Quality Assurance Director- Healthcare jobs in Fullerton, CA

Job Title : Executive Director of Quality Assurance
Annual Salary : $140,000 - $160,000
Job Status : Full Time
Work Base : Chino Hills, CA

Redwood Family Care Network is an innovative leader in delivering person-centered home and community-based services to individuals with intellectual and developmental disabilities. Our mission is to provide World Class person-centered services, supports and advocacy for individuals in positive and life-enriching environments. Through working partnerships and integrated care coordination, we aim to enrich the lives of the individuals we support.

Across Redwood Family Care Network, our employees are sharing their passion to make a positive impact in the lives of others. We are looking for individuals who share our mission and values.

JOB SUMMARY:

The Executive Director of Quality Assurance is responsible for the development and execution of Redwood Family Care Network’s (the “Company”) and department specific strategic plan to deliver world class services and supports to individuals we support. Reporting directly to the Chief Operating Officer, the Executive Director is responsible for the evaluation, oversight and follow-up of program quality and effectiveness for all existing Company programs across multiple states. Supervising a team of Quality Assurance Specialists, the Executive Director ensures all programs demonstrate and exceed minimum compliance with applicable state law, federal law and applicable regulations while ensuring the Company is operating from a “Person-Centered” approach for the individuals we serve.

This position is also responsible for leading and monitoring initiatives related to HCBS Final Rule Compliance as well as Person-Centered Thinking (“PCT”) practices. The Executive Director is responsible for compiling, analyzing and reporting value-based outcomes across the agency and partnering with operations in the application of data to drive quality improvement initiatives and is relied upon to provide strategic recommendations and advice on ways to improve the quality of services the Company provides. The Executive Director is responsible for leading and tracking new program development and updating and amending program designs as needed. The Executive Director externally partners with regulatory agencies and participates in advocacy as it pertains to service delivery.

Knowledge, Skills and Abilities:

Knowledge Required: Comprehensive knowledge of state law, federal laws and applicable state regulations and laws in California Washington, Arizona, and Nevada and ability to gain such knowledge of additional states’ requirements as the Company expands. Comprehensive knowledge of additional states in addition to California, Washington, Arizona, and Nevada is preferred. Demonstrated experience leveraging technology to track and report Key Quality Indicators, Value Based Outcomes, and trends. The ability to drive proactive quality strategic initiatives balanced with thorough incident response and follow up. Thorough knowledge of the variety of services available to support all members of the Company.

Understanding of and ability to coach/mentor program leaders as it relates to Person Centered Planning (PCP), PCT service delivery and on-going program effectiveness.

Working knowledge of developmental disabilities, mental health diagnoses, forensic and substance abuse involvement.

Skills & Abilities Required:

• Plan, organize, administer, and coordinate a variety of quality related projects.
• Develop and implement goals, objectives, policies, procedures, work standards, and internal controls.
• Utilize sound judgment and discretion with respect to regulatory compliance, forecasting of trends, and recommendations for amending procedures and protocol.
• Analyze complex issues related to service, evaluate solutions, and implement effective corrective actions.
• Select, motivate, and evaluate staff, and provide for their training and professional development.
• Effective communication to prepare clear and concise reports, correspondence, and other written materials.
• Ensure strict adherence to timing and content of reporting obligations with external agencies in a concise and professional manner.
• Communicate effectively in writing, verbally, and with others to assimilate, understand, and convey information, in a manner consistent with target audience.
• Develop and conduct regular and comprehensive compliance training and oversee the compliance training program.
• Coordinate and track completion milestones for all new program development.
• Develop new program designs and update existing program designs.
• Develop and revision of quality related policies and procedures as needed.
• Develop training materials for leadership and frontline staff.
• Collaborate on other training and implementation of quality assurance improvement measurements.
• Oversight of the maintenance department to ensure quality living conditions.
• Ability to organize personal workflow, set priorities, meet critical deadlines, and follow-up on assignments with a minimum of direction.
• Work in a safe manner modeling correct safety practices and procedures.
• Maintain confidentiality regarding sensitive information.
• Ability to take PCP concepts and assist programs in applying them for enriching the lives of all individuals the Company serves.
• Ability to build and sustain internal and external relationships.
• Coaching and mentoring Company’s leadership team and operational staff on quality assurance and continuous quality improvement.
• A firm dedication to the Company’s philosophy and service expectations.
• Leverage technology for tracking and reporting data related to quality outcome measures, compliance, and facility maintenance.

Essential Functions:

• Monitor company operations and ensure employees and business practices comply with regulatory and legal requirements, including timely reporting obligations.
• Communicates with regulatory agencies on compliance.
• Plans, coordinates, and evaluates programs related to quality and risk management.
• Identify potential risks and opportunities within the organization and its environment to protect business interests.
• Identify, recruit, train and develop a talented team of professionals to oversee quality in specific geographical areas.
• Collaborate with management to assess ongoing and future strategic initiatives related to the Company’s four pillars of People, Service, Safety and Cost.
• Lead the quality assurance integration of new acquisitions and participate in due diligence as needed.
• Gather, monitor, and report out quality trends and key performance indicators measuring effectiveness of established programs.
• Develop and implement remediation plans in partnership with operation leaders to respond to trends.
• Lead regulatory training and technical assistance support.
• Develop and implement integration plans, new program designs, and update of existing program designs.
• Directs internal reviews of incidents, analyzes results, and recommends remediation plans.
• Offer ongoing consultation to operations on regulatory and quality assurance issues and topics.
• Writes, revises, and maintains policies and procedures.
• Reviewing and analyzing data collection for total quality management.
• Ensure all programs/services follow Company principles.
• Performs other related duties and assignments as required, which may extend beyond the Quality Assurance department.
• Effectively track and communicate regulatory mandates and changes.
• Chairs quality assurance workgroups related to quality assurance and risk management.

Education and Experience:

Minimum Education: Bachelor’s degree in psychology, sociology and/or related field (master’s degree or other additional certifications preferred).

Minimum Experience:

• Five (5) years minimum job experience in management if education experience is not completed.
• Demonstrated knowledge of compliance monitoring and operating practice development to comply with federal, state, and local laws and mandates.
• Demonstrate knowledge of electronic service records and data management processes.
• Experience developing training curriculum with large scale delivery.

Physical and Other Requirements:

• The Director of Quality Assurance typically works in an office environment with occasional work in the field with travel to remote locations.
• Frequent standing, sitting, twisting, reaching, walking, driving, grasping, talking, hearing and repetitive motions are required. Occasional lifting of 25 pounds, bending, stooping, squatting, pushing, pulling, traveling, kneeling and crouching are required.
• This position will require a valid California Driver’s License and current vehicle insurance. Candidates must successfully pass all pre-employment requirements, including but not limited to background check, physical, etc.

Benefits:

• Comprehensive benefits options, including medical, dental, vision, life, STD, LTD, hospital indemnity, critical illness, and accident insurance.
• HSA, Health Care FSA and Dependent Care FSA
• Employee assistance program
• Employee discount program
• Paid time off
• 401(k)

Work Remotely: NO

Please visit our website for more information: www.redwoodfcn,com