Associate Director, Quality Improvement Projects

Overview

Join a Team That Changes Lives For more than 170 years, Elwyn has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here to create real change – helping people lead meaningful, fulfilling lives.

Now, we’re looking for passionate team members to join us. Here, your work will change lives – including your own. You’ll make an impact every day, find purpose in what you do, and grow in a career that truly matters.

At Elwyn, we take care of you while you care for others. We offer:

Generous Paid Time Off Comprehensive Medical/Dental/Vision Benefit Packages Earned Wage Access/On-Demand Pay Paid On-the-Job Training Tuition Reimbursement Career Advancement Opportunities and Growth Flexible Schedules Retirement Savings Plan Join us and be a part of something bigger. Apply today.

Job Description

Pay: $90,000

• Schedule: M-F 8am-4pm

Elwyn seeks a Associate Director, Quality Improvement Projects provides administrative oversight of major segments of the Continuous Quality Improvement (CQI) Program; develops new policies, systems, and procedures; reviews and revises existing policies, procedures, and protocols; and provides direct oversight of the Quality Improvement (QI) Department in the absence of the Director. In addition, this role is accountable for the planning, execution, and successful completion of quality improvement projects, ensuring alignment with organizational goals, regulatory requirements, and best practices. The Associate Director manages project scope, timelines, and resources; tracks deliverables and outcomes; engages stakeholders across departments; and drives continuous improvement through structured project execution.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Participate with the Director, and in collaboration with operational leadership, in the development and execution of the Adult IDD Services Quality Management Plan and the scoring and assessment of the designated Key Performance Indicators (KPIs) through tasks including but not limited to reviewing reports quarterly, determining whether KPIs are being met, and following up with operational leadership if KPIs are not met to ensure regulations are being followed and that Plan-Do-Check-Act quality management process is implemented and followed to ensure quality care
• Develop and operationalize, in concert with the Director of Quality Improvement (DQI) and program leadership, a Staff Credentialing document system to centralize staff credentialing documentation required by the various licensing and oversight entities
• Work with the Administrators to secure all necessary demographic information into a client face sheet to be able to be pulled into the data warehouse, effectively also verifying all legal guardian and/or family information and other critical information for individual care
• Lead and support all activities for the implementation of an electronic health record for the Elwyn CA programs
• Establish the records process in the North and tie to the QI Records policy implementation in conjunction with the Director of QI
• Participate in the development and execution of departmental processes, including development of the framework of a state-wide QI department with tasks including but not limited to developing a master audit schedule and pertinent audit tools in order to ensure programs are supported and can best meet regulatory requirements
• Participate in the development, implementation, and monitoring of quality improvement training and orientation programs for all staff, in coordination with operational leadership and Learning and Staff Development, to ensure processes are followed and training requirements are met to meet programs’ compliance to federal and state standards, laws, and regulations
• Conduct inspections and audits (e.g., quality checks, building audits) with tasks including but not limited to direct observation and records reviews to ensure continuous improvement of programming and living environment, that each program is audit-ready, and to ensure compliance with licensing agency and Regional Center standards, and federal and state regulations
• Lead the auditing and licensing surveys by hosting outside agencies, providing initial documentation, including but not limited to contacting and collaborating with internal and external team members, and assisting with any requested documentation in preparation and execution of audits and reviews completed by the Regional Center, licensing and other monitors, as deemed necessary and assist the team with audits
• Assist the program administrators and regional directors in developing and coordinating Corrective Action Plans (CAP) through tasks including but not limited to verifying documentation, coordinating with program operational leadership to develop the CAP, and ensuring CAP is followed to comply with licensing and Regional Center requirements
• Participate in the development and execution of training programs for all new and current personnel to ensure all trainings are up to date and aligned with any changes in federal or state regulations and standards

Complete reviews of investigations to check for effective and consistent process and oversee compliance with tasks including but not limited to reviewing all investigations to ensure they are completed, providing feedback to the investigator, when needed; reviewing the administrative meeting information; and meeting as peers to ensure all processes are followed per policy

• Assist the QI Department Director to recruit, hire, performance manage, and oversee QI personnel as identified to ensure tasks and assignments are completed
• Assist the QI Department Director to gather and maintain required documentation for provider qualification and provider monitoring to ensure regulatory compliance
• Maintain a Certification in Quality Management by Office of Developmental Programs (ODP) or an equivalent certification in the state of CA and/or obtain relevant training to continuously improve skills and increase information in order to analyze and recommend for department and/or process improvement
• Oversee and direct Quality Improvement Team in the absence of the Director of QI
• Perform cardiopulmonary resuscitation (CPR) and crisis intervention using agency-trained protocols
• Perform other duties as assigned

QUALIFICATIONS, EDUCATION AND EXPERIENCE:

EDUCATION:

Bachelors or Master’s degree in a human services field, including but not limited to sociology, special education, rehabilitation counseling, psychology, all professional disciplines (e.g., Occupational Therapist, Physical Therapist, physical therapy assistant, speech-language pathologist, audiologist), academic disciplines associated with the study of human behavior (e.g., speech communication, gerontology), human skill development (e.g., counseling, human development) or related field preferred

QUALIFICATIONS:

Two (2) years of experience in quality improvement activities, such as auditing, training, data analysis, process design, etc. One (1) year of experience working directly with persons with intellectual disabilities or other developmental disabilities Supervisory experience preferred Obtain and maintain a Certification in Quality Management by Office of Developmental Programs (ODP) or an equivalent certification in the state of CA, upon hire or within twelve (12) months of hire

• Demonstrated knowledge of California regulations relating to programs for individuals with intellectual disabilities, including but not limited to community residential services
• Demonstrated knowledge of the Department of Social Service’s Community Care Licensing standards and regulations
• Demonstrated strong attention to detail
• Demonstrated excellent judgment with the ability to independently solve problems and make decisions with little or no need for direct supervision
• Demonstrated ability to anticipate future needed changes or identify problem areas and take effective actions
• Demonstrated strong organizational and prioritization skills
• Demonstrated ability to work effectively as part of a team and to lead teams
• Demonstrated intermediate experience with Microsoft Office applications, including Word, Excel, and Outlook; PowerPoint preferred

Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities Must be able to perform CPR and crisis intervention using agency-trained protocols Ability to work independently Must possess excellent customer interaction, collaboration, presentation, and written and verbal communication skills

Experience using Electronic Health Record (EHR) a plus:

Must possess a current, valid driver's license in state of residence, have a minimum of two (2) years of driving experience within the United States, and have an acceptable driving record

Equal Opportunity Employer

Elwyn is an Equal Opportunity Employer. Elwyn does not discriminate on the basis of race, color, religion, creed, ancestry, pregnancy status, medical condition, gender, gender identity or expression, genetic information, sexual orientation or identity, age, national origin, citizenship, handicap status, marital or family status, mental or physical disability, perceived disability, military or veteran status, political activities or affiliations, or any other characteristic protected under applicable federal, state or local law, ordinance, or regulation.