Summary of Position:

• Under the general and direct supervision of the CEO and the President.
• Provides for the establishment, implementation, and monitoring of the Quality assurance program as per the Standards for Licensure.

Responsibilities:

• Plans for and organizes resources necessary to ensure quality and safe delivery of services.
  • Quality assurance programs and activities are developed, implemented, and evaluated per Corporate policies and procedures.
  • Quality assurance reports are completed in a timely manner.
  • Assists in ensuring that Corporate Quality Assurance Committee meeting agendas are developed prior to committee meetings.
  • Quality assurance activities reflect current, identified quality care problems.
  • Information regarding quality assurance activities is given to staff in a timely manner.
  • Provides direction/support in developing quality assurance activities.
  • Attends all Quality assurance meetings as scheduled in each center.
  • Provide monitoring in each department at each center with deficiency reports to Administrators and the President.
  • Conducts semiannual reviews of all facilities per state licensure standards.
     
• Internal and External Communication/Collaboration.
  • Participation in assigned meetings is demonstrated and documented.
  • Communication of information regarding changes in policies and procedures to staff in a timely manner is demonstrated.
  • Participation in appropriate committee meetings is demonstrated per policies and procedures.
  • Cooperation and collaboration with staff members: the Administrator, Director of Nursing, Medical Director, Quality Assurance Committee; and Governing Body pursuant to the 2nd Home philosophy, standards, and objectives are demonstrated.
  • Documentation of information regarding quality assurance programs and activities is demonstrated.
  • Quality Assurance administrative files are maintained according to policies and procedures.
  • Consultation with the staff, Administrator, or Director of Nursing initiated as issues and concerns require.
  • Cooperation with federal, state, and local regulatory agencies is demonstrated.
     
• Complies with Corporate policies and procedures.
  • Job performance of the Regional Director of Quality Assurance is demonstrated to be in compliance with Corporate policies and procedures.
  • Participation in developing administrative and clinical policies and procedures is demonstrated as appropriate.
  • Need for changes in 2nd Home administrative and clinical policies and procedures are communicated to the CEO and the President of 2nd Home.
  • Participation in developing systems for evaluating 2nd Home’s delivery of services is demonstrated.
     
• Promotes and maintains a company environment that is in compliance with federal, state, and local regulatory agencies.
  • Keeps abreast of current and potential federal, state, and local rules and regulations impacting the company.
  • Consultation with staff members regarding federal, state, and local rules and regulations is demonstrated.
  • Participation in patient complaint system is demonstrated.
  • Compliance of staff members with infection control and safety policies and procedures is monitored.
  • Participation in meeting requirements for regulatory surveys of agency is demonstrated.
  • Is present at all center state inspections.
     
• Promotes quality assurance education for the staff members.
  • Participation in development and implementation of quality assurance educational programs.
  • Assessments of additional quality assurance education needs are on going and demonstrated.
  • Participation in quality assurance educational programs.
  • Conducting of quality assurance educational programs for staff members as appropriate is demonstrated.
  • Provide a method of testing educational programs.
     
• Participates in research and studies related to Adult Medical Day Care and quality assurance.
   

Qualifications:

• Must have a baccalaureate degree from a college or university approved by the state department of education and least four (4) years Quality Assurance experience in a licensed healthcare facility.
• Must be able to write proficiently in English.
• Must be able to pay attention to details, work independently and make decisions