Clinical Quality Manager

Description

The Clinical Quality Manager partners with clinical and operational leaders across Haymarket Center’s continuum of care to identify performance gaps, facilitate improvement initiatives, strengthen compliance systems, and support sustainable change initiatives. This position oversees Haymarket’s quality management activities through the application of improvement science, data-informed decision making, change management strategies, regulatory compliance monitoring, and accreditation readiness. This position supervises two Quality Improvement Coaches and oversees agency processes related to record reviews, utilization management, performance improvement, licensing, accreditation, and regulatory compliance.

This role serves as a trusted advisor, facilitator, and educator who helps staff translate quality and compliance requirements into practical processes that improve care delivery while maintaining fidelity to evidence-based treatment models.

This position is in-office Monday - Friday.

• Improve documentation quality and regulatory compliance.
• Increase staff engagement with quality improvement activities.
• Reduce recurring audit findings and corrective action plans.
• Improve consistency in treatment planning and discharge planning processes.
• Build the organization's capability to sustain changes over time.
• Instill principles of improvement science in Haymarket’s teams.

• Lead and facilitate continuous quality improvement initiatives across behavioralhealth, substance use disorder, and primary care programs using improvement science methodologies and structured change management approaches.
• Partner with clinical and operational teams to identify quality, compliance, and performance gaps and develop practical improvement strategies that strengthen outcomes and service delivery.
• Coach leaders and staff in the use of quality improvement tools, including Plan-Do-Study-Act (PDSA) cycles, root cause analysis, workflow improvement, process mapping, and performance measurement.
• Design, implement, and monitor performance improvement projects aligned with strategic priorities, regulatory requirements, and accreditation standards.
• Facilitate interdisciplinary quality improvement teams and support implementation of corrective action plans and sustained practice improvements.
• Monitor progress toward quality goals and ensure follow-through on performance improvement plans.

• Conduct and oversee record reviews for mental health, substance use disorder, and primary care services to ensure compliance with applicable regulatory, contractual, and accreditation requirements, including Illinois Rules 2060, 132, and 140, among others.
• Coordinate regular record reviews, utilization reviews, and compliance audits in accordance with agency policies and quality management processes.
• Monitor adherence to policies, procedures, and established standards throughout treatment programs and service areas. Support standardization of procedures across teams. Assist with the development, revision, and implementation of agency policies, procedures, and quality-related protocols.
• Analyze findings and prepare reports identifying trends, opportunities for improvement, areas of risk, and recommendations for corrective action.
• Collaborate with program leaders to address identified deficiencies and monitor completion of corrective action plans.
• Ensure program compliance with applicable federal, state, payer, and accrediting body requirements.
• Maintain ongoing knowledge of regulations, standards, funding requirements, and best practices impacting agency services. Help lead accreditation readiness activities and support continuous…