Are you interested in working with a company that values people and has a passion for service? Do you want to become part of an organization that cares about your personal and professional growth? If you have answered YES to these questions, then you should consider working for Pathways!

Pathways is one of the largest national providers of accessible, outcome-based behavioral and mental health services. At Pathways, we deliver exceptional value by creating healthier communities through the work of exceptional people. Our more than 6,000 employees provide the highest-quality home- and community-based human services in 17 U.S. states and the District of Columbia.

SUMMARY

The Compliance / Quality Improvement Director is a leadership position responsible for compliance and quality improvement activities for his/her respective state. This person is responsible for implementing state and national compliance and QI Plans. He/she promotes, coordinates, and/or performs quality improvement monitoring and evaluating of programs and staff. He/she assists leadership to develop monitoring oversight and controls, and conducts regular reporting on compliance and quality-related activities. Trains staff in compliance and quality improvement concepts. Provides consultation and monitors staff’s efforts to meet established quality improvement criteria. Acts as the assigned state’s HIPAA Privacy Officer.

ESSENTIAL DUTIES/RESPONSIBILITIES

Evaluates, develops, implements and maintains the state’s Compliance and Quality Improvement Plan, policies, procedures and any related forms necessary to document the state’s Compliance and Quality Improvement activities

Reviews (or oversees the reviews), on an ongoing basis, a sample of client charts for compliance and quality to appropriate state, payer and contract standards

Is the Chairperson for the state PQI Committee; creates agendas, facilitates discussion, ensures documentation of meeting minutes

Serves as liaison to, and oversees all National Compliance and Quality initiatives including the National Chart Review, QI Calls to Consumers, PDSA and the HIPAA Privacy Self-Assessment

Responsible for oversight of the quality of documentation of service providers so that documentation including reports, assessments, progress notes, treatment plans and evaluations are thorough and completed in a timely manner

Assists leaders in identifying and investigating known or suspected quality or compliance-related concerns and makes recommedations as needed

Collects, aggregates, analyzes and reports out on data and trends pertinent to compliance, quality improvement, program performance and customer satisfaction

Creates data-driven trainings for staff and management in areas of quality and compliance

Serves as state Point of Contact for Relias; monitors and ensures staff compliance with annual training requirements

Serves as liaison to contractual audit requests and assists the programs in preparing for audits

Serves as liaison and project coordinator for COA or other state accreditation processes

Serves as designee for regulatory reporting requirements, including but not limited to HHS and Incident and/or Unusual Occurrence reporting

Participates on the EHR development team for EHR modifications and improvements

Education and/or Experience

Bachelors Degree + 5 years of experience required.

MHA, MBA or other Master’s Degree is preferred

Clinical licensure is preferred

CHP is required within first 12 months of employment

Certificates, Licenses, Registrations

Valid driver's license and proof of automobile insurance.

FPS is committed to creating the best possible work environment for our team members and offers the following total rewards package:

Competitive Salary

Paid Vacation Days

Paid Sick Days

Holidays

Medical, Dental, Vision including a Health Savings Account

Health, Dependent and Transportation Flexible Spending Accounts

Basic and Optional Life Insurance for Employee, Spouse and/or Dependents

401 K Plan

Mileage & Cell Phone Reimbursement

Training, Development and Continuing Education Credits for licensure requirements

Opportunities for advancement! As we grow, you grow with us!

Pathways does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status or any other characteristic protected by law. FPS is an Equal Opportunity Employer and a Drug Free Workplace.