The VP of Risk Management/Continuous Quality Improvement (RM/CQI) provides oversight and support of the Risk Management/Quality Improvement team for Preferred Family Healthcare. The VP of RM/CQI performs and oversees a variety of duties to monitor and review client care and services, and administrative functions to ensure high quality standards are met in support the organizationâs overall risk management and mitigation process. The VP will develop systems and tools to monitor programs, services and administrative functions within PFH. He/she will train, direct and oversee RM/QI personnel responsible for carrying out monitoring and auditing activities to ensure implementation of the corporate quality management framework. The VP of RM/CQI must be well-versed in applicable contractual and regulatory requirements, certification, accreditation and licensing requirements, and operational policies and procedures.
Essential Job Functions:
- Provide all services and functions within company Policies and Procedures.
- Manage Incident Reporting systems
- Responsible for planning, coordinating, and ensuring the completion of internal monitoring and auditing processes for all assigned services, programs and locations as part of the organizationâs quality management framework and overall risk management and mitigation process.
- Hire, train, supervise and support Quality Management personnel responsible for quality management monitoring processes and functions.
- Develop, implement and maintain quality management review tools, keeping those tools updated as needed to reflect changes in program deliverables; policies and procedures; regulatory requirements; accreditation, certification and licensing standards; and PFH and industry best practices.
- Assist in developing and effectively utilizing, electronic tracking systems and databases on which to maintain quality management reports, activities and functions.
- Ensure accurate tracking; recordkeeping; scheduling and coordinating of quality management activities and functions, and timely and effective reporting of the same.
- Effectively analyze and interpret monitoring and auditing findings to identify trends, patterns and root cause resulting in the preparation of verbal and written reports for service and administrative leadership.
- Collaborate with Executive Vice Presidents, Vice Presidents, Directors and other service and administrative leadership and personnel to effectively implement the corporate quality management framework.
- Support assigned RM/QI personnel in the timely receipt of action plans resultant from quality management monitoring activities. Support and collaborate with service and administrative personnel to ensure that actions taken effectively address short and long-term corrections.
- Assist with coordination of and participate in, outside entity compliance and audit activities, as assigned.
- Monitor assigned personnel to ensure timely completion of work, and the effective implementation of collaborative, professional and effective working relationships with service and administrative personnel.
- Support assigned personnel in efforts to attain and enhance needed skills to effectively carry out the PFH quality management framework.
- Other related duties as assigned to meet departmental and company objectives.
Knowledge, Skills, and Abilities:
- Ability to research, read, analyze, and interpret State and Federal laws, regulations, and standards, and applicable certification, accreditation and licensing standards.
- Working knowledge of quality management functions and standards, including use of electronic audit and monitoring applications or the ability to quickly learn such applications.
- Strong logical, analytical, critical thinking and problem-solving skills.
- Effective interpersonal skills and customer service focus; ability to effectively and professionally interact with individuals at all levels of the organization as well as external parties.
- Excellent oral and written communication and presentation skills, with ability to create and deliver training, informational, and other types of programs.
- Strong computer skills, specifically with Microsoft Word, Excel, PowerPoint, Outlook, SharePoint, and Intra/Internet, as well as proficiency with report development and incorporating/ merging documents from various applications; experience with data management and document warehousing systems preferred.
- Initiative, excellent follow-through, persistence in locating and securing needed information.
- Ability to plan proactively and interpret complex processes and programs; excellent follow-up skills to keep projects and tasks on track.
Experience and Education Qualifications:
- Minimum of Bachelor’s degree preferably in business, healthcare management, social service or related field.
- Minimum of five years of experience in a management role within a behavioral health or social service environment that required interpreting, understanding, and implementing programmatic regulations, involvement in auditing activities, and interacting with funding agencies and regulators. Three to five years of direct service provision within a behavioral health or social service program preferred.
- CARF surveyor status preferred.
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