QAPI Specialist

Position Overview: Under the supervision of the Chief Executive Officer, the QAPI Specialist will support company-wide initiatives to maintain the highest standards of quality care and ensure adherence to regulatory requirements specific to substance use disorder treatment and general healthcare practices.

Key Responsibilities:

• Facility Departmental Senior leader that holds the responsibility to partner with all departments throughout the site to improve operational product, adhere to all regulatory and contractual requirements, and develop a culture focused on continuous performance improvement.

• Lead the consolidation and analysis of quality improvement data across the site .
• Co-Chair the following Committee Meetings with Site Leadership.
• QAPI, Medical Records, Safety, Infection Control, Pharmacy Therapeutics
• Responsible for patient safety, privacy, and ACTs investigations.
• Contribute to monthly reports for QAPI and Quality Governance Committees.
• Collaborate with teams to optimize quality processes and ensure compliance with industry standards.
• Lead in maintaining programs and strategies to ensure adherence to TJC/CARF, local, state, and federal regulations and payor requirements. Lead survey readiness / preparedness initiatives and committees.
• Support the data collection, processing, and preliminary analysis for various projects and reports.
• Aid in gathering and assessing feedback on the patient treatment experience.
• Assist in updating regulatory matrices and other compliance documentation.
• Work with teams to help identify areas for improvement and contribute to solution development.
• Participate in training programs on compliance and quality matters.
• Monitor potential risk areas and report findings to the manager, assist with development of strategies to mitigate risks, educate staff, and monitor implementation for sustainability.

Knowledge & Skills:

• Understanding of compliance and quality standards specific to substance use disorder treatment.
• Familiarity with local, state, and federal healthcare regulations.
• Basic proficiency with IT systems used in healthcare quality management.
• Ability to manage tasks effectively and meet deadlines.
• Good organizational and communication capabilities.
• Commitment to continuous learning within the healthcare compliance field.
• Proficiency in Microsoft Office Suite and willingness to learn new software as needed.

Personal Attributes:

• Ethical judgment and integrity when dealing with sensitive patient data.
• Ability to uphold confidentiality in line with HIPAA and related regulations.
• Team player, eager to learn and contribute in a fast-paced environment.
• Cultural competence and sensitivity towards individuals from diverse backgrounds.

Position Requirements: Education:

• Minimum: Bachelor's Degree in a related field. Certification courses in healthcare compliance are a plus.

Experience:

• 1-3 years in a healthcare or substance use disorder treatment setting.
• Demonstrated understanding of compliance and quality standards in a healthcare setting is preferred.
• Previous involvement in data collection, reporting, or process improvement initiatives is beneficial.

Performance Metrics:

• Contributions to improved patient care quality, successful audit assistance, accurate data reporting, and collaboration with the wider quality and compliance team will gauge success in this role.

Position Type/Expected Hours of Work: This is a full-time position. Days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. Occasional evening and weekend work may be required as job duties demand.