Quality Improvement Manager

Hillcrest Children & Family Center is a non-profit organization dedicated to the provision of comprehensive, evidence-based mental health services in Washington, DC. We are committed to fostering community awareness, eliminating systemic barriers, and delivering compassionate, high‑quality care to individuals navigating mental health challenges. Key Responsibilities Creates and maintains QI compliance work plan that tracks & details actions necessary to comply with federal, state, best practices and business standards. Performs research and analysis of all health care reform and movements and other regulatory changes. Determines the appropriate updates for work plans and ensures each quality leader/manager is responsible for pertinent standards/activities that are meeting requirements. These activities include, but are not limited to: data collection, quality of care complaint resolution, medical record reviews, office site evaluations and analysis of various clinical and organizational service indicators (e.g., effectiveness of care measures, service delivery results, work productivity, practitioner availability and accessibility analysis). Coordinates with designated quality leaders/managers within the organization to ensure actions (creation/revisions of policies/procedures, program descriptions, marketing/member materials, etc.) necessary for compliance are being carried out. Determines and directs revisions to tasks as necessary to ensure program compliance with specified regulations and standards. Provides a professional mentoring environment in which employees are encouraged and challenged to expand their skill sets and knowledge. Coordinates with designated staff and other managers, as applicable, to develop committee agendas, ensuring that all necessary documents, policies and reports are presented and approved at the various Quality Improvement Committees and sub‑committees. Oversees internal auditing functions of file reviews (quality of care complaints, customer service complaints, appeals, utilization management) to determine compliance with federal, state and external regulations. Examines file review results and develops actions for improvement for implementation by appropriate staff and management personnel. Reviews all QI documents (program descriptions, work plans, policies and procedures) as well as documentation from any delegated entities to ensure that all components necessary for compliance are included. Capable of providing staff orientation, staff development and training on treatment planning, documentation and compliance regulations. Educational Requirements Bachelor’s degree or equivalent in a health‑related field; Master’s degree preferred; quality improvement experience including accreditation and auditing experience, or a minimum of 3 years of related experience and/or training; or equivalent combination of education and experience in lieu of Master’s degree. Candidates with active clinical licensure in District of Columbia (LPC or LICSW) are encouraged to apply. Minimum 3 years of experience in a behavioral health or community health setting is strongly preferred. Experience in principles of quality improvement, NCQA standards, and accreditation and certification processes. Benefits Affordable medical, dental, and vision insurance. 401(k) retirement plan and life insurance. Generous paid time off (PTO), sick leave, and paid company holidays. Opportunities for leadership training and professional development. Employee assistance programs (EAP) to support professional and personal well‑being. #J-18808-Ljbffr Hillcrest Children & Family Center