When our neighbors are hurting, we want to help in the healing. Come join us at ELEVATE, where our goal is to set the bar higher. We are a group of deeply committed people working together to provide each member-client with the services and assistance they need for meaningful progress in leading their best life. Our mission is to elevate care by serving our members when, where, and how they want
The Quality Assurance Coordinator is responsible for supporting and maintaining quality improvement, compliance, and performance standards across all Elevate programs. This position conducts regular audits of clinical documentation, program records, policies and procedures, and operational practices to ensure compliance with state, federal, accreditation, contractual, and program-specific requirements.
The Quality Assurance Coordinator serves as a resource to program leadership by identifying areas of risk, opportunities for improvement, and compliance concerns. This position works collaboratively with program directors and leadership to develop corrective action plans, monitor outcomes, and ensure continuous quality improvement across the organization.
Programs supported include:
- Substance Use Disorder Treatment Services (Strive Recovery)
- Assertive Community Treatment (ACT)
- Intensive Residential Support Homes (IRSH)
- Additional behavioral health and recovery programs as assigned
- Conduct routine audits of clinical records, treatment plans, assessments, progress notes, discharge documentation, and other required records.
- Review documentation for compliance with Iowa Administrative Code, Medicaid requirements, accreditation standards, grant requirements, payer expectations, and organizational policies.
- Monitor compliance with program-specific standards for ACT, IRSH, Crisis Services, ISTART, and Substance Use Treatment programs.
- Evaluate documentation quality, timeliness, completeness, and accuracy.
- Track audit findings and maintain quality assurance databases, audit logs, and compliance reports.
- Identify trends, deficiencies, and areas requiring corrective action.
- Assist with the development and implementation of quality improvement initiatives.
- Monitor documentation standards and recommend process improvements to improve compliance and service quality.
- Review and evaluate organizational policies and procedures to ensure compliance with current regulations, accreditation standards, and best practices.
- Assist leadership in developing, revising, and updating policies and procedures as regulations or standards change.
- Maintain policy review schedules and documentation.
- Support program directors with implementation and staff education related to revised policies and procedures.
- Monitor adherence to organizational policies and identify areas requiring revision or clarification.
- Analyze performance indicators, quality metrics, incident trends, and compliance outcomes across programs.
- Participate in Quality Improvement (QI) meetings, committees, and organizational initiatives.
- Assist in developing corrective action plans when deficiencies are identified.
- Monitor implementation and effectiveness of corrective action plans.
- Prepare reports summarizing findings, recommendations, and quality outcomes.
- Support ongoing organizational quality improvement efforts designed to enhance client outcomes and regulatory compliance.
- Communicate audit findings, compliance concerns, and quality improvement opportunities to program directors and leadership in a professional and constructive manner.
- Provide guidance regarding documentation standards, regulatory requirements, accreditation expectations, and compliance best practices.
- Collaborate with program directors to address identified deficiencies and improve program performance.
- Support organizational readiness for audits, site reviews, accreditation surveys, licensing inspections, Medicaid reviews, and contract monitoring activities.
- Facilitate follow-up reviews to ensure corrective actions are implemented and sustained.
- Serve as a liaison between program leadership and executive leadership regarding quality assurance and compliance initiatives.
- Provide regular quality assurance, compliance, risk management, and performance improvement reports to the Director of Operations and Executive Director.
- Assist leadership in preparing for state inspections, accreditation reviews, payer audits, grant monitoring, and contract compliance activities.
- Recommend operational, clinical, and administrative process improvements based on audit findings, quality performance data, incident trends, and compliance reviews.
- Collaborate with program directors to develop corrective action plans and monitor progress toward resolution of identified deficiencies.
- Participate in leadership meetings, quality improvement committees, and organizational planning activities as requested.
- Assist in developing and providing training related to documentation standards, compliance requirements, quality improvement practices, and policy implementation.
- Educate staff regarding best practices, regulatory expectations, and documentation requirements.
- Provide feedback and coaching to support documentation improvement efforts.
- Support onboarding and ongoing training initiatives related to quality assurance and compliance.
- Participate in organizational committees and workgroups.
- Maintain confidentiality and security of all protected health information.
- Stay informed of regulatory changes affecting behavioral health, substance use treatment, residential services, crisis services, and community-based services.
Benefits
- Medical, Dental, and Vision plans
- Bachelor’s degree in Behavioral Health, Social Work, Psychology, Human Services, Healthcare Administration, Nursing, Public Health, Business Administration, or a related field.
- Minimum of three (3) years of experience in behavioral health, substance use treatment, residential services, crisis services, healthcare compliance, quality improvement, or a related field.
- Knowledge of clinical documentation requirements and regulatory standards.
- Strong organizational, analytical, and problem-solving skills.
- Excellent written and verbal communication skills.
- Ability to work independently and manage multiple priorities.
- Proficiency with electronic health records and Microsoft Office applications.
- Master’s degree in Behavioral Health, Healthcare Administration, Public Health, Business Administration, Human Services, or a related field.
- Experience with Assertive Community Treatment (ACT), Substance Use Treatment, Crisis Services, Intensive Residential Support Homes (IRSH), ISTART, or other community-based behavioral health programs.
- Experience conducting clinical documentation audits, quality assurance reviews, compliance monitoring, or performance improvement activities.
- Experience with accreditation standards, Medicaid audits, licensing reviews, quality improvement systems, or regulatory compliance.
- Certification in healthcare quality, compliance, performance improvement, risk management, or a related field preferred.
- Experience developing, implementing, and monitoring corrective action plans and quality improvement initiatives.
- Understanding of behavioral health, substance use treatment, residential services, and crisis service regulations.
- Knowledge of Iowa Medicaid requirements and applicable state and federal regulations.
- Ability to interpret regulations and apply standards consistently across multiple programs.
- Strong attention to detail and documentation review skills.
- Ability to maintain confidentiality and exercise professional judgment.
- Ability to collaborate effectively with leadership and multidisciplinary teams.
- Strong data analysis, reporting, and organizational skills.
- Ability to manage multiple projects and deadlines while maintaining accuracy.
- Ability to sit, stand, walk, bend, and lift up to 25 pounds occasionally.
- Ability to travel between program locations as needed.
- Ability to operate standard office equipment and computer systems.
This is a hybrid position requiring a combination of remote work and on-site visits to Elevate program locations. Travel between service locations may be required for audits, trainings, meetings, inspections, and quality improvement activities.
Success in this role will be measured by:
- Timely completion of quality assurance audits.
- Reduction in documentation deficiencies.
- Compliance with regulatory, licensing, accreditation, and contractual standards.
- Timely review and maintenance of policies and procedures.
- Effective communication of findings and recommendations.
- Successful implementation and monitoring of corrective action plans.
- Positive collaboration with program leadership and staff.
- Organizational readiness for audits, surveys, and inspections.
- Continuous improvement in program quality and compliance outcomes.
This is a Full-time position with very competitive salary and benefits. ELEVATE is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for all employment, free from discrimination on the basis of race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preferences, status as a qualified individual with a disability, or status as a protected veteran.
