• Quality Improvement and Compliance Manager

    Job Locations US-AZ-Phoenix
    Posted Date 2 weeks ago(11/2/2018 3:47 PM)
    Job ID
    2018-1429
    # of Openings
    1
    Department
    Admin
  • Overview

    The Quality Improvement and Compliance Manager is responsible for regulatory quality compliance, agency-wide quality improvement plan and strategies, delegation audits and internal quality reviews. Applies knowledge and analytical skills to effectively and efficiently coordinate quality activities and improve the organization’s performance metric goals. The primary function of this position is to ensure compliance with federal and state laws, regulations, and rules governing healthcare entities related to agency revenue line operations; coding, billing, licensure, and documentation. This position reports to the Chief Program Officer.

    We offer excellent health-care benefits such as medical, dental, vision, basic life, voluntary life and short-term disability and telemedicine. We also offer a generous paid time off (PTO) plan, paid holidays, EAP and so much more!

    Responsibilities

    • Develops, implements and maintains an agency-wide standardized quality improvement plan and program to ensure compliance with regulatory and contractual requirements.
    • Establishes and maintains tracking and monitoring systems for quality improvement activities according to regulatory requirements, accreditation standards, policies and procedures and contractual agreements.
    • Responsible for behavioral health licensing activities, state and Motor Vehicle Department per Arizona Department of Health Services’ (ADHS) standards.
    • Ensures high risk, high volume, and unusual events are monitored concurrently and retrospectively as they occur.
    • Researches and develops performance measurement and outcome studies to assess and improve service outcomes.
    • Evaluates continuity and coordination of care and to assess quality and utilization of services.
    • Manages and evaluates performance of staff related to quality improvement activities.
    • Prepares, compiles, reviews and submits monthly and quarterly reports for quality committee meetings.
    • Performs internal audits as part of the Internal Audit process and ensures timely completion and follow up on corrective action plans.
    • Ensures policies and related department operations comply with municipal, state, federal, organizational, and contractual rules and regulations.
    • Performs other duties as assigned.

    EEO Statement

    • Bachelor's Degree in Healthcare, Nursing, Public Health, Health Administration or Accounting or equivalent work experience; Master’s Degree, Certified Internal Auditor certification, or CPHQ preferred
    • Must have working knowledge of federal and state regulations governing mental health and substance abuse treatment
    • Must be able to work independently
    • Must obtain Level One fingerprint clearance card
    • Must pass a criminal background check
    • Must pass urinalysis drug screen and Tuberculosis testing
    • Must have a valid driver's license
    • Must have a high level of interpersonal skills and be able to communicate effectively and interact with diverse audiences, as well as, represent TASC in a professional manner
    • Requires excellent organizational skills with attention to detail
    • Must be competent in computer skills, i.e. Access, Excel, and Word and electronic record keeping
    • Must have excellent written and verbal communication skills
    • Must demonstrate a high level of integrity, ethical conduct, and trust worthiness

    WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

    • Must be able to lift from floor to waist up to 20 pounds
    • Must be able to read, write, and communicate fluently in English
    • Must be able to give and receive verbal and written instructions
    • Must possess the ability to utilize visual and auditory senses to complete all job duties as assigned
    • Must be able to work in a typical office and healthcare environment
    • In-state travel required 

    Competencies:

     

    Communication: Clearly conveys and receives information through a variety of media to individuals or groups in a manner that engages the audience, helps them understand and retain the message and invites response and feedback. Effectively manages unit meetings to communicate organizational values and employ learning opportunities while able to quickly “think on their feet.” Keeps others informed as appropriate. Demonstrates good written, oral, presentation and listening skills.

               

    Cultural Competence: Cultivates opportunities through diverse people; respects and relates well to people from varied backgrounds, understands diverse worldviews, and is sensitive to group differences; sees diversity as an opportunity, challenges bias and intolerance.          

     

    Teamwork: Participates as an active and contributing member of the team to achieve team goals. Works cooperatively with other team members, involves others, shares information as appropriate, and shares credit for team accomplishments.

     

    Ethics: Acts and understands importance of adherence to laws, regulations and policies that governs one’s work and/or geographical area, demonstrates good moral character by conveying care for others, being honest, fair and acting with integrity, follows the ethic codes of one’s profession and the organization, conveys importance of improving lives and the community and behaves in a manner that is respectful, positive and avoids doing harm.

     

    Manages Work: Shows ability to plan, schedule, and direct work of self and others; balances task requirements and individual abilities; organizes materials to accomplish tasks; sets challenging yet achievable goals for self and others.

     

    Quality Orientation: Monitors and checks work to meet quality standards; demonstrates a high level of care and thoroughness; checks work to ensure completeness and accuracy.

     

    Professional/Technical Knowledge and Skills: Possesses acquires and maintains the professional/technical expertise required to do the job effectively and to create staff/client/customer solutions. Technical/professional expertise is demonstrated through problem solving, applying professional judgement, and competent performance.

     

     

    TASC, Inc. is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: TASC, Inc. is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions are based on business needs, job requirements and individual qualifications; without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, sexual orientation, gender identity and/or expression, or any other status protected by law.

     

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