City/State
Virginia Beach, VAWork Shift
First (Days)Overview:
The role of a Behavioral Health Quality and Compliance Director performs a variety of professional management activities, including the planning, development, and implementation of quality improvement plans, cultural competency plans, and program implementation and management plans. This position is responsible for quality review and compliance of Enterprise Behavioral Health programs with County policies, State performance contracts, and Federal rules and regulations. Key duties include actions to Own, Produce, Drive and Review.
Education/Experience
Bachelor's degree in business, Public Administration, Health Services, or a related field. (Required)
7 years of progressive experience in healthcare business operations in a healthcare environment. (Required)
3 years of experience in a supervisory or lead role. (Required)
Key Responsibilities:
Regulatory Compliance: Ensure the organization complies with all relevant laws, regulations and internal policies. This includes monitoring business operations and reporting any infractions. Professional Management: Overseeing and guiding utilization review, medication monitoring, confidentiality of records, and peer review in accordance with federal, state, and local government requirements.
Policy Development: Create, modify, implement and evaluate clear and comprehensive company policies to mitigate risks and ensure compliance with industry regulations i.e. federal, state, and local government requirements.
Collaboration: Work with department heads and management to assess policy needs and develop strategies to address organizational challenges.
Quality Assurance: Develop, coordinate, and manage quality management and regulatory compliance functions.
Training and Development: Assisting with Planning and implementing multi-faceted training for employees and contract providers and assuring clinical supervision requirements are met.
Performance Improvement Projects: Overseeing the preparation and implementation of our Performance Improvement Projects and growth initiatives.
Client Satisfaction Surveys: Participating in the implementation of state-mandated client satisfaction and provider satisfaction surveys.
Electronic Health Record: participating in the development and implementation of an Electronic Health Record and billing system
Data Reporting: participating in and delivering the data reporting for BH programs
Community Relations: Maintain positive and proactive community relations with BH entities such as CSB’s, VHHA, Community Behavioral Health Providers, Courts, Hospitals, etc.
Committee Lead and Membership: Lead High Performance Teams, various committees, Nursing committees, etc.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.