Lead Community Services Division's effort to ensure effective implementation and integration of process improvement plans. Ensure overall compliance with regulations and standards governing licensure, contracts, funding sources, and accreditation. Serve as resource and key contributor to variety of staff and organization components in identifying opportunities to enhance efficiency and processes, or resolve issues related to utilization, quality of care, process improvement, change, environment of care, delivery systems, records management, and so forth.
Director of Quality Improvement is responsible for :
Directing the development and implementation of quality improvement programs to ensure effective integration of performance improvement programs; and to facilitate change, improve quality of care, and ensure effective resource utilization.
Planning, organizing and implementing quality management processes, sampling systems, statistical techniques, and auditing methodologies to identify organization-wide or site-specific problems, and devise appropriate corrective interventions.
Lead the Joint Commission accreditation efforts for the Division, including having current knowledge of the standards, helping to educate division managers about the standards, and performing readiness audits at all sites. Coordinate Joint Commission surveys and any corrective actions in response to surveys. In addition, perform required accreditation tasks such as the Focused Standards Assessment, response to complaints and sentinel events, and the FMEA process.
Serve as a resource and advocate to administration, clinical staff, and clients in responding to issues or conflicts related to compliance, utilization of services, insurance coverage, and quality of care. Review cases of noncompliance or deficiencies identified by staff analysts, and approve recommended corrective actions.
Managing assigned employees, and motivating their performance. n doing so, interviews, hires, orients, trains, assigns work to, communicates performance expectations and evaluates the performance of the team.
Periodically reviewing QI team responsibilities to ensure they meet the needs of the Division and advancing Gateway’s fidelity to Evidence Based Practice.
Working closely with Community Division leaders to ensure the QI team is well educated on quality documentation and can provide training at individual sites and to individual clinicians as warranted.
Serves as key contributor or leader to variety of organization committees and task forces concerned with issues related to quality of care, process improvement, facilitating change, environment of care, delivery systems, and so forth. Readily takes on assigned projects to further the work of the sites and the Division.
Developing, securing approval of, facilitating, and administering policies, procedures, and practices related to quality management, clinical practices, Joint Commission standards, and the functioning of the treatment center processes. Ensures approved policies and procedures are communicated to all employees and staff, and administered consistently.
Knowledge, Skills and Abilities Required :
Knowledge of Joint Commission and health administration regulations and standards, health information management, and general administration and management principles; at a level normally acquired through completion of a Bachelor’s degree in health sciences, health information (medical records) management, public administration, or a related field.
Ability to plan and oversee department operations; develop and implement comprehensive programs and services to monitor and improve utilization and quality of services; develop and implement policies and procedures;
Organizational and analytical abilities necessary to oversee and organize the work of others; gather and evaluate quantitative and qualitative data; identify and monitor trends, variances, and performance outcomes; and initiate effective corrective actions or responses to ensure quality of services and program compliance.
Advanced communication skills, both verbal and written, necessary to write clear and thorough policies, procedures and report and/or present audit findings and analyses to all levels of organization, governing bodies, regulators.
Typing ability and working knowledge of word processing and spreadsheet software to complete required forms, reports, and analyses.
A current and valid driver’s license to travel to assigned sites.
Physical Requirements :
Ability to lift and carry 5 to 20 pounds of files (desirable).
Proofreading and checking documents for accuracy on a continual basis (critical).
Ability to use a keyboard and video display terminal to receive, retrieve, and/or audit information and data.
Ability to respond to telephones, pages and speech.
Normal or corrected vision to read and audit files.
Ability to operate a motor vehicle safely, and remain alert to traffic signs and conditions, to travel to assigned sites.
NOTES:
Employer will assist with relocation costs.
Internal Number: 1013
About Gateway Foundation
Gateway Foundation is a recognized non-profit leader in evidence-based treatment proven to get results. Our experts in Addiction Medicine—including highly educated clinical and medical professionals and expert psychiatrists and nurses—deliver care that never stops. Throughout Gateway’s proud history of helping others, dedicated and professional employees have been vital to accomplishing our life-saving mission.
