Director of Quality Assurance and Strategic Planning

THE SALVATION ARMY

NORTH AND CENTRAL ILLINOIS DIVISION

Harbor Light

POSITION DESCRIPTION

POSITION TITLE: Director of Quality Assurance and Strategic Planning

LOCATION: Harbor Light

REPORTS TO: Executive Director

FLSA CATEGORY: Exempt

STATUS TYPE: RFT

PAY GRADE: 209

PAY RANGE: $35.49-$43.48

DEPARTMENT MISSION: To provide leadership using policies, procedures, and available systems to provide quality substance abuse treatment and support the Harbor Light Center in meeting the mission of The Salvation Army.

PROGRAM/CLIENT ENVIRONMENT: The backgrounds of the clients served by The Harbor Light Program will manifest a variety of inappropriate behaviors. Employee conduct and interactions with clients must be within the treatment environment of the facility.

OUTCOMES: Monitoring and analyzing agency-wide programming will assure compliance to contractual and licensing requirements and quality program development.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Quality Care Duties:

1. Case files from all programs are reviewed for compliance with applicable standards and agency policies.
2. All agency functions are monitored for compliance with adopted performance objectives.
3. Agency-wide preparation for all internal and external program audits and reviews are effectively coordinated.
4. An outcome measurement system is maintained, and results are reported quarterly.
5. Review and monitor performance deficiencies and non-compliance issues.
6. A continuous quality improvement plan for the agency is created and submitted annually.
7. The activities of the Continuous Quality Improvement Plan Committee are effectively coordinated.
8. Internal and external meetings are attended as instructed.
9. Client satisfaction surveys are conducted with results being reported bi-annually.
10. Attends the Review Board meetings daily to ensure program practices are individually based and within agency policy.
11. Complete quarterly billing audit from random samples and ensure accuracy of program billing.

Strategic Planning Duties:

1. Provides agency coordination for accreditation through the Committee on Accreditation of Rehabilitation Facilities (CARF).
2. Provides leadership direction to the program CARF Committee.
3. Monitors designated programs to ensure compliance with CARF standards.
4. Reporting procedures are analyzed and adjusted to optimize outcomes.
5. An agency-wide policy and procedures manual is maintained and updated regularly.
6. Remains knowledgeable and current on CARF accreditation standards.
7. Accreditation standards are compared to present operations and deficits are identified.
8. A continuous plan to meet all deficit accreditation standards is maintained.
9. Coordinate the agency's Strategic Plan to assure timelines and goals are met.
10. Coordinate an annual Strategic Plan Update.
11. Consults with agency directors and supervisors to provide guidance.
12. Explore additional programming and funding options.
13. Assist with Needs Assessments and Grant writing as identified.
14. Staff training is provided as needed.
15. Participate in the Christmas fundraising effort as requested.
16. Other duties as instructed by the Director.

REPORTING RELATIONSHIPS:

This position reports to the Executive Director and supervises the Accreditation and Training Manager.

PERFORMANCE MEASUREMENTS:

This individual will be evaluated on how effectively the outcomes of this position are achieved.

EDUCATION/EXPERIENCE:

• At least three years of experience in quality care management.
• A Bachelor's required, Master's degree in a Human Service field preferred.
• Experience in basic office practice and computer use.
• Experience with the Illinois Department of Human Services Drug and Alcohol Substance Abuse Department is preferred.

COMPETENCIES:

• A commitment to the mission of the Salvation Army.
• An interpersonal style that is service-oriented.
• A flexible style that displays a willingness to learn.
• An excellent attention to detail.
• A demonstrated ability to manage projects and priorities.
• Must be able to multi-task and possess strong organizational skills.
• A communication and management style that fosters team relationships.
• Must be able to communicate information in a professional manner.
• An extensive knowledge of quality assurance principles.
• An understanding of data management and procedure development.
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