E01145 - 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.

Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate.

Physical Demands: While performing the duties of this position, the employee is regularly required to talk or hear. The employee is frequently required to use hands to finger, handle, or feel objects, tools, or controls. The employee is occasionally required to stand, walk, sit, reach with hands and arms, climb or balance, and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move objects up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus.

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.

Travel: Travel is minimal and is primarily local during the business day.