+ Quality Standards. In conjunction with National and State Clinical Program Leadership, develop, review and analyze program specific key data indicators to identify areas of needed improvement and implement improvement plans in support of achieving performance targets, program goals, client satisfaction, and positive client outcomes. Uses data driven reports to demonstrate ROP’s compliance with regulatory minimum performance standards as well as company driven initiatives.
+ Quality Project Management. Serves as a project manager managing corrective action, process improvement, and auditing projects. One must have strong self-motivation, the ability to work independently, and within a team environment with strong follow up, organization and prioritization skills and excellent attention to detail. Must understand the financial – risk-reward – trade-offs in good project management.
+ Business Process Documentation. Must be able to understand, comply, and improve established company policies and procedures. Developing standard work policies, procedures, SOP’s, and business process communications are a part of the job. Must be a technical writer with familiarity with policy and procedure writing. Technical writing conveys technical information using active voice construction, instructional design, and desktop publishing methods to transfer information into understandable and useful information.
+ Document Control. As the BH Compliance Director, your knowledge of document control practices, records, forms, and work instructions is vital to maintaining ROP’s compliance program. The BH Compliance Director shall work with staff responsible for document control at each site and is responsible for organizing documents into an easy to use and fast retrieval system. Users need to be able to quickly access policies and procedures to conform to requirements, document control is an important priority.
+ Licensing Lead- Shall oversee all aspects of licensing regulations and compliance, including, but not limited to renewals, requirements, CAPS, survey visits and other tasks as assigned related to licensing.
+ Quality Communications/Training. Clearly and effectively communicating ROP and regulatory body process changes and compliance matters to others is imperative. Being able to present with a variety of instructions and methods to enhance learning and understanding is an expectation. Communicating compliance and conformance may be done using applications such as Microsoft Word and Excel, training using PowerPoint, process mapping using Visio or advanced technology such as Zoom Meetings and Telemedicine.
+ People Management The BH Compliance Director shall be comfortable asking questions, collecting business process information, and working with others in a positive and collaborative manner. Business processes may include sensitive corporate compliance issues that will need to be upheld to a high level of confidentiality. Must possess the skills and motivation to effectively follow up on assigned tasks and communicate directly with all levels of personnel.
+ Quality Auditing. The BH Compliance Director shall oversee the quality and compliance audits. This shall include process compliance audits, outcomes audits, data validation audits, quality of care audits and any others that may be assigned or required by the regulatory bodies. As a result of these audits, the BH Compliance Director, or designee shall write up audit reports, related CAP’s and share with all levels of management to ensure the quality Assurance system is operating effectively. These reports shall be tracked and trended over time as a standard monitoring process.
+ Problem Solving. The BH Compliance Director shall be active and take initiative to solve problems, typically in situations where general standardization should exist, but may not be operating effectively. Using lean process improvement methodology is essential to reducing waste and being effective in the Quality role. A delicate balance exists between resolving problems yourself and identifying those situations that require management intervention for a solution
+ Team Player. Involved in teams and meetings at every level of the organization, involved with many areas of the company. Always a team player that has input on anything to do with quality.
+ Accreditation Leader-Ensures that ROP maintains/develops processes consistent with CARF standards. Acts as a lead in training staff, monitoring process compliance and data collection standards in line with CARF requirements. While performing these duties, the BH Compliance Director shall work very closely with the Director of Nursing.
+ Start Up/Infrastructure Building – ROP is in the process of building its Behavioral Health Services Infrastructure. This position may take an active role in leading, doing, or assisting in specific tasks including, but not limited to, Credentialing process, electronic health record implementation, implement electronic billing in existing and new states. This position may perform these functions until such time ROP’s infrastructure supports independent positions performing such functions.
+ Completes required reports and documentation in a timely manner, provides management with required reports and advises of any problematic situations. Examples of reports: monthly Key Performance Indicator report, Quality and Assurance reports, Continuous Quality Improvement (CQI) report and audit reports.
+ Treats others with respect, confronts negative behavior and supports confrontations.
+ Complies with and implements the Rite of Passage and Behavioral Health Policies and Procedures as detailed in the appropriate manuals/handbooks.
+ Ensures the highest standards are maintained to prevent illegal, unethical, or improper conduct and to ensure the program remains in compliance with agency licensing and Rite of Passage and Rite Path policies and procedures.
+ Assists with the correction of deficiencies and quality improvement efforts.
+ Attends and participates in all required meetings.
+ Commits to attending all training and staff development classes in order to ensure sufficient hours of training on an annual basis. Notifies supervisor if annual training hours are deficient.
+ Other duties as assigned, verbally or in written form to meet the needs of the program
+ Possess a BA/BS degree in closely related field, business or human services, MA/MS degree preferred.
+ At least three years of experience in quality assurance and/or contract maintenance.
+ Knowledge of ROP systems and programs.
+ Strong knowledge of overall company operations and policies and procedures.
+ Extensive knowledge of multiple state behavioral health regulations preferred.
+ Ability to pass a criminal background clearance check and obtain Arizona Fingerprint clearance card.
+ Submit to drug screening, physical and TB test.
+ Regular attendance is essential.
+ Ability to accept and adapt to changes in assignments, methods, environments, and policies
+ Ability to perform work with little or no supervision.
+ Ability to utilize resources available to complete assigned projects.
+ Ability to prepare written reports and correspondence (in English).
+ Ability to understand and follow verbal and written instructions (in English).
+ Ability to effectively communicate, verbally and in writing (in English).
+ Must be able to maintain a high level of confidentiality.
+ Must have excellent organization and time management skills.
+ Ability to build and maintain positive internal and external relationships.
+ Ability to provide exemplary customer service to all employees and outside constituents.
+ Proficient in the use of computers and associated software.
Rite of Passage is a leading national provider of programs and opportunities for troubled and at-riskyouth from social services, welfare agencies and juvenile courts. For 35 years, we have developed andoperated a continuum of programs based on the needs of youth and our placing agencies. With anemphasis on evidence-based practices and positive skill development, combined with our supportiveand therapeutic approach, our organization is respected by industry experts as a highly effectivesolution for our youth. Since 1984, over 25,000 youths have entered and completed our programs. Riteof Passage has built its reputation on running life-changing educational treatment programs thatpositively contribute to the community.Our employees are dedicated, passionate individuals that are committed to inspiring positive change inthe lives of youth. Becoming a member of the Rite of Passage team is more than just a job, it’s anopportunity to build a meaningful career with a company driven by its powerful mission to make adifference.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)