Job Summary :

Lead  Community Services Division's effort to ensure effective implementation and integration of process improvement plans. Ensure overall compliance with regulations and standards governing licensure, contracts, funding sources, and accreditation. Serve as resource and key contributor to variety of staff and organization components in identifying opportunities to enhance efficiency and processes, or resolve issues related to utilization, quality of care, process improvement, change, environment of care, delivery systems, records management, and so forth.

Director of Quality Improvement is responsible for :

• Directing the development and implementation of quality improvement programs to ensure effective integration of performance improvement programs; and to facilitate change, improve quality of care, and ensure effective resource utilization.
• Planning, organizing and implementing quality management processes, sampling systems, statistical techniques, and auditing methodologies to identify organization-wide or site-specific problems, and devise appropriate corrective interventions.
• Lead the Joint Commission accreditation efforts for the  Division, including having current knowledge of the standards, helping to educate division managers about the standards, and performing readiness audits at all sites. Coordinate Joint Commission surveys and any corrective actions in response to surveys. In addition, perform required accreditation tasks such as the Focused Standards Assessment, response to complaints and sentinel events, and the FMEA process.
• Serve as a resource and advocate to administration, clinical staff, and clients in responding to issues or conflicts related to compliance, utilization of services, insurance coverage, and quality of care. Review cases of noncompliance or deficiencies identified by staff analysts, and approve recommended corrective actions.
• Managing assigned employees, and motivating their performance. n doing so, interviews, hires, orients, trains, assigns work to, communicates performance expectations and evaluates the performance of the team.
• Periodically reviewing QI team responsibilities to ensure they meet the needs of the Division and advancing Gateway’s fidelity to Evidence Based Practice.
• Working closely with Community Division leaders to ensure the QI team is well educated on quality documentation and can provide training at individual sites and to individual clinicians as warranted. 
• Serves as key contributor or leader to variety of organization committees and task forces concerned with issues related to quality of care, process improvement, facilitating change, environment of care, delivery systems, and so forth.  Readily takes on assigned projects to further the work of the sites and the Division.
• Developing, securing approval of, facilitating, and administering  policies, procedures, and practices related to quality management, clinical practices, Joint Commission standards, and the functioning of the treatment center processes.  Ensures approved policies and procedures are communicated to all employees and staff, and administered consistently.