Clinical Quality Manager

HAYMARKET CENTER•Chicago, IL

About The Position

The Clinical Quality Manager partners with clinical and operational leaders across Haymarket Center’s continuum of care to identify performance gaps, facilitate improvement initiatives, strengthen compliance systems, and support sustainable change. The role oversees quality management activities using improvement science, data-informed decision making, change management, regulatory compliance monitoring, and accreditation readiness. It oversees processes related to record reviews, utilization management, performance improvement, licensing, accreditation, and regulatory compliance, and helps staff translate quality and compliance requirements into practical processes that improve care while maintaining fidelity to evidence-based treatment models. The position directly influences care quality by improving documentation quality and regulatory compliance, increasing staff engagement in improvement activities, reducing recurring audit findings and corrective action plans, improving consistency in treatment and discharge planning, building the organization’s capacity to sustain change, and instilling improvement science principles across teams. It supervises Quality Improvement Coaches and has additional supervisory responsibility for the Records Manager. The manager leads quality improvement initiatives across behavioral health, substance use disorder, and primary care programs; conducts and oversees record reviews, utilization reviews, and compliance audits; supports policy and procedure development; monitors regulatory and accreditation requirements; coordinates licensing and accreditation readiness; coaches staff and leaders; and reports significant quality, compliance, risk, and operational concerns to the Director of Quality Assurance.

Requirements

Master’s degree in Human Services or a related field.
Certified Alcohol and Drug Counselor (CADC) or licensed by IDFPR with substance use disorder experience.
At least five years of experience in the Human Services field working in a human services agency.
Familiarity with funding agencies such as the Illinois Department of Human Services divisions of Substance Use, Prevention, and Recovery and Mental Health.
Familiarity with Illinois Department of Human Services rules, standards, and guidelines.
Familiarity with CARF standards; the posting will consider familiarity with The Joint Commission standards.
Excellent communication skills.
Strong interpersonal and problem-solving abilities.
Good writing skills.
Good analytical skills.
Knowledge of computers.
Ability to work independently.
Ability to interpret regulatory rules, standards, and guidelines.

Nice To Haves

LPC or LCPC license preferred.

Responsibilities

Lead and facilitate continuous quality improvement initiatives across behavioral health, substance use disorder, and primary care programs using improvement science and structured change management.
Partner with clinical and operational teams to identify quality, compliance, and performance gaps and develop improvement strategies.
Coach leaders and staff in PDSA cycles, root cause analysis, workflow improvement, process mapping, and performance measurement.
Design, implement, and monitor performance improvement projects aligned with strategic priorities, regulatory requirements, and accreditation standards.
Facilitate interdisciplinary improvement teams and support corrective action plans and sustained practice improvements.
Monitor progress toward quality goals and ensure follow-through on performance improvement plans.
Conduct and oversee record reviews for mental health, substance use disorder, and primary care services for regulatory, contractual, and accreditation compliance.
Coordinate record reviews, utilization reviews, and compliance audits in accordance with agency policies and quality management processes.
Monitor adherence to policies, procedures, and standards, support standardization across teams, and assist with developing, revising, and implementing policies, procedures, and quality protocols.
Analyze findings and prepare reports on trends, improvement opportunities, risks, and recommended corrective actions.
Collaborate with program leaders to address deficiencies and monitor completion of corrective action plans.
Ensure compliance with applicable federal, state, payer, and accrediting body requirements; maintain knowledge of relevant regulations, standards, funding requirements, and best practices.
Help lead accreditation readiness and support continuous compliance with accreditation standards.
Assist with preparation for licensing reviews, certification visits, audits, and accreditation surveys.
Ensure agency licenses, certifications, and approvals remain current and in good standing.
Coordinate license renewals, modifications, and applications for new program licenses as needed.
Interpret regulatory requirements and advise leadership on operational and clinical compliance expectations.
Connect training with sustained day-to-day implementation of lessons learned.
Educate and consult with clinical and operational teams on quality assurance, regulatory compliance, documentation standards, and performance improvement processes.
Apply change management principles and help staff understand the purpose of quality measures, documentation requirements, and operational processes.
Foster a culture of learning, accountability, innovation, and continuous quality improvement.
Regularly communicate quality, compliance, accreditation, and performance improvement findings to agency leadership.
Maintain effective working relationships with program managers, directors, external reviewers, auditors, licensing representatives, and accreditation surveyors.
Keep the Director of Quality Assurance informed of significant quality, compliance, risk, and operational concerns.
Supervise and support two Quality Improvement Coaches and the Records Manager, and foster empathy among Quality Team members and the staff they support.