Quality Improvement Director

• Master’s degree in Social Work, Psychology, Health Administration, or related field (required)
• 3+ years of experience in quality improvement, compliance, or risk management (required)
• Strong written and verbal communication skills
• Working knowledge of Microsoft Office and documentation systems

• License in LMHC or Risk Management
• Health administration background
• Strong knowledge of regulatory standards (e.g., Joint Commission, state and federal requirements)

• Develop, implement, and oversee the organization’s Quality Improvement (QI) program
• Monitor performance metrics and identify opportunities for improvement
• Lead performance improvement initiatives across departments
• Ensure continuous readiness for accreditation and regulatory reviews

• Ensure compliance with all applicable federal, state, and accreditation standards
• Investigate incidents, track trends, and implement corrective actions
• Oversee risk management processes and patient safety initiatives
• Maintain policies and procedures aligned with regulatory requirements

• Collect, analyze, and interpret data to drive decision-making
• Prepare and present reports to leadership on quality outcomes and trends
• Monitor key performance indicators (KPIs) and benchmark results

• Educate and train staff on quality improvement practices and compliance standards
• Collaborate with department leaders to implement best practices
• Support a culture of continuous improvement and accountability

• Conduct internal audits, chart reviews, and program evaluations
• Ensure accuracy and completeness of documentation
• Coordinate external audits and accreditation surveys

• Strong leadership and strategic thinking skills
• High attention to detail and analytical ability
• Ability to interpret and apply regulatory standards
• Effective communication and presentation skills
• Problem-solving and decision-making capabilities
• Ability to influence and collaborate across all levels of the organization
• Commitment to quality, safety, and continuous improvement

• Primarily sedentary work with occasional standing and walking
• Ability to use standard office equipment and computer systems
• Occasional movement throughout facility for audits and meetings

• Professional healthcare office and clinical environment
• Frequent interaction with leadership, clinical staff, and regulatory bodies
• May require participation in audits, inspections, or urgent compliance matters
• Standard business hours with occasional extended hours as needed

• Effectiveness of quality improvement initiatives and outcomes
• Compliance with regulatory and accreditation standards
• Accuracy and timeliness of reporting and audits
• Reduction of risk and incident trends
• Collaboration with leadership and department teams
• Organizational readiness for surveys and inspections

• Health, dental, and vision insurance
• Paid time off
• Life and long-term disability coverage
• Voluntary benefit options
• 401(k) with employer match

Apply now.



Because of the work we do in the community, a full background check is required for all staff.

We are a drug free employer.

South County Mental Health Center, Inc is an EOE.