Quality Director/Training Director

POSITION DESCRIPTION

POSITION TITLE: Quality Management/Training Director

EDUCATION:

Bachelor’s Degree or Master’s Degree

LCMHC, LPA, LCSW

EXPERIENCE:

This position requires a bachelor’s degree and at least two years of experience utilizing data to support the development of quality services in behavioral health.

SKILLS/ABILITIES:

Thorough knowledge of quality management principles, familiarity with evidence-based practices, understanding of and ability to implement quality assurance and quality improvement practices, and good communication skills (written and verbal).

OTHER:

· Ability to efficiently and effectively manage multiple tasks.

· Ability to work in a multi-disciplinary team.

· Knowledge and skill in effective communication and interpersonal skills.

· Knowledge and skill to use the computer.

· Knowledge and demonstrated experience in quality management and assurance practices.

· Ability to develop training plans

· Minimum two years of proven experience with a Behavioral Health Practice

ROLES AND RESPONSIBILITIES

The QM Director is a full-time position that is responsible for quality assurance and quality improvement across the entire agency. While this is a leadership position, all staff persons within the agency are expected to participate in activities to ensure the quality and ongoing improvement of services provided by the agency. The QM Director is responsible for developing and implementing the agency’s quality management system, including both its internal quality assurance and improvement activities. As an active member of the agency’s executive team, the QM Director is expected to provide leadership in developing the agency’s annual quality improvement plan and ensuring the effective implementation of policies and procedures for credentialing and supervision of staff, monitoring of services, assurance of the safety of individuals served and effective outcomes, review of adverse events and identification of improvement opportunities. The QM Director is expected to take a leadership role in ensuring that the agency regularly uses input of staff and service recipients and aggregate data to identify issues and opportunities for improvement and to support decisions about individuals’ care and the agency’s direction. The QM Director is also responsible for the development of collaborative relationships between the agency and LMEs/MCOs in which the agency provides services through involvement in their communities’ quality management initiatives.

Specific roles and responsibilities of the QM Director are outlined below:

• Developing, revising, and implementing the agency’s annual quality improvement/quality assurance plan
• Ensuring the development of a culture of improvement across the entire agency with continuous staff involvement
• Providing leadership and staffing for the quality management committee to review agency performance, adverse events, quality of care, and personal outcomes
• Ensuring compliance with all documentation, staff qualifications, and other state, federal, and accrediting body requirements for the services delivered.
• Overseeing the staff credentialing process
• Ensuring the agency’s compliance with accreditation standards and leading reaccreditation activities
• Ensuring compliance with all reporting requirements of local and state agencies
• Identifying a standardized method for measuring and reporting personal outcome measures for individuals served by the agency. Uses personal outcomes, staff and feedback from individuals served, and other performance measures to drive agency decisions
• Uses personal outcomes, staff and feedback from individuals served, and other performance measures to drive the agency’s decisions
• Ensure the agency is practicing good business conduct
• Oversee and participate in quarterly client/personnel chart audits
• Develop the necessary forms, tools, applications, and other documents to perform quality assurance/quality improvement functions
• Tracks client complaints and grievances and documents for review and investigations/resolutions.
• Ensure the agency is consistently practicing emergency drills (i.e. fire drills, bomb threats, medical emergencies) within established timelines
• Provide supervision to Office Manager and other designated employees
• Facilitates QA/QI Committee meetings and maintains documentation
• Develop necessary policies, procedures, protocols, etc. to enhance the agency’s business operations.
• Professionally communicates with all Prepaid Health Plans and Management Care Organizations’ personnel regarding quality assurance concerns or issues.
• Monitors the Department of Health and Human Services, LME/MCO, and DMA websites weekly to review implementation updates, communication bulletin, and other pertinent mental health policies/procedures updates.
• Facilitate staff meetings; participate in workshops, conferences, and other off-site meetings, virtual meetings, webinars, seminars, and pre-recording sessions, when necessary.
• Assist in investigating any client or staff incidents, accidents, or allegations.
• Enter client incidents in the NC Incident Response Improvement System (IRIS) within established timeframes.
• Generate emails to agency-wide staff members for pertinent updates, changes, stipulations, and training opportunities.
• Develop implement and monitor Plans of Corrections, when necessary.
• Revises and updates the following: Cultural Competency Plan, Information Technology Plan, Strategic Plan, Accessibility Plan, and Risk Management Plan.
• Work closely with Human Resources Manager to ensure personnel transactions are appropriately completed to meet personnel records compliance.
• Providing and maintaining Agency CARF Accreditation.

Training Component

The Trainer Director is a leadership position responsible for ensuring across the entire agency that the content of training and education offerings is relevant to contemporary practice and that teaching methods are effective in changing the actual practice patterns of the employees being trained. The Training Director ensures there is enough access to training and education opportunities, especially in rural areas and for culturally diverse populations. Training records show that staff has the competencies to deliver integrated behavioral health care, emphasizing evidence-based practices, best practice, and quality improvement approaches and supervisors have competencies to mentor staff in these practices.

Training Director Roles and Responsibilities:

The Training Director is responsible for an annual strategic training plan that:

• Reflects the agency’s vision, mission, and guiding principles
• Includes goals/objectives, methods, budget, and expected outcomes for the agency
• Indicate that evidence-based training methods will be utilized
• Identify instructional training system design and development principles
• Indicates the use of technology to increase access to and the effectiveness of training.
• Identifies implementation strategies to support and sustain the use of clinical skills in supporting the continuum of care within the agency.

Additional Requirements for the Training Director

• Assess organizational, department, and service needs and plan program development to address them.
• Plan, organize, and direct a wide range of training activities, including maintenance of training records that include staff competencies to deliver integrated behavioral health care, evidence-based practices, best practices, and quality improvement approaches; including supervisor competencies to mentor staff in these practices.
• Conduct orientation activities/sessions and arrange on-the-job training for new employees[KF1]
• Assure the application of effective training principles
• Supervisory training to improve interpersonal skills in order to deal effectively with employees[KF2]
• Set[KF3] up individualized training plans to strengthen an employee’s existing skills or teach new ones.
• Arrange training for leadership or executive development
• Planning and program development to identify and assess training needs within the agency
• Periodically evaluate training effectiveness (i.e. through the use of surveys, conferences with managers and supervisors, observation, etc.) recommending changes in training programs, and arranging on-the-job training.

MINIMUM TRAINING:

· Agency Orientation

· HIPAA and Confidentiality

· Client Rights

· Other pertinent training to adequately perform job functions.

FLSA STATUS: Exempt.

This position description is a record of major aspects of the job but is not intended as an all-inclusive employment contract. It should be understood that one may be reassigned to other duties or positions for which qualified and trained at the discretion of the Executive Director. One must be able to perform all duties and tasks of the above named position.

This needs to be under Supervisors responsibilities if this is something outside of required trainings for position held - you will usually see this in an individuals supervision plan

Job Type: Full-time

Schedule:

• 8 hour shift

Experience:

• Behavioral health: 2 years (Required)

Ability to Commute:

• Durham, NC 27707 (Required)

Ability to Relocate:

• Durham, NC 27707: Relocate before starting work (Required)

Work Location: In person