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Quality Assurance Director
Albuquerque, NM
05/20/2019 01:57 PM
Principal Accountabilities: (essential job functions)

1.       Oversees and directs the company’s quality outcomes measurement and performance system.

2.       Performs periodic document audits of program records inclusive of participant/child record review and for productivity and billing compliance with training requirements mandated by other regulatory agencies.

3.       Performs periodic internal audits of programs and processes for ensuring effectiveness and efficiencies within and among departments and divisions.

4.       Acts as participant representative, to include participant complaints, development, distribution and analysis of participant surveys, and coordination of participant meetings, as necessary.

5.       Publishes results of the participant surveys for Senior Leadership review with recommendations for quality improvement.

6.       Follows-up on all Abuse, Neglect and Exploitation (ANE) reports to assure incident resolution; maintain incident logs associated trend analysis.

7.       Maintains DOH Incident Report Training Certification.

8.       Oversees and directs the Quality Assurance Manager in ensuring ANE trainings are provided within required timeframes and that the Incident Management System is maintained, reviewed and administered properly and within DOH guidelines.

9.       Conducts investigations of reported allegations of fraud, waste and abuse and provides written findings and recommendations to CEO.

10.   Ensures compliance with all applicable internal/external quality assurance requirements.

11.   Serves as the company’s Compliance Officer and HIPAA Privacy Officer.

12.   Provides annual mandatory training to staff on the following regulatory topics: Incident Management and HIPAA.

13.   Ensures compliance with the company’s Master Compliance List.

14.   Develops, recommends and writes policies and procedures that address the quality assurance process and company initiatives related to quality assurance.

15.   Reviews, prioritizes, develops and implements continuous quality improvement (CQI) projects.

16.   Oversees the duties of and directs the Quality Control Inspector in ensuring that contractual requirements and quality control standards are met.

17.   Conducts off-site quality control inspection audits at to verify that procedures are followed according to Quality Control Plans and quality assurance standards.

18.   Produces CQI trending and aggregate data reports.

19.   Publishes results of customer satisfaction surveys as dictated by Quality Control Plans for Senior Leadership review with recommendations for quality improvement.


20.   Complies with all applicable LifeROOTS, Inc. policies and procedures.

21.   Ensures that areas identified for quality improvement are addressed with time framed corrective action plans that are monitored and trended.

22.   Empties “suggestion box” and presents ideas/suggestions to the President and CEO in the form of a weekly report.

23.   Assures compliance with all Federal, State and Local standards specific to the operating and service delivery of the company’s contractual requirements.

24.   Exercises personnel authority with respect to employment, training, salary changes, performance appraisals and termination of assigned staff members.

25.   Responsible for the company’s quality assurance program and ensures that all department-applicable quality assurance requirements are fulfilled.

26.   Responsible for participation in the company’s financial management and ensures that all department-specific fiscal responsibilities are fulfilled.

27.   Responsible for participation in the company’s Health and Safety program and ensures that all department-applicable safety requirements are fulfilled.

28.   As a member of the Senior Management Team, assists in the strategic planning process.

29.   Prepares the department’s strategic planning quarterly/semi annual reports.

30.   Performs other related duties as assigned by the President and CEO.


Essential Skills and Experience:

1.       Bachelor’s degree in Business Administration, or other related field with at least five years of experience in the field.  Supervisory experience a must. 

2.       Master’s degree preferred.

3.       Must be familiar with a variety of the field’s concepts, practices, procedures and agency requirements. 

4.       Relies on extensive experience and judgment to plan and accomplish goals.  Leads and directs the work of others.  A wide degree of creativity and latitude is expected.


Beneficial Skills and Experience:

1.    Quality Assurance Director should have strong interpersonal and communication skills.

2.    Time Management: Proven ability to manage one’s own time and the time of others well.

3.    Monitoring: Proven practice of monitoring/assessing performance of oneself, other individuals, or organization to make improvements or take corrective action. 

4.    Service Orientation:  Actively looking for ways to help people. 

5.    Experience working in high performance teams and performing as a proven strong team player.

6.    Commitment to company values.

Conditions of Employment:

1.    Background check

2.    Must have a valid and current driver's license, good driving record and must maintain current proof of automobile insurance as required by applicable state law.

3.    Routinely operates a company vehicle while on company business.

4.    Must be at least 18 years of age.


Physical Challenges:

1.    Regular and consistent use of keyboard and mouse.

2.    Additional challenges may arise, at which time LifeROOTS, Inc. may revise this job description.

3.    Must be physically able to perform the essential functions of the position without hazard to self or others.

4.    The work is mostly sedentary; some walking, standing, bending, and carrying of light items not exceeding 50 pounds.


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