Director of Quality Management and Accreditation

The Director of Quality Management holds the primary responsibility for development, maintenance, and oversight of the organization’s Quality Management System, which encompasses organization-wide performance and quality improvement initiatives and compliance with relevant state and national standards, including licensure and accreditation requirements. In this role, the Director of Quality Management must demonstrate leadership in working with all levels of program and administrative staff to achieve aforementioned goals, be successful in fostering teamwork, and demonstrate commitment to the ongoing pursuit of excellence in service quality.

Day-to-Day Responsibilities:

Development and oversight of an organization-wide quality management system which is robust, focused, data-driven, and widely used and understood by organizational stakeholders.

Oversight and implementation of all activities related to Joint Commission Accreditation and other national and state accreditation and licensure standards.

Oversight of the implementation and ongoing monitoring of the organization-wide Quality Management System for appropriate accounting of quality services, performance improvement activities, innovation activities, and corrective action. Annually update/revise the Quality Management System Plan.

Chair the Quality Management Committee, including preparation of needed data reports and materials.

Collaborate with solution leaders to design a system for developing, collecting, maintaining and reporting relevant and meaningful key performance indicators (KPIs).

Analyze reports and data from other sources relating to KPIs to identify and interpret trends and variances as opportunities for improvements.

Work with Director of Measurement, Learning and Evaluation and Director of Innovation and Growth to support task forces and work groups related to performance improvement and innovation activities.

Work with Director of PMO to track and monitor the timelines associated with the performance improvement and innovation activities.

Development and facilitation of structure and timelines for organizational policies and plan manuals to be reviewed, revised and approved to ensure effective updating and attention to these processes.

Work with Director of Measurement, Learning and Evaluation to support the Chair of the Professional Practice Committee of the Board of Directors

Qualifications:

Master’s Degree in Behavioral Health and/or Administration.

Must have 7+ years of experience in administration, supervision and quality management/performance improvement related roles.

Experience with Joint Commission Accreditation.

Formal project management training or certification preferred.

Excellent communication/presentation skills required.

Ability to think strategically and use data to inform decision-making.

Strong leadership and management skills, with the ability to lead and develop a team.