Director of Quality

Becoming part of the Sweetser family means you can make a difference in the lives of Maine children, adults, and families every day. As a nationally recognized and accredited leader, we offer competitive salaries, a wide range of benefits and the opportunity to join a passionate team of more than 700 employees.

Under the general direction of the President and CEO, the Quality Director participates in developing, implementing, interpreting, and educating Sweetser policies and practices to support quality management by focusing on outcome measurements and documentation. The incumbent in this position is responsible for the oversight of program evals, incident review, clinical risk management utilization review, medical records, standards compliance and performance improvements.

Oversee and administer the Continuous Quality Improvement and Quality Assurance functions. Contribute to the fulfillment of the organization’s mission and vision by assisting with planning, designing, implementing and maintaining organization wide CQI and QA programs, policies and procedures consistent with all Federal, State and accreditation laws, rules, and regulations. Assist in establishing methods/programs to improve the organization’s efficiency and quality of services and to reduce Sweetser’s vulnerability to fraud, abuse and waste.

ESSENTIAL FUNCTIONS:

• Develop and oversee implementation of a comprehensive CQI Plan consistent with the PQI Standards of COA, including but not limited to collection, analysis and reporting of clinical and operational data, support of improvement actions agency-wide and within particular departments or programs, provision of training for staff on CQI principals and procedures, involvement of stakeholders at all levels in the CQI efforts and reporting internally and externally on the results of the organization’s CQI efforts.
• Implement and oversee Quality Assurance activities designed to ensure that medical necessity and appropriate, quality care is present and documented for all client services provided by Sweetser, including but not limited to support on development of clinical documentation, provision of training and consultation on quality-related aspects of clinical documentation and conducting or overseeing a process for review of and reporting on quality-related aspects of clinical documentation.
• Utilization of client balanced scorecard measures, perception of care surveys and grievances.
• Oversee general reviews of areas of organizational risk and identify and coordinate responses to specific areas of risk including but not limited to critical incidents, client grievances and investigations of allegations of abuse or neglect.
• Provide consultative support to management on regulatory issues that affect Sweetser’s services or operations.
• Coordinate and support all activities for Sweetser’s regular maintenance and renewal of COA accreditation.
• Maintain systems of management reporting that provide timely and relevant information on all aspects of compliance, CQI and QA issues.
• Ensure the quality and effectiveness of the care and treatment provided by Sweetser.
• Oversee and lead the Quality Council and Record Review Committees.

  EDUCATION:

• Master’s preferred, Bachelor’s required

  CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• Clinical Licensure preferred.

EXPERIENCE:

• Minimum of 5 years of experience in healthcare administrative and/or experience managing at least two of the areas listed above.