Director of Quality Assurance and Compliance

Dominion Care•Tuckahoe, VA

1d•$65,000 - $80,000•Onsite

About The Position

The Director of Quality Assurance and Compliance plays a critical leadership role in ensuring excellence, integrity, and regulatory compliance across the organization. This position leads quality assurance, quality improvement, and compliance initiatives by analyzing agency data, overseeing investigations, audits, and accreditation processes, and ensuring adherence to federal and state regulations. The Director drives high standards of care through policy implementation, staff training, mock audits, and continuous quality improvement efforts, while also supervising organization-wide compliance and clinical training. With a strong focus on accountability, collaboration, and independent leadership, this role directly supports consumers, empowers employees, and safeguards the organization’s reputation while advancing strategic business objectives. Dominion Care is a premier provider in which our passionate and innovative team will deliver sustainable, quality, whole-person care through a full continuum of therapeutic services to empower individuals in the development of skills necessary for success. We envision a society in which all people achieve their full potential for health, education, and well-being across the lifespan.

Requirements

Bachelor's degree required. Masters preferred, CPHQ/LPC/LCSW preferred
2 years of experience in the mental health field with program data collection systems and maintenance of large data collection systems.
Demonstrated knowledge of mental health laws and regulations, ethical standards, practice standards, and documentation requirements.
Good organizational, writing, and time management skills.
Demonstrated familiarity with Electronic Health Records (EMR).

Nice To Haves

Master’s degree preferred.
Licensed in Social Work, Counseling, or related field preferred.
Certification in Healthcare Quality (CPHQ) preferred.

Responsibilities

Provides oversight and management to client and employee chart audits organization wide and collaborates with staff to develop and implement improvement plans to ensure accurate chart compliance. This includes assisting with external clinical audits.
Conducts and reports on regular Dominion Care reviews of all programs to ensure staff compliance with regulations and documentation standards including P&P compliance, program quality, and service audits.
Participates in quality committees and teams and maintains meeting minutes, reports, and ensures committee members complete tasks delegated to them. Participates in and prepares for internal and external presentations regarding quality assurance including the pre-planning, presentation, and proceedings of said meetings.
Assists in coordination of survey processes, ensuring surveys are disseminated, completed, and returned.
Efficiently and in a timely manner compiles, analyzes, and communicates outcome data, such as probes, serious incident reports, as well as other outcomes to internal and external stakeholders.
Assists in the development and use of program quality controls, audit processes, audit tools, data collection, as well as other PQM tools such as Utilization Review, Site Review, and Peer Review methodologies.
Oversees and manages the Health and Safety Compliance and ensures that all locations meet or exceed all CARF, licensing, and legal standards through timely training, documentation, and reporting for all locations.
Maintains standard operating procedures for quality assurance department and ensures effective training and onboarding of quality assurance staff.
Coordinates the regular evaluation, updating, and dissemination of organizational policies and procedures through the appropriate committees and approval pathways to ensure policies and procedures are present, complete, and current. This includes monitoring regulatory changes mandates by local, state, and federal policy changes and updating internally as needed.
Coordinates accreditation of programs through CARF and VAISEF and other accrediting bodies, as designated.
Completes compliance investigations and inquiries promptly, confidentially, and ethically and provides recommendations to CCO for completion or resolution of inquiry.
Oversees training department of instructor-led training on CPR, First Aid, and De-escalation/physical restraint training in keeping with federal and state regulatory requirements and ensures that staff are properly trained and certified/recertified.
Manages process for new hire orientation and training to provide current policies, procedures, and training in DC systems to all new hires.
Ensures training manager maintains training materials, re-orders materials and works with training team to update training manuals as needed.
Monitors departmental process to track and maintain accurate files regarding staff completion of trainings, providing of certifications, and filing of training checklists and certifications.
Oversees Plans, schedules, and all aspects of instructor-led and distance training classes for onsite and remote locations (e.g. registration, attendance, expiring certifications).