Salary: 72k Schedule: 8:30a-5p Position Summary The Compliance, Quality & Risk Manager is responsible for day-to-day compliance, quality assurance, quality improvement, and risk-management activities for a single substance use disorder (SUD) treatment facility. This is a hands-on manager-level role focused on execution, coordination, and monitoring in close partnership with facility leadership. Key Responsibilities - Manage facility-level licensing and regulatory compliance.
- Coordinate incident reporting and investigations.
- Oversee patient grievance and complaint intake, tracking, and resolution.
- Maintain survey readiness documentation and compliance logs.
- Support Joint Commission and state inspections.
- Promote compliance, privacy, and quality training.
- Partner with facility leadership on quality-improvement initiatives.
- Serve as facility-level subject matter expert on policy and procedure
- Review and maintain annual plans and evaluations
Quality Assurance & Quality Improvement Responsibilities - Support the facility QA/QI and QAPI programs.
- Track, trend, and report quality, incident, and grievance data.
- Monitor performance against KPIs and escalate risks.
- Assist with corrective actions and improvement initiatives.
- Ensure adherence to patient rights and grievance procedures.
- Develop, track, and monitor Plans of Correction for effectiveness
Key Performance Indicators (KPIs) - 100% on-time completion of licensing renewals and submissions.
- =95% of incidents and grievances addressed within required timelines.
- Demonstrated improvement in facility-level quality KPIs.
- No repeat deficiencies related to documentation or process failures.
- =95% staff completion of compliance and quality training.
- Accurate and timely facility-level reporting.
Qualifications - Bachelor's degree in healthcare-related field (required).
- 2-4 years of healthcare compliance, quality, or risk-management experience.
- Experience supporting QA/QI or grievance processes preferred.
- Behavioral health or SUD experience preferred.
- Working knowledge of HIPAA, 42 CFR Part 2, and state licensing requirements.
|