Director Of Quality & Compliance
Listed on 2026-02-18
-
Healthcare
Healthcare Administration, Healthcare Management, Healthcare Compliance
Location: Cañon City
The Director
of
Quality&
Compliance for Southern Peaks provides consultation and technical assistance to specific programs within the Abraxas Youth & Family Services (AYFS) division regarding licensing, contractual, and accreditation compliance, policy development/implementation, data collection/analysis, best practice transfer, and the implementation of an effective process for on-going monitoring and evaluation of programs. This person is also responsible for ensuring licensing, contractual, and accreditation compliance for his/her assigned programs.
Duties, Standards of Performance
The following responsibilities and competencies describe the core functions of this position.
- Ensures licensing, contractual, and accreditation compliance, in conjunction with the quality & compliance specialist, program director, and leadership team.
- Works with the quality & compliance specialist and program directors to prepare for licensing inspections, contractual reviews, and accreditation surveys.
- Reviews all action plans to address licensing, contractual, and accreditation citations or areas of non-compliance before submission to ensure quality and consistency; monitors the implementation of action plans to ensure compliance.
- Conducts an annual internal audit to ensure program practices meet licensing, contractual, and accreditation requirements; lead team member during the departmental audits that occur within the division.
- Provides effective supervision to the quality & compliance specialist in his/her assigned programs, providing technical assistance and education on licensing, contractual, and accreditation standards.
- Develops monitoring systems with the program's quality & compliance specialist to ensure licensing, contractual, and accreditation compliance and consistent implementation of program and divisional policies, procedures, and protocols.
- As needed, prepares meeting agendas, coordinates meetings, maintains meeting minutes, and develops other documentation related to ongoing monitoring and evaluation of the program.
- Collects and maintains data; prepares reports, data displays, charts, graphs, and other illustrations.
- Provides technical assistance and education to the program staff on licensing, contractual, and accreditation standards, including as-needed in-service training regarding the implementation of licensing, contractual, and accreditation standards.
- Develops and maintains the AYFS operational policy & procedure manual; ensures that each program maintains a policy and procedure manual.
- Participates in various internal and external committees/projects; assuming a lead role on some committees/projects.
- Works with programs to implement divisional process improvements, evidence-based curricula, and program procedures/protocols.
- Provides technical assistance and education to employees of the AYFS administrative office.
Job Duties
This list presents a general summary of the duties a Director of Quality & Compliance is required to fulfill in the performance of his/her job. These statements do not reflect responsibilities and competencies necessary to describe the core function of the job.
- Communicates Effectively
- Utilizes effective written and verbal communication skills
- Effectively structures and facilitates meetings and training activities
- Maintains confidentiality of information as it relates to personnel and client information
- Communicate effectively and professionally with a diverse group of people including clients, employees, governing body members, contracted staff, licensing agency representatives, and the public.
- Demonstrates Professionalism in Performance of Job
- Implementsandmentor’semployeesregarding
Abraxas
Youth&Family Services Division policies on professional expectations, code of conduct, and other practices and procedures - Serves as a role model for clients and other employees
- Supports the company's mission, goals, and objectives
- Demonstrates effort in professional development for self and others
- Performs other duties as assigned
- Implementsandmentor’semployeesregarding
Minimum Education /Experience
- Master’s degree in social sciences, healthcare or related field and five years of quality and…
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