• Director of Compliance and Quality

    Job ID
    # of Openings
    Job Locations
    US-CA-Aliso Viejo
    Posted Date
    5 days ago(12/6/2018 12:28 PM)
  • Overview

    Job Summary:


    Compliance and Quality Improvement Manager will Prepare, update and complete regulatory and compliance documents as requested.


    Reports to:     Vice President of Clinical Services


    Job Duties:

    • Prepare, update and complete regulatory and compliance documents as requested. 
    • Participate in weekly QA meetings, present reports and plans to improve quality.
    • Conduct daily, weekly chart reviews, develop and implement process improvement plans to improve documentation throughout the organization.
    • Maintain databases that track Critical Incidents, reports, and client grievances, director reports and other such reports to identify areas needing improvement.
    • Assists with tracking, analyzing and improving assigned key performance indicators in collaboration with CEO and CD.
    • Ensure compliance with contractual requirements and federal, state, and local government regulations.
    • Familiar with state licensure, Joint Commission On Accreditation and/or CARF standards (experience in Behavioral Health advantageous)
    • Maintains and disseminates documentation and reports pertaining to quality and compliance issues, procedures, processes and methodologies.
    • Develops Quality Assurance (QA) chart review check list and conducts QA activities.
    • Collaborates with Management team regarding quality initiatives.
    • Attends all required trainings and meetings.
    • Represents facility in Quality Assiramce meetings.
    • Advanced Degree in health related field or MPH is preferred.
    • Leads QI initiatives utilizing QI processes and assists facility teams in developing appropriate tracking metrics to monitor performance to ensure compliance with the center’s QM Plan.
    • Collects, manages and tracks all patient grievances.
    • Meets with patients to resolve any grievance issues.
    • Consults with Dept. Mgrs., regarding patient grievance issues and assists with corrective action plans as needed.
    • Monitors coprorate compliance integrity line.
    • Executes and maintins daily clinical rounds chart audits.
    • Monitors data on power BI track metrics.
    • Indentifies trends and notifies staff of performance improvement deficiences.
    • Conducts regular chart audits to maintain compliance standards.
    • Leads weekly IR meetings.


    Job Responsibilities:

    • Master's Degree in Psychology, Sociology, Nursing, ASW, MFT, LCSW, LMFT or MSN preferred.
    • 2 years minimum of FT experience working in the health field (with addiction medicine experience)  or nursing preferred, plus 2 years of experience minimum working in QM/QA field.
    • 2-3 years minimum of experience in a compliance/quality improvement role.
    • 2-3 years minimum of experience in quality improvement methods such as: Six-Sigma, Lean, PDCA (nice to have-Black Belt or Green Belt Certification; Quality Improvement and Compliance preferred.
    • Strong written and verbal skills and ability to communicate with a variety of people from diverse cultures, socioeconomic and educational backgrounds.
    • Familiar with electronic medical records.
    • Ability to read and interpret written information; write clearly and informatively; edits work for spelling and grammar. Ability to speak clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; and participates in meetings.
    • Working knowledge of Microsoft Word, Excel, and Outlook.
    • If in personal recovery, a minimum of 2 years clean and sober.


    AAC is committed to principles of equal opportunities for all employees.  The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.


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