CQI Specialist – Raleigh

Position Summary

Universal Mental Health Services, Inc. is seeking a detail-oriented and mission-driven Continuous Quality Improvement (CQI) Specialist to support our agency's commitment to high-quality, compliant, and person-centered services in the Raleigh location. The CQI Specialist plays a critical role in monitoring service delivery, analyzing data, and supporting agency-wide quality improvement initiatives. This position collaborates with program leadership to ensure compliance with North Carolina regulatory requirements, accreditation standards, and internal policies.

Key Responsibilities

• Conduct routine chart audits, documentation reviews, and program monitoring across services
• Track, analyze, and report quality indicators, outcomes, and trends
• Support development and monitoring of CQI projects
• Assist with incident review, corrective action plans, and follow-up tracking
• Prepare materials for CQI Committee meetings and regulatory reviews
• Ensure compliance with NC Medicaid, DMH/DD/SAS, and LME/MCO requirements (e.g., Vaya Health, Alliance Health)
• Provide training and technical assistance to staff on documentation and quality standards
• Assist with the provision of staff training in coordination with the Training Department, including support at select office locations as needed
• Maintain data systems, reports, and quality dashboards
  
  

Qualifications

Minimum Requirements:

• Bachelor's degree in Human Services, Healthcare Administration, Social Work, Psychology, or related field
• Experience in behavioral health, IDD services, or healthcare quality improvement
• Strong analytical, organizational, and problem-solving skills
• Proficiency in Microsoft Excel and data tracking/reporting
  
  

Preferred

• Experience with NC service definitions and 10A NCAC 27G rules
• Prior CQI, compliance, or utilization review experience
• Experience working with LME/MCOs (Vaya, Alliance, etc.)
• Knowledge of accreditation standards (CARF or similar)
  
  

Key Competencies

• Detail-oriented with high accuracy (important for audits/compliance)
• Ability to interpret regulations and apply them in practice
• Strong communication and collaboration skills
• Data-driven decision-making mindset
  
  

Benefits

• Medical Insurance (Full Time)
• Dental Insurance
• Vision
• Telehealth- Online Doctor (Teledoc)
• 401K with company match
  
  

Why Join Us

• Support a mission-focused organization serving individuals with mental health and IDD needs
• Collaborative leadership and cross-functional teamwork
• Opportunities to influence agency-wide improvements
• Competitive salary and benefits package