The Recovery from Addictions Program (RAP), operated by the Department of Mental Health (DMH) is seeking an experienced and qualified professional to provide leadership in the assessment of inpatient services and practices utilizing quality measures, Joint Commission standards of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and DMH regulations. The selected candidate will display excellent skills in establishing measures of care, analyzing, presenting data, and collaborating with colleagues to ensure quality oversight is integrated into all aspects of the Program's operations and an integral component of RAP's Performance Improvement (PI) process throughout the facility. The Quality Assurance Manager requires excellent observational skills, competencies in problem identification and definition, capacities to collaborate with work groups in order to develop and implement solutions, and values facilitation of team problem-solving toward delivery of safe and high-quality care for individuals with mental health and substance use. RAP is a 120 bed Addictions Program with 45 beds dedicated to women and 75 beds dedicated to men. The program is certified by the Substance Abuse and Mental Health Services Administration (SAMHSA) as an Opioid Treatment Program and is accredited by the Joint Commission, under their Behavior Health Standards. _Please note:_The work schedule will be 40 hours per week working Monday through Friday 8:00am to 4:30pm. The days off will be Sunday and Saturday. /Duties and Responsibilities (these duties are a general summary and not all inclusive):/ Oversees and coordinates quality management activities to ensure DMH standardized processes, workflows, protocols specific to the RAP units are integrated into the programs' systems. Establishes and maintains open communication with and works collaboratively with the Assistant Director, safety committee and department directors. Updates, maintains, and reviews reports; ensures that all data and records are correct and reported. Produces reports and benchmark data for key stakeholders and shares findings; Utilizes data to develop recommendations and best practices for improvement. Remains current with new standards or statues from regulatory agencies such as SAMHSA, the Joint Commission and CMS; Develops strategies to ensure RAP's policies and practices are compliant. Meets regularly with the Human Rights Officer, Risk Manager and Director of Nursing to review patient complaints and incidents, assign, and refer fact findings to relevant investigatory bodies. Identifies processes and procedures that support quality and safe patient care as well as those process that contribute to patient and staff safety concerns. Develops and implements the Quality Management Department's annual plan that is reviewed and approved by the Executive Committee. Provides supervision to Utilization Review, Risk Management, and administrative support staff. Consults with staff as necessary to obtain information necessary to complete fact findings for complaints and reports. Provides orientation and annual review training to facility employees regarding the facility Quality Management Program. Works collaboratively with performance improvement leaders; assists with performance improvement projects. Supports all HIPPA Compliance and ongoing audits. /Preferred Qualifications:/ At least two (2) years supervisory administration of managerial experience. Prior experience working in a quality and/or performance and process improvement role. Comprehensive knowledge and skills of Quality Improvement Processes and Tools. Demonstrated practice in understanding and communicating how operational and clinical outcomes foster organizational strategy and growth. Skilled in strong, effective communication, statistical interpretation, and development of positive/productive working relationships. Knowledge of TJC, SAMHSA, CMS Conditions of Participation and regulatory agencies requirements for quality improvement and patient safety. Ability to identify and analyze trends, complete reports, and make recommendations for actions based on analysis. Capacity to promote and enhance one's knowledge about the symptoms of psychiatric illness and addiction. Solid workload management and problem-solving skills; capacity to balance workload. Strong communications and interpersonal skills; problem solving, sound judgment and ability to prioritize and delegate multiple responsibilities. Working knowledge of all Microsoft Office applications, including Word, Excel, Outlook, Teams and PowerPoint. Given the population served, bilingual or multilingual fluency. /About the Recovery from Addictions Program (RAP):/ The Department of Mental Health (DMH) in collaboration with the Department of Public Health (DPH) Bureau of Substance Addiction Services operates a statewide Recovery from Addictions Program (RAP) for individuals civilly committed by the courts for substance use treatment for up to 90 days ("Section 35 commitment"). The program model will provide acute detoxification and early clinical stabilization services as we help clients develop community-based linkages to outpatient supports and substance use disorder treatment providers. The individuals treated within this program will be linked upon discharge to a range of services within the DPH continuum of care for substance use conditions. RAP provides administrative, medical, clinical, and non-clinical services. Its mission to provide quality client-centered care and recovery-oriented treatment. /DMH Vision and Mission:/ The Department of Mental Health, as the State Mental Health Authority, assures and provides access to services and supports to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights, and supports mental health training and research. This critical mission is accomplished by working in partnership with other state agencies, individuals, families, providers, and communities. /Learn more:/https://www.mass.gov/orgs/massachusetts-department-of-mental-health\ Pre-Hire Process: A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori\ and click on "Information for Job Applicants." Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website. If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form. For questions, please contact the Office of Human Resources at 1-800-510-4122 and select option #4. MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) five (5) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management or (B) any equivalent combination of the required experience and substitutions below. Substitutions: I. A certificate in a relevant or related field may be substituted for one (1) year of the required experience. II. A Bachelor's degree in a related field may be substituted for two (2) years of the required experience. III. A Graduate degree in a related field may be substituted for three (3) years of the required experience. IV. A Doctorate degree in a related field may be substituted for four (4) years of the required experience. Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range. Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza. An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role. Job: Compliance and Certification Organization: Department of Mental Health Title: *Quality Assurance Manager - Program Manager V - Recovery from Addictions Program Location: Massachusetts-Taunton-60 Hodges Avenue Requisition ID: 260000IV
