Quality Improvement Director

Job Description

Job Description

About Us

The Center for Counseling & Consultation is a Certified Community Behavioral Health Clinic (CCBHC) serving Barton, Pawnee, Rice, and Stafford counties in Central Kansas. Our mission is to provide help, hope, and healing to the people we serve.

We foster a professional, supportive, and rewarding workplace grounded in integrity, diversity, compassion, quality, and dedication. This is a KPERS-covered position.

Position Summary

The Quality Improvement Director provides leadership for the Center's quality improvement, risk management, corporate compliance, utilization review, and accreditation activities. This position uses data-driven quality improvement practices to strengthen service delivery, maintain compliance with applicable standards, and reduce organizational risk.

The Director collaborates with clinical, administrative, and leadership teams to evaluate performance, identify opportunities for improvement, and implement sustainable solutions. This position also supervises the Medical Records Clerk and serves as a primary resource for consumer concerns and regulatory reporting.

Key Responsibilities

• Lead the Center's corporate compliance program, ensuring adherence to applicable certification, licensing, contractual, and regulatory requirements.
• Oversee the Center's quality improvement and risk management activities.
• Facilitate the Quality Improvement/Risk Management Committee and coordinate changes to policies, procedures, and protocols that improve service quality, strengthen compliance, and reduce risk.
• Lead agency teams in reviewing performance and outcome data, identifying trends and areas of concern, and developing corrective actions using the Plan-Do-Study-Act model.
• Oversee the Center's utilization review process and follow up with supervisors regarding identified performance or skill gaps, remediation expectations, and compliance.
• Coordinate regular review and revision of agency policies, ensuring current policies are accessible to employees and consumers as appropriate.
• Facilitate timely staff review of policy updates and assist with related education and communication.
• Collaborate with appropriate staff to review incident reports and coordinate follow-up through the Quality Improvement/Risk Management Committee.
• Serve as the primary agency contact for KDADS Adverse Incident Reporting.
• Receive, investigate, document, and follow up on consumer complaints and concerns.
• Oversee community needs assessments and client satisfaction surveys, presenting findings to the management team for review and response.
• Assist designated staff with evidence-based practice fidelity reviews, recognizing successes and addressing performance gaps with supervisors and the management team.
• Maintain and update memoranda of understanding, care coordination agreements, and Business Associate Agreements.
• Conduct and document monthly OIG and SAM exclusion checks for all employees and board members.
• Facilitate corporate compliance training for new employees.
• Directly supervise and support the Medical Records Clerk.
• Complete other quality improvement and compliance duties as assigned.

Required Qualifications

• Master's degree in psychology, counseling, social work, marriage and family therapy, or a closely related behavioral health field.
• Current Kansas Behavioral Sciences Regulatory Board (BSRB) license.
• Previous professional experience in quality improvement, quality assurance, compliance, risk management, or a related function.
• Working knowledge of behavioral health regulations, documentation standards, confidentiality requirements, and performance improvement practices.
• Ability to analyze data, identify trends, and translate findings into practical improvement plans.
• Strong leadership, collaboration, communication, investigation, and organizational skills.
• Ability to handle sensitive information with discretion and sound professional judgment.
• Background free of substantiated abuse or neglect findings.
• Valid Kansas driver's license and a favorable driving record.

Preferred Qualifications

• Quality improvement experience within a CCBHC, community mental health center, or comparable healthcare organization.
• Knowledge of legal, court, and emergency service systems.
• Experience working with crisis services.
• Experience with accreditation, licensing, utilization review, incident management, and evidence-based practice fidelity reviews.
• Supervisory or organizational leadership experience.

Work Environment

The Center offers:

• Flexible working hours.
• Optional four-day workweek.
• No on-call responsibilities.
• Collaborative and positive workplace culture.
• On-the-job training.
• Professional growth and advancement opportunities.
• Competitive compensation and comprehensive benefits.

Position Details

• Employment status: Full-time
• Work location: In person
• Compensation: Commensurate with education and experience
• Retirement: KPERS-covered position

Benefits

• Health, dental, and vision insurance
• Health savings account
• Flexible spending account
• Life insurance
• Employee assistance program
• Paid time off
• Flexible schedule
• Professional development assistance
• Retirement plan

The Center for Counseling & Consultation is committed to building a workplace that values integrity, diversity, compassion, quality, and dedication. Qualified applicants who share our mission of providing help, hope, and healing are encouraged to apply.

\nCompany Description

The Center for Counseling & Consultation is a Certified Community Behavioral Health Clinic (CCBHC) serving Barton, Pawnee, Rice, and Stafford Counties in Central Kansas. We offer a professional, rewarding, and supportive environment and a workspace that values integrity, diversity, compassion, quality and dedication. The Center's mission is to provide help, hope and healing for the people we serve, and our employees reflect that mission.

Company Description

The Center for Counseling & Consultation is a Certified Community Behavioral Health Clinic (CCBHC) serving Barton, Pawnee, Rice, and Stafford Counties in Central Kansas. We offer a professional, rewarding, and supportive environment and a workspace that values integrity, diversity, compassion, quality and dedication. The Center's mission is to provide help, hope and healing for the people we serve, and our employees reflect that mission.