Vice President of Quality Management & Improvement

Accountabilities

• Quality Management & Improvement
• Develop and implement annual and quarterly strategic quality goals and objectives for the agency.
• Oversee the collection and reporting of data for improvement and monitoring achievement of agency goals
• Lead agency Quality Management & Improvement Committee
• Oversee record audits to ensure compliance with funding and licensing regulations and quality standards.
• Develop systems and procedures to monitor conformity to standards and quality improvement.
• Develop and use tools to train staff on improving the accuracy, quality and efficiency of agency programs.
• Develops, monitors and assesses risk management
• Oversee the review of all critical incident reports.
• Provide oversite to all sentinel event reviews.
• Maintain functioning and performance analytics.
• Licensing, certification, and accreditation with KDADS and CARF
• Serve as liaison with licensing and certification entities
• Ensure CMHC licensing, CCBHC certification, and CARF accreditation requirements are met.
• Develop and manage Quality Improvement plans in collaboration with clinical leadership.
• Ensure adherence and compliance to licensing, certification, and accreditation standards.
• Monitor and measure progress/status annually.
• Produce reports and provide updates.
• Provide day-to-day guidance to organization regarding compliance and risk management.
• Ensure the organization is in compliance with HIPAA and state privacy regulations.
• Act as agency privacy officer.
• Conducts corporate compliance investigations and makes recommendations
• Develops and disseminates policies and procedures regarding all compliance related activities.
• Communicate with CEO, Board Chair and Organization’s Attorney regarding corporate compliance.
• Work with training department to ensure employees are trained and educated regarding corporate compliance
• Reports compliance issues to the appropriate agencies in collaboration with the CEO and as appropriate.
• Responsible for writing, reviewing and editing policies and procedures.
• Staff Management/Development
• Directs the functions of staff.
• Ensures accurate and timely completion of tasks.
• Manages the planning and coordination of activities.
• Trains and provide coaching in work assignments (demonstrating ‘how to’ on task completion, providing guidance, offering constructive feedback, answering questions, etc.)
• Oversee the day-to-day administration and management of staff.
• Directs staff activities (guiding toward optimal performance, participating/overseeing managerial processes [interviewing, selection, staff development and/or performance, discipline actions, etc.], conducting team meetings, preparing/conducting performance evaluations, ensuring adherence to policies, practices, and protocols [organization and/or regulatory compliance], assisting with problems [personnel issues, conflict resolution, crisis management, etc.], etc.)
• Proactively enhances and improves efficiencies (assessing performance, evaluating/needs/services, providing educational enrichment opportunities to direct reports, ensuring optimal utilization of facilities and resources, maintaining confidentiality, etc.)
• Oversee the maintenance of personnel recordkeeping [vacation, holiday, sick time, etc.] monitoring activities, recording absences, directing the updating of files, etc.

Qualifications

• Education: Master’s degree in mental health care discipline or business/management field. Must be licensed by the Kansas Behavioral Sciences Regulatory Board.
• Experience: Minimum of five years of related experience, e.g., working for a community mental health organization or in some capacity of Psychology, Marriage & Family, Social Work, or Mental Health Counseling. Knowledge of licensing and regulatory requirements for CMHC/CCBHC. Previous quality management and supervisory experience preferred.
• Skills/Abilities:
• Excellent communication skills (oral/written).
• Working knowledge of standard concepts, practices, procedures and regulations of behavioral healthcare industry, including state and federal requirements.
• Knowledge of community mental health services in Kansas.
• Ability to analyze data, generate reports and recommend strategies that reflect an adherence to standards, outcomes, and efficiency to resource applications.
• Demonstrated ability to work with highest level of confidentiality and business ethics in relation to organizational systems access.
• Working knowledge of roles of various regulatory agencies affecting the functioning of a community-based service organization.
• Familiarity and knowledge of data reporting systems for Kansas mental health providers.
• Demonstrated ability to work in a collaborative environment; ability to work as a business partner with all departments/functions and use organizational goals, philosophy, mission, vision and values as operating drivers in all recommendations and decisions.
• Ability to manage priorities and maintain expected progress with a variety of assignments.
• Must have innovative solutions to ensure continuous quality improvement.
• Ability to evaluate and assess effectiveness of improvement tools and processes, making recommendations to further advance the organization.
• Must be able to safely perform essential job functions, with or without reasonable accommodation.

Location/Travel/Work Conditions and Considerations

• Works from a central office and travels to other Center locations.
• May require non-routine business hours based on agency need.
• May require additional travel for meetings and conferences.

Job Type

Full Time

Salary Range

$100,000 and over