Director of Compliance and Quality (Mental Health)
- Expired: over a month ago. Applications are no longer accepted.
The McClendon Center, founded in 1980, is a certified community based service provider operating under the District of Columbia Department of Behavioral Health. As a leading not-for-profit organization in Washington, DC, the McClendon Center provides outpatient behavioral rehabilitation to adults diagnosed with mental illness by fostering creativity, promoting friendship, instilling independence, and providing an outlet for emotional growth and greater participation in the community.
McClendon Center operates programs in three locations, a day program near Metro Center, a therapy practice in Dupont Circle and an outpatient service clinic in the NOMA section of DC. The Center has contracts from the Department of Behavioral Health, Managed Medicaid Organizations, and grants.
McClendon Center is a respected and high rated agency in the District of Columbia. The Center is also the longest independent mental health agency in the District to be accredited by the Joint Commission on Accreditation of Healthcare Organizations.Job Description
Under the direct supervision of the President/CEO, the Quality Improvement and Compliance Director will provide direction and oversight to quality improvement (QI) and compliance activities, practice management, utilization management, and performance monitoring activities across the center. This position will monitor and ensure compliance with regulatory and funding requirements related to service quality and effectiveness, and work closely with senior leadership, clinical and administrative managers and staff, Behavioral Health Organization (BHO) affiliates, external funders, and community agencies and partners.
Duties & Responsibilities
- In collaboration with the President/CEO , Chief of Staff, and Clinical Director, coordinates tracking and reporting of clinical outcomes, and follow-up of corrective action plans.
- Responsible for developing methods for data collection and extracts data as required.
- Prepares QI and Compliance reports and statistics.
- Participates in staff and Executive Leadership meetings as they relate to QI activities.
- Directs the Consumer Advisory Board (CAB).
- Conducts consumer satisfaction surveys.
- Leads triennial Joint Commission accreditation site visit and acts as lead for all future accreditation and audit visits.
- Acts as the lead for the DBH certification application process.
- Reviews QI tools and surveys and provides technical assistance to staff.
- Collaborates with the Department of Behavioral Health (DBH) as the liaison between DBH and the Center with quarterly QI initiatives.
- Manages the Major Unusual/Unusual Incident (MUI) process.
- Manages the Mortality Review Report (MRR) process.
- Compiles the productivity/revenue reports for the Center and circulates reporting to Management Staff.
- Develops and maintains working knowledge of DC Department of Behavioral Health, and Medicaid standards, policies, and procedures, as well as applicable federal, state, and local regulations.
- Participate, as needed in DBH meetings and audits.
- Develops, initiates, maintains, and revises policies and procedures for the general operation of the compliance program and its related activities to prevent illegal, unethical, or improper conduct.
- Manages day-to-day operation of the compliance program.
- Works with Human Resources and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees as well as ongoing training for all employees and managers.
- Provides technical expertise for the Relias Learning platform, including orientation of system use, online system settings, user interfaces, and troubleshooting.
- Analyzes training needs to develop new training programs or modify and improve existing programs.
- In collaboration with center managers, conducts ongoing technical training and personal development for employees.
- Acts as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated, and resolved.
- Monitors, and as necessary, coordinates compliance activities of other departments to ensure compliance with required agency and Department of Behavioral Health policies and regulations.
- Leads the quarterly quality improvement and compliance meetings to discuss current quality and compliance issues, review agency compliance initiatives and to develop plans for correction.
- Participate, as needed in DBH meetings and audits.
- Perform administrative and other duties as assigned that may not be within the scope of this position.
SPECIALIZED KNOWLEDGE AND SKILLS REQUIREMENTS:
- Knowledge of principles and practices in mental health/psychiatric/psychotherapeutic services, risk management, education, and quality assessment/improvement in an outpatient mental health setting.
- Knowledge of current research, trends and issues in quality assessment/improvement, psychiatric treatment, risk management/safety in the outpatient mental health setting.
- Knowledge of state and federal legislation and regulations (including DBH and Joint Commission) applicable to behavioral health patient care issues and treatment in the outpatient setting.
- Ability to research legislative issues and regulations related to quality improvement and mental health.
- Ability to organize, coordinate and evaluate outpatient mental health services and programs to ensure quality patient care and conformity with prescribed laws, regulations and standards.
- Ability to work cooperatively with administrators, DBH auditors, mental health program staff and others to provide, obtain and evaluate information, and implement changes in QI and compliance.
- Ability to effectively train staff in Quality Improvement and Compliance principles and practices.
- Ability to develop and analyze data, maintain accurate records, and prepare complex and detailed written reports and procedures.
- Ability to share information readily and concisely, listen as well as give advice, and respect the abilities of others.
- Ability to manage multiple projects and deadlines, and maintain disciplined adherence to program goals.
- Ability to work hands-on in developing and executing a variety of compliance and quality improvement initiatives.
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:
- Bachelor’s degree required.
- Five (5) to seven (7) years of relevant clinical experience, preferably in a mental health or nonprofit environment, with at least three (3) year in a similar position and/or providing QI/Compliance oversight.
- Experience developing solid working relationships with senior leaders, external constituents, and clinical staff.
Pay: Commensurate with experience
Classification: Full-time, exempt from overtime
Physical Demands: The position requires moderate physical effort on a daily basis such as walking, bending, stooping and standing for periods of time.
If you are ready for a new challenge in your professional career, submit your cover letter and resume online.
Resumes are reviewed on a rolling basis.
Failure to attach a cover letter and/or a resume may disqualify you from further consideration.
This job description is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by jobholders within this job. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position.
McClendon Center is an equal opportunity employer and does not discriminate on the basis of race, color, national and ethnic origin, sex, marital status, religion, or disability.
No phone calls, please. Note: McClendon Center is not accepting resumes or referrals from agencies. If you are a recruiter, search firm, or employment agency, you will not be compensated in any way for your referral of a candidate even if McClendon Center hires the candidate.
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