DIRECTOR OF QUALITY COMPLIANCE

HIRING: Director of Quality & Compliance

Location: Time will be split between Woodridge, Illinois & Southwood, Illinois (onsite position)

Salary: $90,000 - $115,000

The Director of Quality & Compliance for Illinois provides consultation and technical assistance to specific programs within the Abraxas Youth & Family Services (AYFS) division regarding licensing, contractual, and accreditation compliance, policy development/implementation, data collection/analysis, best practice transfer, and the implementation of an effective process for on-going monitoring and evaluation of programs. This person is also responsible for ensuring licensing, contractual, and accreditation compliance for his/her assigned programs.

Responsibilities, Duties, Standards of Performance

The following responsibilities and competencies describe the core functions of this position.

• Ensures licensing, contractual, and accreditation compliance, in conjunction with the quality & compliance specialist, program director, and leadership team.
• Works with the quality & compliance specialist and program directors to prepare for licensing inspections, contractual reviews, and accreditation surveys.
• Expertise in Illinois Administrative Code Title 77, Part 2060
• Reviews all action plans to address licensing, contractual, and accreditation citations or areas of non-compliance before submission to ensure quality and consistency; monitors the implementation of action plans to ensure compliance.
• Conducts an annual internal audit to ensure program practices meet licensing, contractual, and accreditation requirements; lead team member during the departmental audits that occur within the division.
• Provides effective supervision to the quality & compliance specialist in his/her assigned programs, providing technical assistance and education on licensing, contractual, and accreditation standards.
• Develops monitoring systems with the program's quality & compliance specialist to ensure licensing, contractual, and accreditation compliance and consistent implementation of program and divisional policies, procedures, and protocols.
• As needed, prepares meeting agendas, coordinates meetings, maintains meeting minutes, and develops other documentation related to on-going monitoring and evaluation of the program.
• Collects and maintains data; prepares reports, data displays, charts, graphs, and other illustrations.
• Develops and maintains the AYFS operational policy & procedure manual; ensures that each program maintains a policy and procedure manual.
• Participates in various internal and external committees/projects; assuming a lead role on some committees/projects.
• Works with programs to implement divisional process improvements, evidence-based curricula, and program procedures/protocols.
• Provides technical assistance to AYFS Development Department by working on RFP's.
• Provides technical assistance and education to employees of the AYFS administrative office.

Summary of Job Duties:

This list presents a general summary of the duties a Director of Quality & Compliance is required to fulfill in the performance of his/her job. These statements do not reflect responsibilities and competencies necessary to describe the core function of the job.

• Communicates Effectively
  • Utilizes effective written and verbal communication skills
  • Effectively structures and facilitates meetings and training activities
  • Maintains confidentiality of information as it relates to personnel and client information
  • Communicate effectively and professionally with a diverse group of people including clients, employees, governing body members, contracted staff, licensing agency representatives, and the public.
• Demonstrates Professionalism in Performance of Job
  • Implements and mentor’s employees regarding Abraxas Youth & Family Services Division policies on professional expectations, code of conduct, and other practices and procedures
  • Serves as a role model for clients and other employees
  • Supports the company's mission, goals, and objectives
  • Demonstrates effort in professional development for self and others
  • Performs other duties as assigned

Qualifications

Minimum Education/Experience:

• Master’s degree in social sciences, healthcare or related field and five years of quality and compliance experience or bachelor’s degree in social sciences, healthcare or related field and seven years’ quality and compliance experience

Required Skills/Abilities/Characteristics:

Illinois DBHR (Division of Behavioral Health & Recovery) – 2060 Regulatory Expertise

• Demonstrated expertise in Illinois Department of Human Services – Division of Behavioral Health & Recovery (IDHS-DBHR) licensing and program oversight, with deep working knowledge of Illinois Administrative Code Part 2060 (Alcoholism and Other Drug Abuse (AODA)/Substance Use Disorder Treatment Services) and its recent regulatory updates.
• Proven experience interpreting and operationalizing the revised 2060 standards, including requirements related to clinical supervision, individualized treatment planning, credentialing and staffing ratios, documentation timeliness, service delivery definitions, discharge planning, utilization management, and quality improvement programs.
• Ability to effectively supervise employees.
• Knowledge of and the ability to teach the principles, concepts, and tools to monitor and evaluate programs (e.g., SPSS, TQM).
• Ability to understand, interpret, and teach the application of licensing regulations, accreditation standards, and contractual language.
• Knowledge of the principles and practices related to the treatment of delinquent and dependent youth.
• Ability to formulate and/or revise policies that meet licensing, contractual, and accreditation standards.
• Ability to communicate effectively, both orally and in written form, with a diverse group of people including regulatory agency representatives, employees, clients, governing body members, and the public.
• Must be available for periodic travel, to include overnight stays.
• Must have computer skills that include word processing and spread sheet/graphic development.
• Must be at least twenty-one (21) years of age.
• Must have a valid driver's license.

The Joint Commission (TJC)

• Extensive hands-on experience preparing residential behavioral health programs for Joint Commission accreditation and re-accreditation surveys, including mock tracers, standards interpretation, documentation audits, readiness planning, and corrective action plan (CAP) development.
• Demonstrated mastery of Behavioral Health Care (BHC) standards, including Leadership, Environment of Care, Emergency Management, Infection Control, Patient and staff rights, Workplace violence prevention, Human Resources, and Documentation.
• Proven ability to lead programs through survey remediation, implement sustainable compliance frameworks, and conduct internal tracer methodologies to maintain continuous accreditation readiness.

PREA (Prison Rape Elimination Act) Compliance

• Advanced expertise in administration and implementation of PREA standards applicable to juvenile residential environments, including staffing plan reviews, background screening and hiring requirements, staff training, youth education protocols, incident response procedures, and sexual safety audits.
• Experience leading annual PREA audits and corrective action management, including policy alignment, facility walkthrough preparation, documentation compilation, evidence submissions, corrective action tracking, and coordination with DOJ-certified PREA auditors.
• Proven ability to operationalize PREA compliance across multidisciplinary teams while strengthening youth safety culture and risk-mitigation practices.

About Company:

Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment.

Apis Services, Inc. and affiliate’s provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.