QA/QI Manager (53427)

Westcare•Pembroke Pines, FL

About The Position

The QA/QI Manager provides direct consumer services and Quality Assurance/Quality Improvement oversight for the Healthy Start Program. The position supports program coordination, monitors service quality and compliance, maintains accurate consumer records and data, and participates in ongoing performance improvement activities. The manager may serve as Acting Program Coordinator when the Program Coordinator is absent. Work is primarily performed in an office or outpatient treatment setting, with some outdoor activities possible. The role requires working with consumers, staff, external partners, and regulatory agencies, and may involve emotionally charged settings and potential exposure to blood, body fluids, or tissues. Appropriate personal protective equipment will be available.

Requirements

  • Graduation from an accredited master’s program with a degree in Social Work, Psychology, or a related field.
  • At least two years of public health/community development experience.
  • Ability to maintain confidential files and records; identify crises; mitigate or resolve problems; and de-escalate situations.
  • Knowledge and application of counseling theories, including behavior modification, motivational enhancement therapy, and cognitive therapy.
  • Ability to discuss addiction, risk factors, and medical care with consumers.
  • Ability to communicate effectively with multidisciplinary teams and organize, interpret, and communicate data.
  • Knowledge of time management and stress management.
  • Knowledge and understanding of AHCA, Medicaid, JCAHO, Florida Department of Health, and Department of Children and Families rules and regulations.
  • Ability to manage multiple tasks, prioritize effectively, and network with internal and external departments and agencies.
  • Ability to work respectfully and effectively with culturally diverse consumers, staff, and populations, including awareness of differing cultural and ethnic perspectives on health, wellness, family, behavioral health, and preventive health services.
  • Ability to apply trauma-informed care principles and identify and describe signs, symptoms, impacts, and manifestations of trauma; awareness of the differences between trauma-informed and trauma-specific services.
  • Understanding of the relationships among substance use, mental disorders, and trauma, and of different forms and sources of abuse and trauma.
  • Knowledge of WestCare’s mission, goals, values, services, and programs; incident reporting; HIPAA; professional ethics; consumer rights; and confidentiality.
  • Dependability, good attendance, punctuality, flexibility, ability to work independently with minimal supervision, integrity, and productive work habits.
  • Ability to establish and maintain effective working relationships, cooperate with others, accept direction, and maintain a professional and courteous demeanor.
  • Ability to maintain a safe, clean, and orderly work area and follow agency safety and incident-reporting procedures.
  • CPR certification, First Aid certification, and an annual Tuberculosis test.
  • Ability to use Microsoft Office Software Suite.
  • Ability to provide an Affidavit of Good Moral Character; must clear pre-employment drug testing and criminal records checks as required.
  • Ability to perform the essential physical and mental duties with or without accommodation, including mobility, standing, walking, sitting for extended periods, bending, twisting, reaching, balancing, occasional lifting and carrying up to 50 pounds, computer and telephone use, and approved physical and mental/verbal de-escalation techniques.
  • Ability to speak, hear, and see as required to communicate, complete paperwork, and observe client behavior and activities.
  • Ability to collect and analyze complex numerical and written data and verbal information, cooperate and exchange information with others, and work under stress in emotionally charged settings.

Nice To Haves

  • CAP or MCAP certification in good standing from an agency approved and recognized by the Florida Certification Board; preference is given to candidates who are currently certified.
  • LCSW, LMHC, or LMFT licensure in good standing from an agency approved and recognized by the State of Florida; preference is given to candidates who are currently licensed.
  • At least one year of experience providing direct Healthy Start services.
  • At least two years of experience providing case management and/or care coordination services with a substance use/mental health population.
  • Bilingual ability.

Responsibilities

  • Conduct quarterly chart reviews.
  • Assist the Program Coordinator with monitoring caseloads, case management, case closures, deadlines, encounters, program reports, monthly and quarterly reporting, staff productivity, and home visit completion rates.
  • Attend meetings as needed to represent The Village Healthy Start program and communicate with The Village Leadership staff as needed.
  • Understand and observe HIPAA, professional ethics, consumer rights, and confidentiality requirements.
  • Participate in performance improvement activities and implement and conduct Quality Improvement monitoring activities defined for the Healthy Start Program by FDOH and AHCA.
  • Ensure compliance with Healthy Start Standards and Guidelines.
  • Maintain consumer records in compliance with agency, state, CARF, Medicaid, AHCA, FDOH, and other applicable rules, standards, guidelines, and regulations.
  • Monitor and assure the accuracy, timeliness, and consistency of data and services in the Well Family System (WFS) database.
  • Attend and participate in training activities, staff meetings, case conferences, and supervisory sessions.
  • Ensure consumer reviews are timely and submit necessary documentation to the appropriate party.
  • Serve as Acting Program Coordinator in the Program Coordinator’s absence.
  • Monitor staff compliance with Healthy Start Program training requirements.
  • Embrace and embody WestCare Foundation’s mission, vision, guiding principles, clinical vision, and goals.
  • Perform other duties as assigned.
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