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Quality Assurance Manager - Behavioral Health

Company: Santa Fe Recovery Center
Location: Santa Fe
Posted on: May 13, 2022

Job Description:

The Santa Fe Recovery Center (SFRC) is a non-profit substance use disorder (SUD) program based in Santa Fe, New Mexico. SFRC is a CARF accredited SUD treatment program with a full continuum of care from detox to sober living operating in Santa Fe and Gallup, NM.
Under the direction of the Chief Operating Officer (COO), the Quality Assurance Manager (QA) Manager is responsible for the daily execution of the quality program. QA Manager coordinates ongoing development of the QA program and provides centralized oversight of the agency's quality performance and improvement efforts, including administration, investigation, staff training, and enforcement of agency policies and procedures.
QA Manager collaborates with other members of management to ensure that services provided by Santa Fe Recovery Center function in compliance with local/state and federal requirements and within the quality improvement and accreditation standards of the organization. The QA Manager works with agency leadership, managers, administration, and direct care staff to assure that their respective departments and programs meet quality standards.
The QA Manager works with the COO, Leadership and program managers to organize, lead, and help execute company projects that may fall outside the scope of regular duties.
The QA Manager supervises the Quality Compliance Manager and the Follow Up Team.

Coordinates ongoing development and implementation of an effective quality program for the agency.
In cooperation with management and all associated regulatory agencies, and in compliance with agency standards, continues to develop and track agency-wide quality indicators to monitor each program's effectiveness.
Works closely with executive Leadership and management teams to assure interdepartmental cohesiveness.
Keeps COO informed of significant problems that jeopardize the achievement of agency goals, and those that are not being addressed adequately at the line staff level.
Oversees the preparation of QA Plans; reviews outcome data; works collaboratively with outside agencies on conjoint Quality Improvement and accountability projects.
Responsible for implementation of key processes, which may include, quality, regulatory and risk management functions: Quality Reviews, State Reports, Performance Analysis, Peer Review, and other accreditation, Risk Management, Quality Project issues.
Oversees compilation and maintenance of trend reporting and quality data in all areas of the organization, from client care to administration.
Supports operations in continuous improvement initiatives by providing direction on process validation / verification requirements for proposed changes.
Demonstrates an understanding of agency policies and procedures, as well as compliance standards and authoritative requirements for programs and documentation.
Ensures that all treatment services policies and procedures are updated and meet standards and requirements.
Works with clinical and medical management staff to develop and implement procedures that support compliance with the agency's plans and effective peer review/quality improvement.
Prepares for and coordinates site visits and audits. Coordinates and monitors compliance with regulatory and accrediting body standards related to quality assurance process, preparation for site visits, analysis of findings and development and implementation of corrective action plans.
Monitors and reports on recovery outcomes. The QA Manager has oversight of the follow up team, tracking clients as part of a federally funded SOR Grant and internal client follow up program.
Develop, plan, and execute special projects as assigned. Research and propose solutions to operational challenges working with program leaders in the organization. Communicate on progress of projects as required.
Performs any related duties as required and assigned by the Chief Operating Officer.


Must possess effective presentation and communication skills; ability to present information in a clear and concise manner.
Highly motivated with a strong sense of ownership and responsibility and the ability to converse with all levels of the organization, both internally and externally.
Strong project management skills and experience.
Structured, organized, and proactive; ability to review, investigate, implement corrective action and follow-through as appropriate.
Advanced MS Word, Excel, and PowerPoint skills are required.
Excellent analytical skills, problem differentiation skills, and has a solution orientation that focuses on problem resolution for long-term sustainability of the agency.
Ability to solve unexpected problems as they arise while considering liability, precedence, financial implications and other possible future impacts on the program, services or
Ability to positively represent the agency in the community, in meetings/collaborations, and at outreach events.

Bachelor's Degree in Business or Health Administration is preferred.
Minimum 2 years' experience in quality and risk management processes including implementation of strategic initiatives.
Minimum 4 years' management experience.
Recovering alcoholic/addict must have successfully maintained a 3-year period of abstinence from alcohol or drugs.
Must have and maintain current, valid NM driver's license. Must also have and maintain clean driving record as well as auto insurance.
Must be over 21 years of age.
Have or ability to obtain and maintain a State of New Mexico Criminal Records Clearance (DOH CRC).

The following benefits are offered to our full-time employees, their spouses, domestic partners, and dependent children:

4% Matching 401(k)
Accident (Part-Time Eligible)
Critical Illness (Part-Time Eligible)
Employer paid Disability
Voluntary Life/AD&D
Teladoc Virtual Visits (Part-Time Eligible)

In addition, the following benefits are extended to all full-time employees:

Employer paid Disability
Employer paid Basic Life/AD&D

Keywords: Santa Fe Recovery Center, Santa Fe , Quality Assurance Manager - Behavioral Health, Healthcare , Santa Fe, New Mexico

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