Quality Improvement Manager

NORTH RANGE BEHAVIORAL HEALTH•Greeley, CO

20h•Onsite

About The Position

The Quality Improvement and Compliance Network plays a vital role in ensuring North Range Behavioral Health delivers safe, effective, and high quality care to communities we serve. This team supports both the operational and clinical sides of our organization, helping turn data, standards, and processes into meaningful improvements in real people’s lives. In this role, you’ll use independent judgement, critical thinking, and collaboration to support quality improvement initiatives and compliance efforts across the organization. Your work will help maintain and monitor quality improvement systems and clinical documentation standards, while identifying opportunities for improvement and supporting change as needed. You’ll assist with project-based work, analyze data and reports, and share what outcomes with oversight bodies, ensuring our services consistently meet both regulatory expectations and our own high standards of care. Quality Improvement is foundational to how North Range Behavioral Health evaluates and strengthens behavioral health services. Our philosophy is rooted in partnership, transparency, and a user-friendly approach to quality – one that emphasizes teamwork, collaboration, and sustainable, system-level change rather than punitive oversight. The impact of this work is far-reaching. By supporting quality and compliance efforts, you help ensure our clients have access to services that are safe, effective, efficient, and person-centered, ultimately improving the health, safety, and well-being of individuals and families throughout our community.

Requirements

Bring a Master’s degree from an accredited college or university in Psychology, Social Work, Public Health, or a related fiend.
Have at least 3 years. Experience in a health or behavioral health care setting working in quality improvement, quality assurance, or risk management.
Have experience leading groups in the assessment of programs and processes, development of solutions, and implementations.
Federal, state, and local regulations regarding delivery and documentation of behavioral health services.
Electronic health record documentation practices
Rules and regulations of insurance documentation requirements
Professional and ethical guidelines as outlined by the State of Colorado.
Educational and continuing education requirements for licensed behavioral health professions in the State of Colorado.
Quality improvement and compliance activities, indicators, methodologies, and standards of quality assurance.
Organization structure, workflow, and operating procedures.
Organizational sensitivity regarding complex relationships with federal, state, and local agencies, government entities, and grant funders.
Prevent errors by continuously clarifying and improving processes.
Create and present information and instructional education materials, train adult learners in small and large groups, adjusting training methods as needed.
Plan, organize, time manage, and prioritize multiple tasks and assignments.
Use effective follow-through.
Read, analyze, and interpret related professional periodicals, journals, financial reports, technical procedures, or government regulations on a regular basis.
Write and speak clearly and succinctly in a variety of communications settings and styles; summarize findings and present them in ways easily understandable to the audience.
Strong attention to detail, organization, and accuracy of the information, including the ability to organize large amounts of data and track multiple projects simultaneously, setting priorities for analysis and use in consultation with numerous stakeholders.
Value diversity and be culturally sensitive.
Work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational effectiveness.
Maintain confidentiality.

Nice To Haves

Have experience in the development and management of in-service training and education highly preferred.

Responsibilities

Document standard operating processes and prepare routine reports; assist with the development of policies and procedures that lead to compliance and improve programs and processes.
Design and implement internal surveys related to quality activities for staff. Analyze data and report findings.
Ensure effective chart review process; analyze and evaluate charts; summarize and share findings with appropriate supervisors and managers; investigate progress notes for accuracy of clinical content and procedure billing codes.
Identify clinical staff in need of chart documentation training; develop training material, and conduct training for managers, supervisors, and staff as assigned.
Develop and implement tracking forms and systems to audit chart documentation to federal, state, and county regulations; identify and recommend methods to streamline procedures and improve efficiency.
Collaborate with supervisors to prepare for audits by governmental entities and other partners, and funders, and serve as a leader in such audits.
Evaluate audit findings of non-compliance with agency and/or regulatory standards. Aid the staff in implementing the CAP, including providing/arranging training and identifying additional resources for the staff to implement the plan.
Manage critical incident processes; work with supervisors, managers, and staff to report critical incident(s) according to policy and procedure; provide debriefing and support services as necessary.
Collect and analyze data for numerous agency programs to determine compliance with quality standards (i.e., level of service, capacity, client satisfaction, etc.), review productivity, and assess quality improvement trends, prepare and provide recommendations for remediation when needed.
Identify training needs and collaborate with the Chief Culture Officer to conduct staff development activities/training with an emphasis on improving quality, documentation, and the efficacy of clinical work on a regular basis.
Work with teams to identify efficiency gains driven by training and quality initiatives.
Report statistical findings to various constituents (i.e., board members, colleagues, community, and community consumer advocate groups, etc.) in an easily understandable manner.
Ensure compliance with federal, state, and local regulations for Mental Health Care Providers and Addiction Counselors. May provide oversight for grievance and complaint processes; assure the quality of work meets all relevant rules and regulations, and agency policy.
Research data and information requirements and prepare preliminary analysis; prepare accurate and timely reports/recommendations for action based on findings.
Represent the department in committee, agency, and community meetings as necessary. May provide management support for other agency managers as requested by Administrative Directors.