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Title

Vice President of Quality Improvement 

Description

Directs quality management and improvement initiatives within Wyandot BHN and its family of organizations; assures compliance with billing, state licensing, HIPAA, and CARF certification requirements; provides oversight to agency utilization review of clinical services; ensures policy development/implementation and adherence to expectations; including managed care authorizations; serves as quality management liaison with external entities; oversees the medical records department; and serves as the Corporate Compliance Officer.

 

Accountabilities:

Quality Management

  • Develop and implement annual and quarterly strategic quality goals and objectives for the agency.
  • Facilitates and collaborates with agency staff to develop, execute, and monitor performance improvement plans.
  • Oversee the collection and reporting of data for improvement and monitoring achievement of agency goals
  • Chair agency Quality Management Committees
  • Develop systems and procedures to monitor standards of care and quality improvement.
  • Develop and direct agency risk management program.
  • Develop and use tools to train staff on improving the accuracy, quality, and efficiency of agency programs.
  • Monitor functioning and performance analytics.

 

CARF

  • Direct, lead, and manage CARF.
  • Develop and manage plans.
  • Provide oversight to ongoing development, documentation, and maintenance of expectations.
  • Ensure adherence and compliance to standards.
  • Monitor and measure progress/status annually.
  • Produce reports and provide updates.

 

Corporate Compliance

 

  • Evaluate, revise and manage the agency utilization review of clinical services. This includes insuring that the process meets federal and state requirements and that it is designed to improve clinical outcomes.
  • Provide day-to-day guidance to organization regarding compliance and risk management.
  • Oversee record audits to ensure compliance with funding source regulations and quality standards.
  • Lead efforts to maintain compliance with external review processes.
  • Ensure the organization is in compliance with HIPAA and state privacy regulations.
  • Act as agency privacy officer.
  • Oversee the collection of risk data and distribution of critical incident reports.
  • Provide oversite to all sentinel event reviews.
  • Conducts corporate compliance investigations and makes recommendations
  • Develops, implement, and disseminates policies and procedures regarding all compliance related activities.
  • Communicates with CEO, Board Chair and Organization’s Attorney regarding corporate compliance.
  • Work with training department to insure employees are trained and educated regarding corporate compliance
  • Develops, monitors and assesses risk management
  • Reports compliance issues to the appropriate agencies
  • Audits for adherence to compliance standards
  • Responsible for writing, reviewing and editing policies and procedures.
  • Serves as CEO’s licensing liaison with SRS, KHS, KDHE and others.
  • Responsible for monitoring license compliance.

 

Medical Records

  • Ensures training and supervision of medical records staff
  • Directs staff activities (guiding toward optimal performance, participating/overseeing managerial processes [interviewing, selection, staff development and/or performance, discipline actions, etc.], conducting team meetings, preparing/conducting performance evaluations, ensuring adherence to policies, practices, and protocols [organization and/or regulatory compliance], assisting with problems [personnel issues, conflict resolution, crisis management, etc.], etc.).
  • Proactively enhances and improves efficiencies (assessing performance, evaluating/needs/services, providing educational enrichment opportunities to direct reports, ensuring optimal utilization of facilities and resources, maintaining confidentiality, etc.).
  • Ensures compliance with HIPAA and other legal requirements regarding the release of client health information.
 
Position Requirements

Education: Master’s degree in mental health care discipline or business/management field. Must be Kansas licensed QMHP – LPC, LMFT, LMSW, or MLP.

 

Experience: Minimum of five years of related experience in the mental health field e.g., working for a community mental health organization, state department of mental health, managed care organization, or in some capacity of Psychology, Marriage & Family, Social Work, or Mental Health Counseling. Must have minimum of three years quality management and improvement experience.

Skills/Abilities:

 

  • Excellent communication skills (oral/written).
  • Working knowledge of standard concepts, practices, procedures, and regulations of behavioral healthcare industry, including state and federal requirements.
  • Working knowledge of quality improvement models E.G. Six Sigma
  • Knowledge of community mental health services in Kansas.
  • Ability to analyze data, generate reports and recommend strategies that reflect an adherence to standards, outcomes, and efficiency to resource applications.
  • Demonstrated ability to work with highest level of confidentiality and business ethics in relation to organizational systems access.
  • Working knowledge of roles of various regulatory agencies affecting the functioning of a community based service organization.
  • Familiarity and knowledge of data reporting systems for Kansas mental health providers.
  • Demonstrated ability to work in a collaborative environment; ability to work as a business partner with all departments/functions and use organizational goals, philosophy, mission, vision and values as operating drivers in all recommendations and decisions.
  • Ability to manage priorities and maintain expected progress with a variety of assignments.
  • Must have innovative solutions to ensure continuous quality improvement.
  • Ability to evaluate and assess effectiveness of improvement tools and processes, making recommendations to further advance the organization.
  • Must be able to safely perform essential job functions, with or without reasonable accommodations.
 
Full-Time/Part-Time Full-Time  
Shift Days  
Hours  
Pay Range  
Division Wyandot Behavioral Health Network, Inc.  
Number of Openings 1  
About the Organization Wyandot Behavioral Health Network (Wyandot BHN) is a family of organizations serving the behavioral health needs of Wyandotte County, Kansas, and beyond.

Our network of organizations provides resources for adults, children and families in need of behavioral health services; individuals experiencing homelessness; assistance with housing, employment, and other needs.

Wyandot BHN organizations include:

• Kim Wilson Housing, Inc. - Supportive housing program
• RSI - 24/7 Crisis Center
• PACES - Children & adolescents behavioral health care center
• Wyandot Center - Adult behavioral health care center  
EOE Statement Wyandot Behavioral Health Network's family of organizations: Kim Wilson Housing, PACES, RSI and Wyandot Center is an Equal Opportunity Employer.

It is the policy of Wyandot Behavioral Health Network to provide equal employment opportunity to all persons, regardless of race, color, religion, national origin, ancestry, sex/gender (to include orientation, identity or expression), disability, handicap, age, or any other basis prohibited by law. Any act of retaliation or discrimination against any person who has filed a complaint or assisted or participated in any investigation involving a complaint is prohibited.
 

This position is currently not accepting applications.

To search for an open position, please go to http://WyandotInc.appone.com



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