Quality Improvement Manager - Behavioral Health

The Behavioral Health Quality Improvement Manager is responsible for leading the integration of quality, compliance, and risk management activities across behavioral health programs. This role emphasizes collaboration with multidisciplinary teams to promote high-quality, client-centered clinical services and ensure adherence to regulatory standards. Key functions include audit preparation, investigations, monitoring, data collection and analysis, reporting, and oversight of grievances. The position also supports the development and implementation of relevant trainings and may include supervisory responsibilities.

Salary Range: $70,000 - $80,000

KEY RESPONSIBILITIES

• Assist with the development, implementation & coordination of quality improvement/assurance systems
• Collect and organize program data and provide recommendations for continuous program improvement
• Support the implementation of regulatory standards to promote compliance for agency certification, accreditation, and contracts
• Assist in researching evidence-based best practices in case management and housing, employment, life skills, youth, and mental health/substance abuse programming
• Coordinate and complete reviews of individual client records (case reviews & internal audits) to assess compliance with contractual requirements and evaluate the quality-of-service provision
• Manage client grievances and unusual incidents, review actions taken by program staff, and develop recommendations for corrective action
• Review database systems for data quality management of electronic client records
• Assist with audit preparation, reporting, and investigations
• Develop and implement relevant trainings/ education materials and support online training initiatives
• Attend internal and external meetings as required to stay abreast of agency program developments and industry best practices
• Support Special Projects as assigned

Program Specific Responsibilities:

• Provide support for Civil Commitment process and tracking
• Utilization Management/Review Activities including medical necessity reviews and recommendations for level of care
• May provide overall direction, coordination, and evaluation of one (1) or more staff members by carrying out supervisory duties to include interviewing, hiring, and training; performance management; addressing complaints and resolving problems.

In addition to role responsibilities, each staff member of Community Connections has the following responsibilities as a part of their employment:

• Models and reinforces Community Connections mission to provide behavioral health, residential services, and primary health care coordination for marginalized and disenfranchised women, men, youth, and children living in the District of Columbia, many of whom are coping with challenges including mental illness, addiction, and the aftermath of trauma and abuse.
• Models and reinforces Community Connections values of quality, innovation, respect, equity, and integrity daily.
• Reinforces Community Connection’s commitment to diversity, equity, and inclusion.
• Protects the privacy of our consumer’s protected health information by maintaining compliance with HIPAA and other relevant CC related IT security regulations.
• Completes and stays current on role specific and organizational wide training.
• Performs other duties as assigned on an as-needed basis.

DESIRED KNOWLEDGE/SKILLS/ABILITIES:

Qualifications

• Bachelor's degree in a field related to human services required. Master’s degree in field related to human services preferred
• LGPC, LPC, LICSW, or LG licensure or license eligible highly desired
• Strong written communication skills and attention to detail required
• Experience working with and assessing the needs of adults with mental health and/or substance use disorders preferred
• Knowledge of behavioral health regulatory standards, contracts, and policy strongly preferred

Skills

• Strong interpersonal skills with the ability to foster collaboration, build trust, and effectively partner with multidisciplinary teams
• Ability to remain organized in a fast-paced environment while effectively managing priorities and meeting deadlines
• Excellent problem solving and communication skills
• Highly driven and self-directed, with the ability to proactively identify needs and independently execute tasks
• Ability to maintain an appropriate level of authority while effectively engaging and collaborating with program leadership, clinical leadership, and frontline staff
• Demonstrated skills collecting data, measuring outcomes, identifying themes, and communicating these in a clear and concise manner