Director of Quality and Compliance

The Director of Quality and Compliance reports to the Chief Executive Officer and is responsible for leading the organization?s management team, ensuring the consistent achievement of operational and program development objectives, being a steward of the organization?s culture and delivering high quality clinical and service experience for the program?s clientele. In partnership with the Chief Executive Officer, the Director of Quality and Compliance is responsible for the strategic direction of the Facility. The Director of Quality and Compliance leads the Directors and Managers in program quality and improvement, with a strong focus on client safety, care and experience.

Essential Functions and Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Assure that the organization has a long-range strategy to achieve its vision, and the ability to make consistent and timely progress toward that vision.

• Provide leadership in developing program, organizational and service-improvement plans with the Chief Executive Officer, and Chief Clinical Advisor, Managing Partners and the facility staff.

• Support all of the Facility?s departments (e.g., Clinical, Admissions, Milieu, etc.).

• Promote active and broad participation by staff in all areas of the organization's work.

• Maintain official records and documents, and ensure compliance with federal, state, and local regulations.

• Maintain all applicable Joint Commission standards.

• Maintain a working knowledge of significant developments and trends in the field.

• Have a clear understanding of the program?s group curriculum and use of ancillary service providers (e.g., outside clinical contractors).

• Keep the CEO fully informed on the condition of the organization and all important factors influencing it.

• Establish collaborative and valued relationships with the LIC and accrediting partners.

• Support and provide resources toward an effective management team.

• Maintain a climate which attracts, keeps, and motivates a diverse staff of top-quality people.

• Ensure project plans consider fiscal management including operating within the approved budget, ensuring maximum resource utilization, and maintaining the organization in a positive financial position.

• Provide in-service training to staff and/or trainee on topics as needed.

• Ensure that in-service training are assigned and documented in accordance with policies and procedures.

• Oversee all safety measures and ensure that clients and staff are operating in safe environment of care.

• Collaborate and participate with the Executive Lead Team (Directors and Managing Partners) and other Facility leaders to ensure consistent quality service delivery across all programs.

• Fully understand and maintain policies regarding professional ethics, including appropriate boundaries and patient confidentiality; monitor documents according to company and HIPAA policies.

• Professionally, ethically, and compassionately relates to clients, families, referral sources and staff at all times.

• Meet timeliness expectations of completing work as scheduled, demonstrating self-paced performance and adjusting priorities as needed.

• Meet quality expectations of accuracy, completeness, and responsiveness to feedback.

• Write clear and concise statements summarizing client?s feelings, presentation and response in clinically significant encounters.

• Model appropriate interpersonal relationships, emotional regulation, and boundaries.

• Model and reinforce positive behaviors of clients, and promotes social interaction by conversing with them, participating in activities with them, etc.

• Knowledge of current legal standards pertaining to professional practice, reporting requirements, professional boundaries, and relate issues.

• Reports any immediate safety hazards to appropriate supervisory personnel or maintenance personnel.

• Report resident abuse and neglect.

• Attend and participate in assigned and required trainings, supervisions, and weekly meetings.

• Ability to demonstrate awareness and respect for cultural, lifestyle, age, gender, and sexual orientation diversities of clients and staff; apply knowledge of age, gender, and multi-cultural counseling skills.

• Understands and adheres to Anew?s values and employee code of conduct.

• Keeps abreast of all pertinent federal, state and Anew policy and laws as they presently exist and as they change or are modified.

• Ensures that the leadership staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.

• Performs other related duties as assigned.

Minimum Qualifications

• Bachelors? Degree, MBA, Ph.D., or Psy.D. preferred OR comparable 5 or more years of experience in a related field.

• Transparent, high integrity and engaging leadership skills.

• Solid project management skills, including project preparation, analysis, decision-making, roll-out and plan integration.

• Strong organizational abilities including planning, delegating, program development and task facilitation.

• Public speaking ability.

• Knowledge of licensing and Joint Commission accreditation standards.

• Specific, required, current, and active licensure, registration, or certification must be maintained in good standing.

• Preferred candidates should have sound understanding of mental illness, co-occurring disorders, and milieu therapy.

• Proficient computer skills and ability use various software programs.

• Have a valid driver?s license in good standing and auto insurance.

• Successfully complete drug screen and comprehensive background check.

• Ability to multi-task in a fast-paced work environment.

• Ability to work evenings, nights and weekends as needed. Flexibility and adaptability in schedule are essential.

Physical Demands

These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions.

• The employee must occasionally lift and/or move up to 50 pounds.

• Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus.

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to walk. The employee is occasionally required to stand.

• While performing the responsibilities of the job, the employee is required to talk and hear.

Work Environment

These work environment characteristics are representative of the environment the jobholder will encounter while performing the responsibilities of the job. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job.

• While performing the duties of this job, the noise level in the work environment is usually quiet to moderate.