Quality Assurance Manager

Cook Inlet Tribal Council


Job Title:            Quality Assurance Manager

Department:    Administration

Reports To:      Director Strategic Projects & Initiatives

Supervises:       Quality Assurance Specialist 

FLSA Status:    Exempt 

Pay Grade:        E5

Job Type:          Full-Time, Regular

AKBCU:             No                   ICPA: No  

 

General Functions:

The Quality Assurance (QA) Manager oversees the quality assurance and quality improvement measures to ensure that the services provided across the organization meet quality standards and grant compliance. 

 

Duties and Responsibilities:

  • Ensure QA Section of Commission on Accreditation of Rehabilitation Facilities (CARF) is maintained for each accredited department/unit. 
  • Provide CARF regulation updates and collaborate with Director Strategic Projects & Initiatives on recommended policy changes.
  • Review and schedule quarterly chart audits completed by QA Specialist(s).
  • Collaborate with Department Leads to Develop a file review, common error reports, feedback, and recommendations process.  
  • Support strategic planning and deployment initiatives, and help develop measurement systems to determine organizational improvement.
  • Collaborate with CITC Finance Department to ensure services maintain regulatory and billing compliance as requested.
  • Assist organization in obtaining and adhering to National and State accreditations and licensing bodies.
  • Support QA team in providing training and coaching of staff to prevent recurring errors and coding issues. 
  • Assist Department Directors and Sr. Managers on reviewing and revising policies and procedures as needed to meet program goals, standards and accreditations as related to quality standards.
  • **Assist departmental leadership with ad-hoc reviews. 
  • Provide regular supervision, performance reviews, training, and coaching to all assigned staff; provide disciplinary action alongside HR Representative, if necessary.
  • Serve on the Department Continuous Quality Management (CQM) Committees, as assigned.
  • Take part in the interviewing, hiring, and training process of all QA team candidates.
  • Participate in training in areas related to the improvement of service delivery.
  • Maintain confidentiality according to all state and federal regulations and procedures, including 42 CFR Part 2 and HIPAA.
  • Other duties as needed and assigned.

 

Job Specifications:

  • Full understanding of HIPAA and 42 CFR Part 2 with an understanding and full knowledge of ethical concerns and laws in the Substance Use and Mental Health field.
  • Must maintain confidentiality at all times while displaying a professional disposition.
  • Excellent verbal and written communication skills; ability to interact with sensitivity and effectiveness while working with clients, external agencies and coworkers.
  • Demonstrated ability to read, analyze and interpret technical and clinical procedures and government regulations.
  • Demonstrated ability to work with individuals from diverse backgrounds.
  • Demonstrated ability to make decisions and exercise good judgment.
  • Demonstrated ability to work independently with minimal supervision.
  • Demonstrated ability to work under pressure and prioritize workload.
  • Strong problem-solving skills.
  • Demonstrated ability to work as an active participant in a team environment.

 

Minimum Core Competencies: CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.

 

Minimum Qualifications:                          

  • Bachelor’s Degree in in Public Health, Public Administration, Behavioral Health or related field. Relevant work experience may substitute for the education requirement on a year-for-year basis.
  • Three (3) years’ experience in quality assurance and/or quality improvement activities.
  • Two (2) years’ experience with program management and compiling/writing quarterly reports; grant writing may substitute for report writing experience. 
  • One (1) years’ experience working in an Electronic Health Record (EHR) system.
  • One (1) years of supervisory or management experience.
  • Two (2) years progressively responsible experience in a leadership role within the behavioral health or related field.
  • Experience in CARF standards. 

 

Preferred Qualifications:

  • Experience working with Alaska Native people, knowledge of their values and belief systems and ability to provide culturally competent services.
  • Experience in Alaska Medicaid regulations and the 1115 waiver.
  • Three (3) years’ experience working in an Electronic Health Record (EHR) system.
  • Four (4) years progressively responsible experience in a leadership role within the social services or related field.

 

Physical Requirements: 

  • Primarily works in an office setting, with extended periods of time at a desk and on a computer.

 

 

Disclaimer

The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job.   It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job.   Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time.  This job description is not an employment agreement or contract.

Anchorage, AK

8 day(s) ago