Quality & Compliance Manager

2 weeks ago

Woodridge, United States Abraxas Youth & Family Services Full time

**Now hiring **a** QUALITY & COMPLIANCE MANAGER **to** join our team **at Abraxas Youth & Family Services in the Chicagoland area to oversee Licensing & Accreditation our Southwood Interventions & Woodridge Interventions programs.

As a** QUALITY & COMPLIANCE MANAGER, **you will provide consultation and technical assistance regarding licensing, contractual, and accreditation compliance, policy development and implementation, data collection and analysis, process improvement, and the implementation of an effective process for on-going monitoring and evaluation of the programs.

**Salary**: $65,000 Annually

**Who We Are**:
**Abraxas Youth & Family Services** is a national nonprofit human services provider dedicated to Building Better Futures for at-risk youth, adults, and families. Our diversified array of services includes alternative education, outpatient counseling, in-home services, shelter, detention, residential treatment and re-entry/transition services.

Since 1973, Abraxas team members have positively impacted the lives of those we serve and the communities in which they live.

**Benefits & Perks**:
We provide a competitive and comprehensive benefits program that offers the protection, peace of mind and flexibility designed to support you - both at home and at work.
- Medical & Dental & Vision Insurance
- Flexible Spending Accounts
- Basic Life & Short-Term Disability Insurance
- 403(b) Savings Plan
- Life Assistance Program (LAP)
- Tuition Assistance Program
- Paid Time Off (PTO)
- Paid Holidays
- Paid Training
- Advancement Opportunities

**QUALITY & COMPLIANCE MANAGER**

**Primary Duties and Responsibilities**
- Oversees licensing, contractual and accreditation compliance for an assigned group of programs.
- Works with the Executive Directors to prepare for licensing inspections, contractual reviews, and accreditation surveys, includes gathering of required documentation.
- Prepares all action plans developed to address licensing, contractual and accreditation citations or areas of non-compliance. Monitors the implementation of action plans to verify compliance.
- Conducts annual corporate audits and follow-up audits on programs and provides feedback related to licensing, contractual or accreditation requirements.
- Provides technical assistance and education on licensing, contractual and accreditation standards, including as-needed in-service training regarding the implementation of licensing, contractual, and accreditation standards.
- Develops monitoring systems to assist with licensing, contractual, and accreditation compliance and consistent implementation of program and divisional policies and procedures.
- Prepares meeting agendas, coordinates meetings, maintains meeting minutes, and develops other documentation related to on-going monitoring and evaluation of the program.
- Collects and maintains data; prepares reports, data displays, charts, graphs, and other illustrations.
- Assist programs with implementing process improvement projects, best practice transfer, and program procedures and protocols.
- Provides technical assistance and support while participating in the development of Requests for Proposals (RFPs).
- Participates on various internal and external committees as needed.
- Liaison with licensing and contract representatives (e.g., inspections, complaints, child abuse investigations)
- Complete Annual License Renewals
- Verify completion of external incident reports (e.g., HCSIS Reports, MD Incident Report Form RCCP/CPA).

**Oversee Joint Commission Accreditation**:

- Monitor compliance with standards.
- Training and technical assistance to all employees when needed.
- Organize and oversee survey - includes all preparation and gathering required documentation.
- Develop and submit all corrective action plans (e.g., Evidence of Standards Compliance)

**Assist Executive Director with the Leadership Meeting**:

- Develop meeting agendas and track follow-up items.
- Develop and maintain meeting minutes.
- Data collection, tracking, and presentations for analysis.

**Assist Safety Officer and Infection Control Officer**:

- Assist with the development of meeting agendas and track follow-up items when needed.
- Assist Safety Officer in monitoring fire drills and emergency drills.
- Verify compliance with Joint Commission requirements.
- Facilitate and organize data collection, presentation, and analysis (e.g., Workplace Violence incidents, Injuries, Infection Control data, Physical Interventions)
- Complete annual requirements for updates and analysis (e.g., EOC plans, Infection Control, Hazard Vulnerability Analysis, WVPP Annual Analysis).

**Policy Development and Monitoring**:

- Responsible for managing the policy directory.
- Provide policies when requested (e.g., licensing, contracting agency)
- Develop new and revise existing policies when needed.
- Submit new and revised policies to the Leadership Team and AYFS Policy Council for review and approval.
- Distribute new and re

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