Director of Quality Assurance

Position Title: Director of Quality Assurance

Department/Area: Quality Assurance

Reports to: Senior Director of Quality Assurance

Employment Status: Full-Time; Non-Union

EXCELLENT BENEFITS PACKAGE:

• Earn an additional week of paid time off including floating holidays, and personal time! Plus,
• 13 paid holidays per year, and paid sick time!
• Company paid Life Insurance,
• Company paid Accidental Death & Dismemberment Insurance,
• 401K,
• Opt-in benefits available: Pet Insurance, Employee/Spouse/Child Life Insurance, and Long Term Disability,
• Plus, Medical, Dental, & Vision Insurance!

Organization Overview:

Sound Community Services, Inc. (SCSI) is a private, not-for-profit organization dedicated to educating, assisting, and supporting individuals with persistent mental illness and substance use disorders. We work tirelessly to create a culture and environment in which recovery and wellness are possible.

Position Overview:

The Director of Quality Assurance (QA) oversees all agency activities related to quality improvement, compliance, data integrity, and regulatory preparedness for the agency. This position provides leadership in the development, implementation, and monitoring of systems that support clinical excellence, consumer rights, performance measurement, and regulatory compliance. The Director plays a critical role in the maintenance, configuration, and optimization of the Electronic Health Record (EHR); oversees required state reporting; maintains the centralized repository of all Department of Mental Health and Addiction Services (DMHAS) reported data; and ensures accurate and timely data submission. This role also leads the agency's preparation for external audits (ex., Commission on Accreditation of Rehabilitation Facilities (CARF), Department of Public Health (DPH), DMHAS), coordinates customer satisfaction activities, and serves as the agency's Client Rights Officer.

This position is responsible for the monitoring and analyzing of processes to meet Fidelity and contractual requirements across the agency. Ongoing analysis of health care information obtained from a variety of sources, including patient care, financial, and demographic data is necessary. This role involves the development and preparation of information for state reporting and organizational best practices. This position will maintain repository of all state reported data for all DMHAS programs. A heavy importance is placed on collaborating with program leaders across the agency, ensuring accuracy of data reported and driving agency performance.

Essential Functions

Department Leadership, Training, and Support

• Directly supervise two (2) employees in the Quality Assurance department and serve as backup to staff as needed.
• Provide Daily Living Activities Functional Assessment (DLA-20), program specific documentation, and recovery planning training to the agency.
• Train employees and monitor compliance across programs with state reporting requirements.
• Function as an internal information expert to the entire management team when special and critical quality issues occur.
• Consult with senior leadership to resolve quality, service, and efficiency problems.

State Reporting, Data, and Surveys

• Facilitate and coordinate annual DMHAS Consumer Satisfaction Surveys and quarterly CARF Satisfaction surveys.
• Provide DMHAS Data Performance System (DDaP) data and informational support to other departments, including DDaP 101 supervisor training, share DMHAS information with leadership, and present quarterly and annual DMHAS Report Cards to leadership.

Electronic Health Record (EHR) and Systems Support

• Triage QA tickets. Issues include, but are not limited to, document management, on/off-boarding, medical staff onboarding, system outages, etc.
• Facilitate within the EHR the build and support of procedures, forms, and form development; implement training to identified employees.
• Foster ongoing support to assigned programs and serve as a liaison between staff and vendors for effective responses to users' needs.

Audit Readiness, Compliance, and Quality Improvement

• Provide support to programs in preparation for routine external audits, including CARF survey, fidelity reviews, and Department of Public Health licensing.
• Facilitate completion of all corrective action plans and audit follow-up, including quarterly and annual program compliance reviews.
• Monitor and assist with corrections and work with programs to identify and resolve root causes as needed.
• Ensure compliance with SCSI's policies, quality assurance programs, and safety; ensure EHR compliance with regulatory agencies like DMHAS, DPH, CARF, etc.
• Participate in quality improvement initiatives.
• Serve as the agency's Client Rights Officer (CRO), observing and adhering to the role outlined by DMHAS.

Agency Participation and Policy Compliance

• Participate in all agency activities pertaining to health and safety, training, drills, etc.
• Adhere to SCSI policies and procedures.

Physical Requirements

While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle or feel objects, tools, or controls, and climb stairs. The employee frequently is required to walk, talk and/or hear; speaking and hearing ability sufficient to communicate effectively by phone or in person at normal volumes; vision adequate to read correspondence, computer screen, forms, etc. The employee is occasionally required to stand and climb or balance. The employee must occasionally lift and/or move up to 25 lbs. Specific vision abilities required by this position include the ability to adjust focus. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Knowledge, Skills, and Abilities

• Strong understanding of Connecticut DMHAS standards, documentation requirements, and reporting systems (including DDaP).
• Demonstrated ability to supervise, lead, and coach staff.
• Strong analytical skills with the ability to interpret data, identify trends, and communicate findings clearly.
• Demonstrated technology and software application skills; ability to learn new software packages; highly skilled in office productivity software (e.g., Word, PowerPoint, Excel, email).
• Excellent written and oral communication skills.
• Ability to be proactive, flexible, and customer service focused and to work effectively with others.

Qualifications

Minimum education: Bachelor's degree required, or an equivalent combination of education and related experience.

Minimum experience: Experience working with electronic health record system, i.e., CareLogic; experience providing training; and experience with accreditation standards such as CARF, DMHAS, DPH, or similar regulatory bodies.

Preferred qualifications: Bachelor's degree in Public Health, Social Work, Psychology, Healthcare Administration, or a related field. Masters degree preferred.

Preferred license: Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)

Driver's license requirement: A current valid driver's license is required.

Background check, credentialing, health screening, or other employment requirements: Successful completion of required background checks and any other applicable agency employment requirements.

Equal Employment Opportunity Statement

Employment decisions are made without regard to race, color, religious creed, age, sex, pregnancy, gender identity or expression, marital status, civil union status, national origin, ancestry, citizenship, present or past history of mental disability, intellectual disability, learning disability, physical disability, including but not limited to blindness, genetic information, veteran status, sexual orientation, status as a victim of domestic violence, status as a victim of sexual assault, status as a victim of trafficking in persons, or any other characteristic protected by applicable federal, state, or local law.

Other Duties

This job description is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Employees may be required to perform other job-related duties as assigned.