employment opportunity etc. Remove.
Also remove "Job Posted by ApplicantPro". Remove.
Now produce final HTML.
Let's craft:
About the role
The Quality Improvement Specialist (QIS) for Substance Use Disorder and Behavioral Health will serve the Cayuga Addiction Recovery Service programs by providing operational and tactical leadership in advancing the quality, safety, and compliance of programs and entities governed and credentialed by the New York State Office of Mental Health (OMH), Office of Addiction Services and Supports (OASAS), Substance Abuse and Mental Health Services Administration (SAMHSA), Drug Enforcement Agency (DEA) and Commission on Accreditation of Rehabilitation Facilities (CARF). Reporting to the Sr. Director of Operations, this position executes the organization's quality and performance improvement initiatives within behavioral health and substance use disorder entities, including Cayuga Addiction and Recovery Services for the Ithaca, Cortland, and Trumansburg Programs. The QIS partners with clinical, operational, and data leaders to ensure program fidelity, regulatory readiness, and continuous improvement in patient outcomes and experience (perception of care for CARS). The QIS reports to the Sr. Director of Operations of Cayuga Addiction Recovery Services, ensuring that priorities are adequately aligned both operationally and strategically. The QIS will be responsible for Perception of Care Surveys, Client Experience, Utilization Review, and the execution of the Quality Assurance and Performance Improvement Plan approved annually. The role plays a critical part in aligning behavioral health and substance use disorder activities under Centralus Health's broader quality strategy, integrating regulatory compliance, value-based measures, and population health priorities across the continuum of care.
Responsibilities
- Implement and evaluate quality improvement initiatives across OMH-, OASAS-, and SAMHSA-governed programs to enhance clinical outcomes, patient experience, and compliance with agency standards and evidence-based practice models.
- Responsible for providing all regulatory required reports to the Board of Directors in accordance with regulation.
- Responsible for developing and implementing quality management plans, conducting audits, OASAS mock audits and reviews, evaluating performance data, and leading corrective action processes to enhance client care and outcomes.
- Ensure continuous readiness for OMH, OASAS, and SAMHSA site reviews, audits, and certification surveys by maintaining program documentation, tracking corrective actions, and ensuring fidelity to federal and state behavioral health/substance use disorder regulations.
- Partner with the Quality Department to collect, validate, and analyze behavioral health/ substance use disorder performance metrics, including incident trends, access, continuity of care, engagement, and readmission data. Use data visualization and analytics tools to translate findings into actionable improvement plans.
- Collaborate with CARS leadership to monitor adherence to program-specific requirements such as CQI standards, OASAS Part 822 & 820, and SAMHSA evidence-based model fidelity.
- Assist in developing and maintaining policies, workflows, and documentation tools that reflect current OMH/OASAS/SAMHSA standards, ensuring consistent implementation and audit readiness.
- Translate quality goals into structured
- for lists,
for prose. We need to include Pay section with salary range. Schedule: shift Monday-Friday 8am-4pm, location, travel rotating between sites. We need to include maybe "Location and Travel" as Schedule? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use Schedule heading for shift/location/travel. We need to avoid filler like "commensurate with experience". Not present. We need to ensure we don't include duplicated lines. Let's craft:
About the role
... job summary ...
Responsibilities
- ... each core function ...
Qualifications
Required Education / Experience ...
Maybe separate Required and Preferred? Could combine under Qualifications with subpoints. But we can also have Skills heading for preferred qualifications. Let's do:Qualifications
Bachelor's degree in healthcare, social work, psychology, public health, or a related behavioral health field. Certified Professional in Healthcare Quality (CPHQ) required within two years of hire. Minimum 3-5 years of experience in substance use disorder/behavioral health quality improvement, regulatory compliance, or performance analytics. Demonstrated understanding of OMH, OASAS, and SAMHSA program standards and reporting requirements. Experience in data analysis, performance tracking, and process improvement methodologies such as Lean, Six Sigma, or QI Model for Improvement. Proficiency in EHR systems, data visualization tools (e.g., EPIC, Vizient, PHP), and project documentation.
Skills
Preferred: Clinical or behavioral health licensure (e.g., LCSW, LMHC, CASAC, or RN). Experience with Substance Use Disorder, Behavioral Health, and Addiction Medicine programs. Experience supporting program accreditation or certification (e.g., CCBHC, CARF, and Joint Commission Behavioral Health). Knowledge of value-based behavioral health metrics, population health integration, and trauma-informed care frameworks. Lean Six Sigma Green Belt or equivalent improvement certification.
Pay
$80,000 - $100,000 per year
Schedule
Location: CARS Residential Campus- 6621 NYS Route 227, Trumansburg, NY 14886. Shift: Monday - Friday, 8am - 4pm. Travel: Rotating between Trumansburg, Ithaca, and Cortland locations as needed.
We need to ensure we didn't include any boilerplate like EEO etc. Check for duplication: The job summary includes some text that may be repeated elsewhere; we need to preserve all substantive info but not duplicate. We'll include job summary in About the role. Let's extract job summary text: "Job Summary The Quality Improvement Specialist (QIS) for Substance Use Disorder and Behavioral Health will serve the Cayuga Addiction Recovery Service programs by providing operational and tactical leadership in advancing the quality, safety, and compliance of programs and entities governed and credentialed by the New York State Office of Mental Health (OMH), Office of Addiction Services and Supports (OASAS), Substance Abuse and Mental Health Services Administration (SAMHSA), Drug Enforcement Agency (DEA) and Commission on Accreditation of Rehabilitation Facilities (CARF). Reporting to the Sr. Director of Operations, this position executes the organization's quality and performance improvement initiatives within behavioral health and substance use disorder entities, including Cayuga Addiction and Recovery Services for the Ithaca, Cortland, and Trumansburg Programs. The QIS partners with clinical, operational, and data leaders to ensure program fidelity, regulatory readiness, and continuous improvement in patient outcomes and experience (perception of care for CARS). The QIS reports to the Sr. Director of Operations of Cayuga Addiction Recovery Services, ensuring that priorities are adequately aligned both operationally and strategically. The QIS will be responsible for Perception of Care Surveys, Client Experience, Utilization Review, and the execution of the Quality Assurance and Performance Improvement Plan approved annually. The role plays a critical part in aligning behavioral health and substance use disorder activities under Centralus Health's broader quality strategy, integrating regulatory compliance, value-based measures, and population health priorities across the continuum of care." We'll put that in. Now responsibilities: list each core function bullet. Let's extract core functions: - Implement and evaluate quality improvement initiatives across OMH-, OASAS-, and SAMHSA-governed programs to enhance clinical outcomes, patient experience, and compliance with agency standards and evidence-based practice models. - Responsible for providing all regulatory required reports to the Board of Directors in accordance with regulation. - Responsible for developing and implementing quality management plans, conducting audits, OASAS mock audits and reviews, evaluating performance data, and leading corrective action processes to enhance client care and outcomes. - Ensure continuous readiness for OMH, OASAS, and SAMHSA site reviews, audits, and certification surveys by maintaining program documentation, tracking corrective actions, and ensuring fidelity to federal and state behavioral health/substance use disorder regulations. - Partner with the Quality Department to collect, validate, and analyze behavioral health/ substance use disorder performance metrics, including incident trends, access, continuity of care, engagement, and readmission data. Use data visualization and analytics tools to translate findings into actionable improvement plans. - Collaborate with CARS leadership to monitor adherence to program-specific requirements such as CQI standards, OASAS Part 822 & 820, and SAMHSA evidence-based model fidelity - Assist in developing and maintaining policies, workflows, and documentation tools that reflect current OMH/OASAS/SAMHSA standards, ensuring consistent implementation and audit readiness. - Translate quality goals into structured project plans; track milestones, measure outcomes, and adapt based on emerging performance data or regulatory updates. - Create and maintain dashboards and reports that display behavioral health outcomes, regulatory compliance status, and improvement progress. Present findings to CARS Program Leadership and Sr. Director of Operations - Apply Lean, Six Sigma, and QI methodologies to behavioral health improvement projects. Support team development and organizational learning through sharing best practices and facilitating staff education. - Other duties as assigned. - Demonstrated execution of quality improvement projects - Support patient safety initiatives - Use verbal and written communication skills to establish and maintain effective relationships, facilitate multi-disciplinary teams, and produce written and/or verbal reports We need to ensure not to duplicate "Demonstrated execution of quality improvement projects" maybe it's a success factor? Actually appears under Core Job Functions list. We'll keep as a bullet. Now success factors maybe not needed as separate section; could be omitted unless we have Skills. But we could incorporate into Skills? The instruction: use sections only when posting has real specific content. Success factors is specific content; but we don't have a heading for it in the list; we could put under Skills or Qualifications. But better to keep as maybe "Skills" includes success factors? However success factors are more about behaviors. Could be placed under Skills. But we already have Skills for preferred qualifications. Could add another section "Key Competencies" but not in allowed headings. The allowed headings list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we could put success factors under Skills or Qualifications. Since they are not exactly qualifications but more like competencies, we could put under Skills. Thus Skills section could include both preferred qualifications and success factors. Let's combine: Skills: Preferred qualifications + Success Factors. We'll list them as bullet list. Now we need to ensure we don't include any boilerplate like "Other duties as assigned." That's okay. Now produce HTML. Check for any leftover boilerplate: The text includes "Centralus Health and its affiliates are committed to treating all patients..." that's EEO boilerplate; we must remove. Also the long statement about equal employment opportunity etc. Remove. Also remove "Job Posted by ApplicantPro". Remove. Now produce final HTML. Let's craft:
About the role
The Quality Improvement Specialist (QIS) for Substance Use Disorder and Behavioral Health will serve the Cayuga Addiction Recovery Service programs by providing operational and tactical leadership in advancing the quality, safety, and compliance of programs and entities governed and credentialed by the New York State Office of Mental Health (OMH), Office of Addiction Services and Supports (OASAS), Substance Abuse and Mental Health Services Administration (SAMHSA), Drug Enforcement Agency (DEA) and Commission on Accreditation of Rehabilitation Facilities (CARF). Reporting to the Sr. Director of Operations, this position executes the organization's quality and performance improvement initiatives within behavioral health and substance use disorder entities, including Cayuga Addiction and Recovery Services for the Ithaca, Cortland, and Trumansburg Programs. The QIS partners with clinical, operational, and data leaders to ensure program fidelity, regulatory readiness, and continuous improvement in patient outcomes and experience (perception of care for CARS). The QIS reports to the Sr. Director of Operations of Cayuga Addiction Recovery Services, ensuring that priorities are adequately aligned both operationally and strategically. The QIS will be responsible for Perception of Care Surveys, Client Experience, Utilization Review, and the execution of the Quality Assurance and Performance Improvement Plan approved annually. The role plays a critical part in aligning behavioral health and substance use disorder activities under Centralus Health's broader quality strategy, integrating regulatory compliance, value-based measures, and population health priorities across the continuum of care.
Responsibilities
- Implement and evaluate quality improvement initiatives across OMH-, OASAS-, and SAMHSA-governed programs to enhance clinical outcomes, patient experience, and compliance with agency standards and evidence-based practice models.
- Responsible for providing all regulatory required reports to the Board of Directors in accordance with regulation.
- Responsible for developing and implementing quality management plans, conducting audits, OASAS mock audits and reviews, evaluating performance data, and leading corrective action processes to enhance client care and outcomes.
- Ensure continuous readiness for OMH, OASAS, and SAMHSA site reviews, audits, and certification surveys by maintaining program documentation, tracking corrective actions, and ensuring fidelity to federal and state behavioral health/substance use disorder regulations.
- Partner with the Quality Department to collect, validate, and analyze behavioral health/ substance use disorder performance metrics, including incident trends, access, continuity of care, engagement, and readmission data. Use data visualization and analytics tools to translate findings into actionable improvement plans.
- Collaborate with CARS leadership to monitor adherence to program-specific requirements such as CQI standards, OASAS Part 822 & 820, and SAMHSA evidence-based model fidelity.
- Assist in developing and maintaining policies, workflows, and documentation tools that reflect current OMH/OASAS/SAMHSA standards, ensuring consistent implementation and audit readiness.
- Translate quality goals into structured