Director of Quality Improvement

Easterseals Blake Foundation started as the Cerebral Palsy Foundation of Southern Arizona. Since then, we have expanded our services to better serve our community members. We are now one of Arizona's top providers of comprehensive behavioral health services, child welfare, and services for individuals with intellectual and developmental disabilities. We serve more than 40,000 individuals and families across 10 counties and support more than 3,700 children in Foster Care throughout Southern Arizona. Are you ready to make profound, positive differences in people's lives every day?

We offer our full-time employees the following benefits:

• Medical, Dental and Vision
• Flexible Spending Account and Dependent Flexible Spending Account 
• Health Savings Account
• Voluntary Life insurance
• Voluntary Short-term Disability insurance
• Critical Illness insurance
• Accident insurance
• Employer paid life insurance, long-term disability insurance, and Employee Assistance Program

General Position Description: Monitors and evaluates the overall quality of services statewide for all departments within the organization. This position ensures compliance with insurance plans, contracts, state legislation, AHCCCS, AZ DES DDD, and ADHS/CARF/other regulatory agency regulations.  

Essential Duties and Responsibilities:

• Designs, implements, evaluates, and recommends improvements for services and operations through clinical and non-clinical systems.
• Responsible for developing and overseeing the organization's relevant policies, procedures, and clinical forms.
• Leads processes to improve member care through best practices using expertise and cooperation of direct-service behavioral health personnel and the leadership team.
• Coordinates facility credentialing, licensing, and accreditation. Ensures application and supporting documents are submitted and reviewed in a timely manner. Ensures overall compliance with regulatory standards. 
• Writes, reviews, analyzes, and implements EBF’s Annual Quality Improvement Plan. Holds quarterly quality improvement reviews including data collection, results, trends, action steps, and overall recommendations. The quarterly reports along with annual analysis and final report are presented to the Executive Leadership team and the Governing Body. 
• Provides management and oversight of EBF’s clinical data collection and reporting functions. Directs, facilitates, and reports on all aspects of services relating to risk management and patient safety. Encourages reporting on risk reduction strategies.
• Manages and investigates quality complaints, incident accident death reports, critical incident reports, and non-critical incident reports. Provides supporting reports, analysis, and improvement plans based on findings.  
• Coordinates stakeholder satisfaction and feedback surveys every quarter. Provides annual written summary to the Director of Compliance and Executive Leadership. Monitors EBF’s compliance, adherence to best practices, practice protocols, and clinical pathways in collaboration with the Chief Clinical Officer and Chief Medical Officer. 
• Conducts internal audits and provides written feedback and training to respective teams/departments. Participates and assists with external audits from stakeholders, licensing, or regulatory agencies. 
• Provides a broad range of administrative and supervisory functions. Supervises assigned staff in accordance with EBF personnel practices including recruitment, training, performance evaluations, and day to day scheduling. Participates in the process of ongoing professional development. Maintains comprehensive communication among all contacts within the agency, members, and external agencies. Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan, Mission, and Vision. 
• Performs other duties as assigned. 

Minimum Requirements: Bachelor's degree with 5 years of Quality or Utilization management experience required. Certified Professional in Healthcare Quality by NAHQ or ability to be certified within 1 year of hire required. Master's degree in related field preferred. Licensed by the AZ Board of Behavioral Health Examiners preferred.  Bilingual (Spanish) preferred. 

Regulatory 

• Must be at least 21 years of age. 
• Current, unrestricted AZ driver’s license with no more than two (2) minor moving violations or one (1) accident within the past three (3 years). Three (3) years of driving experience required.
• Must be able to pass a criminal background check.
• Ability to obtain and maintain an AZ DPS Level 1 fingerprint clearance card (employer provides).

Skills/Job Knowledge/Abilities: Strong communication skills (verbal and written), demonstrating professionalism, respect, teamwork, and proficiency in behavioral health and quality improvement and measurement. Ability to think strategically and implement tactically. Experience using electronic health records. Proficiency in Microsoft Word, Excel, PowerPoint, Access, or equivalent. Experience, knowledge, and/or familiarity with Power BI, SPSS, SQL, and/or similar products are highly desired. High accuracy, detail-oriented, timely, and excellent follow-up work ethic. Experience with medical necessity criteria, utilization management, population health, components of compliance, behavioral health, and quality improvement policies and practices. Experience leading, managing, and working with teams across multiple locations preferred. Familiarity with patient safety reporting systems and risk management. Experience and knowledge of response to patient safety events. Able to establish and maintain a team atmosphere of communication and collaboration for all that reach out to the Department. Must be self-directed and be sensitive to cultural and linguistic diversity. Excellent customer service in stressful situations. Maintains a professional in appearance, communications, and actions. 

Working Conditions/Physical Requirements (with or without accommodation): 

Normal office environment with multiple interruptions in person and through computer and phone. Travel to outlying sites and other locations. Interacts with employees and members of the public on a daily basis. May lift normal office equipment and materials up to 25lbs. Visual acuity to read information from computer screens and forms. Able to speak clearly in conversations and general communications. Hearing ability for communication in persona, phone, and/or other electronic methods. Manual dexterity for typing and writing. Able to stoop, squat, reach, pull, push, stretch, ascend and descend stairs, stand and sit for long periods of time. May be required to work additional hours or days depending on circumstances. 

Easterseals Blake Foundation and Aviva are an Equal Employment Opportunity and Affirmative action employer that promotes a work environment of inclusion and diversity. We are committed to provide employment opportunities to all candidates based on their qualifications free of discrimination based on race, color, religion, national origin, sex (including pregnancy, sexual orientation or gender identity), age, disability, veteran status, genetic information, mental or physical disability, or any other characteristic protected by law.

If you have any questions, require assistance or reasonable accommodations while seeking employment, please contact the Human Resource Department at HR@blake.easterseals.com or call 520-327-1529.