VP of Quality Improvement & Compliance

Habilitative-Systems,-Inc; Illinois; Sur place; USD 120 000 - 190 000; Plein temps

Résumé du poste

Habilitative-Systems, Inc. in Chicago, IL seeks a Vice President of Quality Improvement and Monitoring to lead program oversight, ensure MRO/MCO compliance, and drive corrective action in billing and documentation. You will supervise internship programs, coordinate audits, and provide clinical guidance across DD, MH, and SUD teams.

The role reports to the CEO; strong project management, regulatory knowledge, and excellent communication are essential for success in this senior leadership position.

Qualifications

• Master’s degree in social work, public health, or a related human services field.
• At least ten (10) years of professional experience in Human Services, with at least five (5) of those years providing administrative, quality improvement and/or related program supervision and/or 5 + years managing a compliance program.
• Experience in medical records and billing is preferred.
• Professional clinical license (LCSW, LCPC, LMFT, Psychologist) is preferred.
• Some familiarity with federal/state/local, DHS, SUPR, Medicaid and 3 rd Party insurers’ guidelines and certification standards. Key knowledge of Affordable Care Act, IL Department of Healthcare and Family Services mandates and provisions for relevant entities (e.g., Care Coordination Entities), Third Party billing procedures with key MCOs (e.g., Illini, BC/BS, etc.). Solid experience in managed care and government programs.
• Some experience working with state level regulators.
• Strong project management skills and experience.
• Excellent communication skills (verbal and written) and experience in developing and conducting training.
• Must have intermediate working knowledge and skill in Microsoft Word, Excel, and PowerPoint.
• Must have intermediate working knowledge and skill with an electronic health records system.

Responsabilités

• Supervise MSW Student Intern Program, providing recruitment, selection, onboarding, training and weekly supervision of interns.
• Serves as primary liaison with schools and ensures completion of agency requirements for students.
• Conduct regular internal audits and reviews to monitor compliance with applicable City, State, Federal, accreditation and other relevant requirements and standards; including client record peer review and site visits.
• Coordinate preparation for program audits and reviews, develop corrective action plans and coordinate implementation of corrective action plans.
• Provide clinical support to DD, MH and SUD teams as needed.
• Work with program supervisors to monitor and evaluate mental health assessments and client treatment plans for content and to ensure billable services are documented and billed.
• Provide feedback to Administration and consult with the Chief Operating Officer on plans of correction and revenue reporting.
• Conduct monthly group consultation to address service and billing improvements.
• Provide feedback on individual performance issues and strengths of the clinical staff to managers twice a year during evaluations.
• Develop, facilitate and provide clinical training based on identified needs.
• Regularly review program policies and procedures and assist department directors with annual updates.
• Provide a written report of activities and progress on plans of improvement to the executive team monthly.

Connaissances

Communication skills

Project management

Training development

Quality improvement

Administrative supervision

Medical records knowledge

Billing knowledge

Microsoft Word

Microsoft Excel

PowerPoint

Electronic health records

Formation

Master’s degree in social work or related field

Professional clinical license (LCSW, LCPC, LMFT, Psychologist)

Outils

Microsoft Word

Microsoft Excel

PowerPoint

Electronic health record systems

Description du poste

Habilitative-Systems, Inc. in Chicago, IL seeks a Vice President of Quality Improvement and Monitoring to lead program oversight, ensure MRO/MCO compliance, and drive corrective action in billing and documentation. You will supervise internship programs, coordinate audits, and provide clinical guidance across DD, MH, and SUD teams.

The role reports to the CEO; strong project management, regulatory knowledge, and excellent communication are essential for success in this senior leadership position.