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Quality Improvement Director
Primary Job Duties & Responsibilities
· Oversee agency corporate compliance to assure agency meets all necessary certification and licensing requirements
· Directly supervise Medical Records Clerk
· Oversee The Center’s Utilization Review Process, follow up with appropriate supervisors on identified gaps in skills or performance issues and expectations for remediation/compliance
· Oversee Center Policy Updates as necessary and establish routine reviews
· Work to insure updated policies are constantly available to Center staff and/or consumers as appropriate, facilitate staff review updates in a timely manner and assist in providing staff updates and reviews
· Collaborate with appropriate staff to review Incident Reports with appropriate follow up to QI/Risk Management Committee
· Collaborate with agency teams in the review of data to identify progress, areas of concern and assist with development of necessary adjustments or revisions as necessary using the Plan, Do, Study, ACT mode
· Facilitate Quality Improvement/Risk Management committee, assist with making necessary changes in policies or protocols to improve service quality, Center compliance and reduce potential risks
· Serve as point of contact for consumer complaints and concerns, investigate and follow up as necessary
· Oversees The Center’s Community Needs Assessments and Client Satisfaction Surveys, sharing results to management team for review and response
· Assist designated staff with Evidence Based Practice Fidelity Reviews, monitoring for successes to celebrate or gaps in performance to mediate, report to supervisors and management team for appropriate follow up
· Serve as main contact for KDADS Adverse Incident Reporting (AIRs)
· Update MOU’s and Care Coordination agreements
· Update and track Business Associate Agreements
· Run monthly OIG and SAM reports on all employees and board members
· Facilitate Corporate Compliance training with all new hires