CQI Specialist – Raleigh

UMHS•Raleigh, NC

4d•Onsite

About The Position

Universal Mental Health Services, Inc. is seeking a detail-oriented and mission-driven Continuous Quality Improvement (CQI) Specialist to support our agency's commitment to high-quality, compliant, and person-centered services in the Raleigh location. The CQI Specialist plays a critical role in monitoring service delivery, analyzing data, and supporting agency-wide quality improvement initiatives. This position collaborates with program leadership to ensure compliance with North Carolina regulatory requirements, accreditation standards, and internal policies.

Requirements

Bachelor's degree in Human Services, Healthcare Administration, Social Work, Psychology, or related field
Experience in behavioral health, IDD services, or healthcare quality improvement
Strong analytical, organizational, and problem-solving skills
Proficiency in Microsoft Excel and data tracking/reporting

Nice To Haves

Experience with NC service definitions and 10A NCAC 27G rules
Prior CQI, compliance, or utilization review experience
Experience working with LME/MCOs (Vaya, Alliance, etc.)
Knowledge of accreditation standards (CARF or similar)

Responsibilities

Conduct routine chart audits, documentation reviews, and program monitoring across services
Track, analyze, and report quality indicators, outcomes, and trends
Support development and monitoring of CQI projects
Assist with incident review, corrective action plans, and follow-up tracking
Prepare materials for CQI Committee meetings and regulatory reviews
Ensure compliance with NC Medicaid, DMH/DD/SAS, and LME/MCO requirements (e.g., Vaya Health, Alliance Health)
Provide training and technical assistance to staff on documentation and quality standards
Assist with the provision of staff training in coordination with the Training Department, including support at select office locations as needed
Maintain data systems, reports, and quality dashboards