Director of Quality, Risk & Compliance

Farley Center; Williamsburg (VA); Hybrid; USD 85,000 - 100,000; Full time

Benefits offered by this job

Tuition Assistance

Medical, Dental & Vision after 30 days

Flex Pay-Daily pay option

PTO package

Much more!

Job summary

Farley Center is seeking a leader to oversee facility quality, risk management and client safety, ensuring compliance with Joint Commission/CARF and CMS standards. You will direct the QAPI program, supervise staff, and coordinate regulatory surveys across inpatient and outpatient services.

The role requires a Bachelor’s with clinical/nursing/business emphasis and at least three years in quality or regulatory fields; a Master’s in Human Services is preferred, with tuition assistance and

Qualifications

• Bachelor’s degree with a clinical, nursing or business emphasis required.
• Master’s degree in Human Services preferred.
• Three years’ experience in quality, client safety, regulatory compliance, risk management, survey management, behavioral health, substance use disorder treatment, or related experience required.

Responsibilities

• Oversee facility programs and ensure alignment with quality and safety standards.
• Lead QAPI program development, implementation and evaluation.
• Monitor KPIs and drive data-driven improvement across the organization.
• Manage incident reporting, investigations, and root-cause analyses.
• Ensure compliance with local, state, CMS, and accreditation standards.
• Provide staff training and mentoring on quality and safety.

Skills

Quality improvement

Regulatory compliance

Client safety

Survey management

Risk management

Leadership

Education

Bachelor’s degree with clinical/nursing/business emphasis

Master’s degree in Human Services preferred

Job description

About the Job

Behavioral Health, Joint Commission and/or CARF Accreditation experience

Roles and Responsibilities

• $85,000 to $100,000 annual salary
• Bachelor’s degree with a clinical, nursing or business emphasis required.
• Master’s degree in Human Services preferred.
• Three years’ experience in quality, client safety, regulatory compliance, risk management, survey management, behavioral health, substance use disorder treatment, or related experience required.
• Knowledge and understanding of state/federal regulations, Joint Commission and/or CARF Accreditation.
• CPHQ Preferred Professional clinical licensure issued by a state licensing board preferred.
• Tuition Assistance
• Medical, Dental & Vision after 30 days
• Flex Pay-Daily pay option
• PTO package
• Much more!

ESSENTIAL FUNCTIONS

Provides oversight of all facility programs, including inpatient and outpatient services, ensuring alignment with quality, risk management, client safety, and regulatory standards. Leads facility-wide quality, risk, and client safety strategy and improvement efforts. Directs the Quality Assurance/Performance Improvement (QAPI) program, including development, implementation, and evaluation; monitors KPIs and ensures governance of data-driven improvement efforts. Drives organization-wide performance improvement initiatives through data analysis and system-level process enhancements to improve outcomes. Oversees incident reporting, investigations, and risk analyses (RCA/Event Analysis), ensuring timely resolution and prevention of recurrence. Maintains compliance with all local, state, federal (CMS), and accreditation standards (TJC/CARF), ensures ongoing survey readiness, and serves as the primary liaison during regulatory and accreditation surveys, audits, and required reporting activities. Partners with the Legal, Compliance, and Risk Management Department on high-risk events, complaints/allegations, investigations, and corrective action planning. Supports the development, review, and implementation of facility policies and procedures, ensuring alignment with regulatory requirements and consistent adherence across departments. Collaborates with department leaders and Human Resources to support staff accountability and ensure adherence to facility policies and procedures. Provides staff training and mentoring to support competency, accountability, and adherence to quality, risk, and safety standards, while fostering a culture of continuous improvement and client safety. Conducts leadership rounding, medical record reviews, and monitoring of environment of care, safety, and documentation standards. Prepares and maintains required reports and documentation; participates in committees, meetings, audits, and organizational initiatives. Supervises Patient Advocate/Coordinator roles, when applicable, through hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals. Supports resolution of client concerns and client rights processes. Serves as Patient Safety and Compliance Officer, providing oversight of client safety, risk management, and event reporting processes within organizational governance structures. May serve as Privacy/Security Officer, providing direction and oversight of activities related to compliance with applicable Federal and State law and regulations governing the privacy and security of health information. May serve as Chief Healthcare Disparities Officer, leading efforts to identify, analyze, and reduce disparities in care for the populations served. May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

• Bachelor’s degree with a clinical, nursing or business emphasis required.
• Master’s degree in Human Services preferred.
• Three years’ experience in quality, client safety, regulatory compliance, risk management, survey management, behavioral health, substance use disorder treatment, or related experience required.
• Knowledge and understanding of state/federal regulations, Joint Commission and/or CARF Accreditation.
• CPHQ Preferred Professional clinical licensure issued by a state licensing board preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS

CPHQ Preferred Professional clinical licensure issued by a state licensing board preferred. CPR and de-escalation and restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility.

WORK LOCATION

This position is onsite at the facility and is not a remote position.

SUPERVISORY REQUIREMENTS

Two years’ supervisory/management experience in behavioral health preferred.

Why The Farley Center

The Farley Center offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.

The Farley Center is an EOE. Veterans and military spouses are highly encouraged to apply.

Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country.

We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.