li>other accreditation bodies requirements;
Formulates program goals and objectives;
Interprets and administers pertinent laws and regulations;
Evaluates and trains facility staff;
Maintains contact with individuals within and outside of facility who might impact on program activities;
Prepares reports and correspondence;
Develops procedures to implement quality assurance programs;
Assists in development of regional Quality Assurance plan;
Conducts on-going reviews of facility programs;
Identifies problem areas in facility programs, recommends solutions and monitors corrective action;
Provides consultation services to administrative and other professional staff regarding quality assurance programs;
Chairs and/or participates on various committees and task forces;
Evaluates, revises and drafts relevant policy;
Directs survey participation activities and maintains continuous compliance with regulatory bodies;
Develops data management and data presentation strategies;
Leads the recruitment and hiring of staff, including outreach, interview and selection;
Performs related duties as required. Aligning programs with the requirements for accreditation of the Joint Commission, certification by the Department of Public Health (DPH), and the regulatory compliance of Centers for Medicare and Medicaid Services, Psychiatric Residential Treatment Facilities (CMS PRTF).