Director, Division Compliance & Continuous Quality Improvement

Harlem Family Services Center (317 Lenox Ave)

$82,000-$100,000

Position Summary:

The Director of DCCQI reports to the Executive Vice President of Child Welfare and Family Services and Health. The Director leads the division's compliance and continuous quality improvement work in collaboration with Division Deputy Directors, CQI staff and the Office of Performance Management to ensure that all program areas comply with federal, state and local regulatory and contract requirements. Additionally, the CCQI Director will work with Deputy Directors to demonstrate the highest quality results to inform and support best practices.

STRATEGY: The Division's Continuous Compliance Quality Improvement (DCCQI) system will consistently enable and support high-quality program outcomes, division-specific learning, and consistent accountability for results. The CQI system will be useful to Deputy Division Directors in their daily work to learn from results and support best practices while also providing aggregate information on results for the entire CWFS Division.

Essential Duties:

CONTINUOUS QUALITY IMPROVEMENT PROGRAM:

• Understand and promote the organization's Mission, Vision, and Core Values to ensure alignment with organizational policies and procedures.
• Coordinate all activities of the Division Continuous Quality Improvement Program.
• Coordinate the activities of the CQI Committee, including meetings, agenda and meeting minutes.
• Participates in all CQI audits internally and externally.
• Performs internal administrative audits relating to clients records and program operations.
• Identify with appropriate supervisors when there are system breakdowns and collaborate on a corrective action plan.
• Ensure compliance with HIPAA, Medicaid, ACS, OCFS, OVS, SAMSHA and other government regulations.
• Monitor program audit outcomes and assist staff with developing strategies for improved and sustained performance.
• Work with staff to develop corrective action plans when audit outcomes warrants one.
• Collect, monitor and report data on program performance.
• Develop and implement strategies and tools to conduct program annual evaluations.

OUTCOMES:

• Develop reports to communicate data to various audiences: program staff (i.e. monthly Dashboard); Division leaders (i.e. weekly CQI); executive management (i.e. quarterly EOMs), public and private funders, Year-End reports for various Foundations), and other external stakeholders.
• Work with the CWFS EVP and Deputy Directors to annually identify and articulate clear client-centered as well as overall program outcomes and indicators to be tracked in partnership with the CAS Office of Performance Management.
• Work with Deputy Directors to prepare for quarterly Executive Outcome Meetings (EOMs) and record and monitor follow-up.
• Regularly review existing performance and outcome measurement methods and develop new or enhanced methods when needed.
• Support programs in developing, accessing and analyzing data to inform strategic and programmatic decisions.
• Participate in existing program staff meetings, and/or develop forums within the Division for the analysis of outcome data and the discussion of programmatic insights, implications, and strategies for improving program quality and results.

CRITICAL INCIDENT REVIEW:

• Support the EVP with the agency IRC Committee meetings.
• Participate in critical incident investigations and reviews.
• Work with program staff to address issues that arise from an incident and report to OPM.
• Compile incident data to help staff identify trends and areas for improvement to reduce and/or eliminate future incidents.
• Collaborate with program staff to develop and submit a corrective action plan when warranted.

MANUALS: POLICIES AND PROCEDURES

• In collaboration with the Deputy Directors, develops and maintains program policy and procedure manuals.
• Update HIPAA Policies accordingly and train the supervisors on HIPAA compliance.
• Update Medicaid Policies accordingly and train the supervisors on Medicaid compliance.
• Collaborate on operational systems/issues to ensure that the systems function in a dependable and reliable manner.
• Train all supervisors on new/revised policies and procedures as set forth in the Child Welfare and Family Services Operational manual.
• In conjunction with the division managers and supervisors assists in implementing policies and procedures as needed.
• Work with program leads to complete program accreditation and to maintain accreditation.

TRAINING:

• Collaborate with program staff to ensure new staff are trained on program policies and procedures.
• Help to facilitate HIPPA trainings for staff.
• Train foster care staff on Medicaid requirements and documentation.
• Design trainings on new regulations, policies and procedures, documentation as needed.
• Perform other duties as assigned.

Minimum Qualifications:

• Bachelor's degree in relevant field required (Master's preferred).
• 3-5 years of experience in quality improvement data management.
• 5 years or more of experience in quality improvement activities.
• 5 years or more of experience in child welfare program environment.

Key Competencies:

• Well-honed inter-personal skills - able to earn trust, provide support, and deliver on outcomes.
• Ability to manage multiple assignments and respond to various audiences through strong customer service.
• Experience with program auditing and analyzing results to produce findings, make recommendations, and follow-up to reach outcomes.
• Possess superb project management, organization and prioritization skills.
• Strong problem-solving skills.
• Ability to think creatively, innovate, demonstrate initiative and follow through.
• Clear and effective verbal and written communication skills.
• Previous exposure to/experience with various evaluation approaches (quantitative and qualitative).
• Proficiency in data management and statistical analysis software.
• Proficiency in EXCEL and Power Point.
• Pursue everything with energy and drive; ability to guide others for results.
• Be positive, hardworking, patient and friendly, with a sense of humor.

It is the policy of Children's Aid to provide equal employment opportunity to all employees and applicants for employment and is dedicated to maintaining a work environment that is free from harassment and discrimination. Children's Aid will not tolerate discrimination, harassment, or retaliation on any basis, including race, creed, color, national origin, ethnicity, alienage or citizenship status, gender/sex (including pregnancy), disability, religion, source of income, sexual orientation, gender identity or expression, age, familial status, caregiver status, military status, marital or partnership status, status as a victim of domestic violence, sexual violence or stalking, predisposing genetic characteristics, arrest or conviction record, credit history, unemployment status or any other characteristic protected by federal, state or local law. Children's Aid is committed to complying with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Children's Aid will conduct a prompt and thorough investigation of all allegations of discrimination, harassment, retaliation, or any violation of the Equal Employment Opportunity Policy in a confidential manner and will take appropriate corrective action, if and where warranted. Children's Aid prohibits retaliation against employees who provide information about, complain about, or assist in the investigation of any complaint of discrimination or violation of the Equal Employment Opportunity Policy.

The incumbent is expected to work a schedule, whether in-person or hybrid, as determined by the department's needs to facilitate effective collaboration with the team. This flexibility is essential for maintaining seamless communication, fostering teamwork, and ensuring the smooth operation of the department's processes. The position's requirements are subject to periodic review and adjustment based on organizational needs and changes in work dynamics.