About The Position

The role of a Behavioral Health Quality and Compliance Director performs a variety of professional management activities, including the planning, development, and implementation of quality improvement plans, cultural competency plans, and program implementation and management plans. This position is responsible for quality review and compliance of Enterprise Behavioral Health programs with County policies, State performance contracts, and Federal rules and regulations. Key duties include actions to Own, Produce, Drive and Review.

Requirements

  • Bachelor's degree in business, Public Administration, Health Services, or a related field. (Required)
  • 7 years of progressive experience in healthcare business operations in a healthcare environment. (Required)
  • 3 years of experience in a supervisory or lead role. (Required)
  • Licensed behavioral health professional (LCSW, LPC) Required

Responsibilities

  • Regulatory Compliance: Ensure the organization complies with all relevant laws, regulations and internal policies. This includes monitoring business operations and reporting any infractions.
  • Professional Management: Overseeing and guiding utilization review, medication monitoring, confidentiality of records, and peer review in accordance with federal, state, and local government requirements.
  • Policy Development: Create, modify , implement and evaluate clear and comprehensive company policies to mitigate risks and ensure compliance with industry regulations i.e. federal, state, and local government requirements.
  • Collaboration: Work with department heads and management to assess policy needs and develop strategies to address organizational challenges.
  • Quality Assurance: Develop, coordinate, and manage quality management and regulatory compliance functions.
  • Training and Development: Assisting with Planning and implementing multi-faceted training for employees and contract providers and assuring clinical supervision requirements are met.
  • Performance Improvement Projects: Overseeing the preparation and implementation of our Performance Improvement Projects and growth initiatives.
  • Client Satisfaction Surveys: Participating in the implementation of state-mandated client satisfaction and provider satisfaction surveys.
  • Electronic Health Record: participating in the development and implementation of an Electronic Health Record and billing system
  • Data Reporting: participating in and delivering the data reporting for BH programs

Benefits

  • Medical, Dental, Vision plans
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
  • Paid Time Off and Sick Leave
  • Paid Parental & Family Caregiver Leave
  • Emergency Backup Care
  • Long-Term, Short-Term Disability, and Critical Illness plans
  • Life Insurance
  • 401k/403B with Employer Match
  • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
  • Student Debt Pay Down – $10,000
  • Reimbursement for certifications and free access to complete CEUs and professional development
  • Pet Insurance
  • Legal Resources Plan
  • Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
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