Quality Improvement Manager

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2 days ago Requisition

Minimum Entry Salary *:
Negotiable

Location:

Warner Robins, GA

Services Area/Programs:
Administration/Quality Improvement

The Quality Improvement Manager is responsible for planning, implementing, coordinating, and evaluating the organization's Quality Improvement (QI), Performance Management, Accreditation, and Compliance programs. This position provides leadership in fostering a culture of continuous quality improvement and operational excellence throughout the organization. The Quality Improvement Manager works collaboratively with executive leadership, program managers, and staff to ensure services meet regulatory, contractual, and accreditation requirements while achieving organizational goals and objectives.

This position leads quality improvement initiatives, analyzes organizational performance data, monitors corrective action plans, prepares accreditation activities, and develops comprehensive reports and dashboards to support data-driven decision-making. The Quality Improvement Manager is responsible for preparing and presenting monthly quality, compliance, performance, and outcome reports to Executive Leadership and the Governing Body and serves as a key resource for quality enhancement, accreditation readiness, and organizational effectiveness.

Develop, implement, maintain, and evaluate the organization's Quality Improvement Program. Coordinate agency-wide quality enhancement and performance improvement initiatives. Establish, monitor, and evaluate key performance indicators (KPIs) and organizational outcome measures. Facilitate quality improvement committees, work groups, and performance review meetings. Identify opportunities for improvement and develop strategies to enhance service delivery and operational effectiveness. Monitor and evaluate the effectiveness of quality improvement projects and initiatives.

Develop, track, and report quality improvement goals aligned with the organization's strategic plan. Lead root cause analyses and performance improvement activities when service deficiencies or compliance concerns are identified. Ensure continuous monitoring of organizational performance metrics and benchmarks. Promote a culture of continuous quality improvement throughout the organization.

Collect, analyze, interpret, and report organizational performance and outcome data. Develop and maintain organizational quality dashboards and scorecards. Prepare and present monthly quality, compliance, performance, and outcome reports for Executive Leadership and the Governing Body. Develop reports that identify trends, opportunities for improvement, corrective actions, and organizational successes. Monitor customer satisfaction, stakeholder feedback, and service outcomes. Analyze operational, clinical, administrative, and financial performance measures.

Monitor progress toward strategic goals, quality objectives, and accreditation standards. Ensure the integrity, accuracy, and reliability of quality and performance data. Provide recommendations based on data analysis to support organizational decision-making. Prepare quarterly and annual quality management reports and program evaluations.

Coordinate accreditation preparation, readiness, and survey activities. Monitor compliance with CARF, state, federal, licensing, and contractual requirements. Conduct internal audits, assessments, and compliance reviews. Maintain accreditation documentation and evidence files. Assist departments in implementing corrective action plans following audits, surveys, or reviews. Monitor corrective action completion and effectiveness. Track changes in regulatory, accreditation, and contractual requirements and communicate updates to leadership.

Provide technical assistance to departments regarding compliance expectations and standards. Participate in accreditation surveys, audits, and regulatory site visits.

Coordinate the annual review and revision process for organizational policies and procedures. Assist leadership in developing new policies consistent with regulatory and accreditation requirements. Ensure policies remain current, effective, and compliant with applicable standards. Maintain records related to policy reviews, approvals, and revisions. Provide…