QA/QI Manager

WESTCARE INC•Pembroke Pines, FL

6d•$56,000 - $57,000•Onsite

About The Position

The QA/QI Manager provides direct consumer services and Quality Assurance/Quality Improvement oversight for the Healthy Start Program. The role supports the Program Coordinator with case management oversight, reporting, productivity monitoring, and program representation, and ensures compliance with Healthy Start standards and applicable agency, state, CARF, Medicaid, AHCA, and Florida Department of Health requirements. The position monitors the accuracy, timeliness, and consistency of services and data in the Well Family System database, maintains compliant consumer records, participates in ongoing performance improvement, and serves as Acting Program Coordinator when the Program Coordinator is absent. The role also participates in training, staff meetings, case conferences, and supervisory sessions; monitors staff training compliance; and ensures timely consumer reviews and required documentation. It requires effective communication with consumers, colleagues, partner agencies, and regulatory bodies, along with culturally responsive and trauma-informed service delivery. Work is primarily performed in an office or outpatient treatment setting, with some outdoor activities. The role includes physical and mental demands such as walking, sitting for extended periods, occasional lifting and carrying up to 50 pounds, using approved de-escalation techniques, and working under stress in emotionally charged settings.

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 or community development experience.
Ability to maintain confidential files and records.
Ability to identify crises, mitigate or resolve problems, and de-escalate situations.
Knowledge of counseling theories and their application, 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 to organize, interpret, and communicate data.
Knowledge of time management and stress management.
Knowledge 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 staff and populations, including recognizing differing cultural perspectives on health, wellness, behavioral health, preventive services, and family.
Ability to apply trauma-informed care principles and identify signs, symptoms, impacts, and manifestations of trauma.
Understanding of trauma-informed versus trauma-specific services; relationships among substance use, mental disorders, and trauma; and different kinds 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, flexibility, responsiveness to supervisor requests, ability to work independently, integrity, productive work habits, and effective working relationships.
Ability to accept direction and supervision, maintain a positive attitude, and contribute to a safe, clean, and orderly work environment.
Ability to follow agency safety procedures and use Unusual Incident Reports in accordance with reporting procedures.
Professional demeanor and presentation, courtesy, tact, and cooperation.
CPR certification, First Aid certification, and an annual tuberculosis test.
Ability to use the 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 meet the physical and mental demands of the role, with or without accommodation, including mobility, extended sitting, occasional lifting and carrying up to 50 pounds, computer and telephone use, communication and visual requirements, and working under stress.

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 case management and/or care coordination experience with a substance use or mental health population.
Bilingual ability.

Responsibilities

Provide direct consumer services and Quality Assurance/Quality Improvement oversight for the Healthy Start Program.
Conduct quarterly chart reviews.
Assist the Program Coordinator with caseload monitoring, case closures, deadline compliance, and encounters in accordance with the Healthy Start model.
Run program reports and assist with monthly and quarterly reporting.
Monitor staff productivity and home visit completion rates.
Attend meetings as needed to represent The Village Healthy Start program.
Communicate with The Village Leadership staff as needed.
Participate in and conduct performance improvement and Quality Improvement monitoring activities required for the Healthy Start Program by FDOH and AHCA.
Ensure compliance with Healthy Start Standards and Guidelines and applicable agency, state, CARF, Medicaid, AHCA, FDOH, and other rules and regulations.
Maintain consumer records in compliance with applicable standards and regulations.
Monitor the accuracy, timeliness, and consistency of data and services through the Well Family System database.
Attend and participate in training activities, staff meetings, case conferences, and supervisory sessions.
Ensure consumer reviews are completed on time and submit required documentation to the appropriate party.
Serve as Acting Program Coordinator when the Program Coordinator is absent.
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.