Quality Assurance/Performance Improvement Sup

Purpose of Position:

Administer the quality assurance and performance improvement activities to ensure compliance with standards of care and applicable laws and regulations. 

Essential Functions:

• Provide leadership and training as appropriate covering quality assurance and improvement
• Develop, implement, and maintain ongoing monitoring of an integrated Quality Assurance /Performance Improvement plan to comply with the Federal, State, and Corporate standards of care and compliance
• Develop and implement systems for maintaining clinical record fidelity, including chart reviews to document completeness, accuracy and compliance
• Collect, analyze and document data to make recommendations for implementation of systems to enhance operations and utilization of resources and for reporting
• Meet with Clinical Supervisors and/or providers to conduct education and training to mitigate further compliance concerns
• Collect and analyze data and present to appropriate committees
• Provide leadership and/or support for ensuring comliance with accreditation standards
• Organize, facilitate and document Quality Assurance/Performance Improvement committee meetings
• Assist with federal, state and grant compliance audits as directed 
• Supervise any staff members assigned to special projects, reporting and administrative activities supporting Quality Assurance/Performance Improvement activities.
• Uphold the organization’s vision, mission, and corporate values.  Demonstrate understanding of and compliance with organization’s policies, procedures, code of conduct and work rules.
• Perform other duties as assigned

Personal Traits:

All Norton Sound Health Corporation employees are expected to consistently demonstrate the organization’s values: integrity, cultural sensitivity and respect for traditional values, continual learning and improving, compassion, teamwork and pride.  Employees are expected to demonstrate integrity, professionalism, accountability, cooperation with and consideration of others.

Required Knowledge:

All Norton Sound Health Corporation employees are expected to have general knowledge of typical office technologies such as computers, printers, copiers, fax machines, and typical office software.

Job Specific knowledge is listed below:

• Familiarity with ASAM Levels of Care, DSM-V, and State of Alaska Statutes and Regulations
• Quality and performance improvement standards and practices
• Knowledge of Medicaid and facility accreditation (hospital, behavioral health and long-term care)
• Knowledge of grant compliance

Required Skills and Abilities:

All Norton Sound Health Corporation employees are expected to have a broad range of skills and abilities centered around a strong patient focus, efficient performance, and teamwork.   All employees should have patient/customer service skills, interpersonal skills and good communication skills.   All employees should have the ability to manage their time and organize their work to ensure efficient performance.   In addition, all employees should have the ability to follow policy, procedure and instructions, actively communicate with their supervisors to ensure understanding and manage their work accordingly.  Finally, all employees should have the ability to understand and manage patient/customer confidentiality.

Job specific skills and abilities are listed below: 

• Experience providing substance use and clinical services in a clinical setting
• Organizational skills
• Strong attention to detail

Minimum Requirements

Physical Requirements:

• Use hands and arms to operate office or clinical equipment
• Sit more than half the workday
• Stand and/or walk less than half the workday
• Bend, stretch, twist, crouch and/or reach
• View electronic monitors for prolonged periods of time
• Lift or carry unaided less than 25 pounds

Working Conditions:

• Work is conducted in a standard office environment as well as a standard clinical environment, which may expose one to latex, biohazard or other harmful substances
• Travel up to 10% of time in small aircraft. 

Approvals

_____________________________________

Signature of Incumbent

Signature of Hiring Director/Manager                                                             Date

­­­