Regional Quality Manager- Colorado

Job Description

Job Description

Volunteers of America National Services (VOANS) Healthcare is seeking a Regional Quality Manager (RQM) to lead and advance quality improvement efforts across an assigned region. This role is critical in ensuring consistent, high-quality, and compliant care by supporting operational leaders and connecting them with corporate quality, compliance, and clinical expertise. This position supports the following facilities: Senior Care Community-Colorado Valley Manor Care Center, Horizons Care Center, and The Homestead at Montrose.

About the Job: The Regional Quality Manager (RQM) is responsible for leading the implementation of the VOANS Healthcare quality improvement framework within an assigned region and focus areas. Serving as the primary liaison between building-level operational leadership and the full resources of the corporate Quality, Compliance, and Clinical Support teams, the RQM ensures that programs and facilities have coordinated, effective access to the expertise, tools, and processes required to improve performance and meet regulatory and organizational expectations.

Regional Quality Manager- Colorado

Schedule: M-F 8:00 AM-5:00 PM (3 days onsite, 2 days work from home)

Salary: $76,000-$86,000 (Based on Experience)

Travel: Regional Travel Required & Site Visits (Candidate must be local to CO with ability to fulfill on-site expectations)

Essentials:

Quality Improvement Leadership & Building-Level QAPI Support

• Lead and support the quality improvement process at each assigned program or facility, ensuring alignment with QAPI and VOANS Healthcare standards.

• Facilitate building-level quality or QAPI meetings with operational leadership and interdisciplinary teams.

• Help identify priority performance issues and develop structured performance improvement plans (PIPs) that address root causes.

• Ensure PIPs include clear metrics, interventions, monitoring strategies, and defined success criteria.

• Monitor PIP progress, barriers, and sustained outcomes, providing coaching and support to leaders throughout the improvement cycle.

• Promote integration of quality improvement into daily workflows, decision-making, and leadership practices.

Quality Data Analysis & Performance Monitoring

• Analyze building-level quality data (e.g., audit results, survey outcomes, incident trends, PCC data, quality measures, BI dashboards).

• Identify patterns, performance gaps, emerging risks, and opportunities for improvement.

• Develop and distribute data summaries, quality scorecards, and trend reports for local and regional leaders.

• Support operational leaders in understanding and using data to drive performance improvement.

• Collaborate with BI/PBI analysts to ensure dashboards and reports meet operational and quality oversight needs.

Incident Management & Follow-Through

• Lead the building-level incident management process, ensuring timely follow-up, accurate documentation, meaningful RCAs, and strong communication.

• Ensure Quality Managers and operational leaders understand the regulatory significance of incidents (with support from the Regulatory Specialist).

• Facilitate or guide root cause analyses (RCAs) when incidents have safety, compliance, or regulatory implications.

• Ensure corrective actions are defined, assigned, implemented, and monitored to completion.

• Identify trends from incidents and collaborate with leadership to mitigate systemic contributors.

Corrective Action Plan (CAP) & PIP Coordination

• Serve as the primary facilitator for corrective actions arising from audits, incidents, survey findings, and performance deficits.

• Collaborate closely with building-level operational leadership to ensure corrective actions are:

• Specific
• Measurable
• Addressing root causes
• Feasible and realistic
• Monitored over time

• Track CAP/PIP implementation, verify completion, and assess sustained effectiveness (via data, observation, or follow-up review).

• Ensure transparent, consistent communication between operations and corporate quality leadership regarding progress and barriers.

Key Liaison Between Building Operations & Performance Excellence Resources

• Act as the primary connector between building-level operational leaders and the broader VOANS Performance Excellence infrastructure, including:

• Regulatory Specialist
• Clinical Specialist
• Quality Director
• Internal auditors
• Compliance leadership
• PCC/clinical documentation support

• Ensure operational leaders know what resources exist, when to access them, and how to integrate them into action plans or improvement efforts.

• Bring forward issues requiring regulatory interpretation, clinical consultation, or higher-level support.

• Ensure the full capabilities of the Performance Excellence Team are deployed effectively within the region.

Collaboration with the Clinical Specialist

• Partner closely with the Clinical Specialist to support:

• Clinical RCA components
• Review of clinical practices/competencies
• Clinical documentation quality
• Infection prevention monitoring
• Support for clinical components of PIPs or corrective actions

• Work jointly to ensure alignment between quality goals and clinical best practices.

• Coordinate site visits, educational efforts, and clinical focus reviews in collaboration with the Clinical Specialist.

• Ensure operational leaders receive consistent, aligned messaging from the quality and clinical teams.

Collaboration with the Regulatory Specialist & Internal Audit Team

• Collaborate with the Regulatory Specialist to ensure regulatory interpretation of identified issues is accurate and integrated into improvement planning.

• Coordinate with internal auditors on audit findings, follow-up needs, and clarification requests.

• Convert regulatory and audit feedback into actionable steps for operational teams.

• Ensure regional awareness of recurrent themes from internal audits and regulatory reviews.

Survey Support & Post-Survey Execution

• Participate in preliminary survey exit reviews and help operational teams determine immediate action steps.

• Lead building-level processes for post-survey review, corrective action planning, and tracking of sustained changes.

• Ensure operational leaders understand the quality and system-level implications of survey findings.

• Communicate progress and barriers to corporate quality leadership and the Regional VP.

Education, Coaching & Capacity-Building

• Provide coaching and training to EDs, DONs/Clinical Directors, department managers, and front-line staff on:

• Quality improvement processes
• RCA and documentation expectations
• Effective monitoring and follow-through
• Use of QAPI tools and quality systems

• Support onboarding of new building-level leaders and familiarize them with VOANS quality systems.

• Reinforce regulatory and quality expectations developed by the Regulatory Specialist and corporate quality leadership.

Monitoring for Sustained Compliance

• Conduct targeted follow-up reviews to ensure improvements implemented through CAPs or PIPs remain in place.

• Validate whether operational practices have changed as intended.

• Identify early warning signals of backsliding and engage leadership with timely recommendations.

Regional and Cross-Business-Line Collaboration

• Participate in division-wide quality initiatives to promote standardization and reduce variation across the organization.

• Serve as a communication conduit for emerging issues, high-risk trends, and operational feedback.

• Collaborate with other Regional Quality Managers to exchange best practices and improve system reliability.

Field Presence & Relationship Building

• Maintain a meaningful, predictable presence (on-site and virtual) at each assigned program/facility.

• Build trust-based, collaborative relationships with operational leaders, clinicians, and staff.

• Position the Quality Manager as a credible, supportive partner and coach for quality improvement and compliance work.

Additional Quality System Responsibilities

In addition to the core functions supporting the quality improvement process, data analysis, corrective action coordination, and incident management, the Regional Quality Manager also plays a key role in supporting broader quality system functions across their assigned programs and facilities. These responsibilities ensure consistent application of organizational standards, regulatory expectations, and reliable quality operations.

a. State and Federal Reporting Support

• Ensure required quality-related reporting is completed accurately and on time in collaboration with operational leadership and the Regulatory Specialist (e.g., abuse/neglect reports, accidents/incidents, ELFs/ALFs state-required submissions, SNF federal reporting requirements, PACE-required notifications).

• Serve as the quality point of coordination to ensure the right stakeholders (Regulatory Specialist, operations, legal, clinical leadership) are involved when determining reportability or documentation elements.

• Track the timeliness and accuracy of required reporting to ensure compliance with state and federal rules.

b. On-Site Quality System Management

• Support implementation and oversight of on-site quality systems such as:

• Grievance and complaint processes
• Customer experience/satisfaction survey processes
• Tracking and monitoring of required follow-up actions
• Quality documentation systems (e.g., PCC, PACE documentation platforms)

• Ensure grievances and complaints are investigated promptly, resolved appropriately, and documented in alignment with organizational expectations.

• Collaborate with operational leadership to strengthen documentation practices and process reliability.

c. On-Site Audits and Quality Reviews

• Conduct targeted on-site quality audits or focused reviews, in coordination with:

• Internal auditors
• Clinical Specialists
• Regulatory Specialists
• Quality Directors or VP of Compliance

• Use audit tools and quality monitoring instruments developed by the Performance Excellence Team to assess compliance with internal standards.

• Validate that corrective actions implemented following audits or surveys are functioning as intended during on-site reviews.

• Document findings and communicate them clearly to operational leaders with actionable recommendations.

d. Support for Organizational Initiatives and Quality Projects

• Assist with implementation of division-wide quality initiatives, pilot projects, or system rollouts (e.g., new Smartsheet systems, PCC workflows, policy rollouts, updated quality monitoring tools).

• Participate in interdisciplinary workgroups focused on improving quality systems or standardizing practices across business lines.

• Represent the assigned region in project-related meetings and serve as the local coordinator for implementation tasks.

e. Documentation Accuracy & Quality Record Maintenance

• Ensure quality-related documentation—incident follow-up, PIPs, quality meeting minutes, monitoring tools, grievance logs—is complete, accurate, and maintained according to organizational standards.

• Support building leaders in developing systems to maintain organized, accessible quality records for survey readiness and ongoing monitoring.

Required Qualifications:

• Strong ability to create, build, and maintain productive relationships at all levels.
• Must have a valid driver’s license, proof of insurance and means of transportation.
• Education: A bachelor’s degree in a healthcare-related field (e.g., Healthcare Administration, Health Services Management, Nursing, Public Health, Health Information Management, or a related discipline) is required. An equivalent combination of education and relevant experience may be considered in place of a degree.
• Licensure and Certification: Certified Professional in Healthcare Quality (CPHQ) or other healthcare quality certification preferred but not required.
• Experience: Requires a minimum of five (5) years of healthcare experience, including at least three (3) years in senior care settings such as skilled nursing, assisted living, PACE, or home health, with two (2) or more years of direct experience in quality improvement, compliance, or regulatory support.

At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best