Quality Coordinator

I) Job Purpose The Quality Coordinator supports programs and MHMR's mission by analyzing data to identify quality gaps across all programs.

Responsibilities include

collaborating with management to implement improvement processes, ensure high-quality service delivery, maintain regulatory compliance, and drive continuous enhancement through data-driven decision-making. The Quality Coordinator is a vital role for all MHMR programs serving children, families, and individuals. II) Essential Functions A) Develop, implement, and monitor quality assurance programs using data analytics to identify trends, gaps, and improvement opportunities.

B) Act as the primary liaison with external auditors, coordinating and managing agency audit activities. C) Serve as a strategic partner in advancing quality and operational excellence by developing data-informed initiatives and leading implementation efforts that drive measurable results. D) Assess program performance by utilizing critical thinking and analytical expertise to identify emerging trends and risks, provide recommendations that support organizational priorities, and informed business decisions.

E) Influence quality and performance outcomes by presenting actionable insights to leadership, directing chart audit activities, evaluating program effectiveness, and shaping strategic improvement plans that align with organizational goals. F) Provide strategic oversight of compliance activities by conducting audits and reviews in collaboration with leadership to ensure adherence with accreditation, certification, regulatory requirements, and internal policies across all programs, including behavioral health and IDD.

G) Lead organizational readiness for external audits and regulatory inspections by establishing robust compliance processes, maintaining audit-ready documentation, and proactively identifying and mitigating risks to ensure successful outcomes. H) Play a key role in the development and delivery of staff training programs related to quality assurance, quality improvement and standards related to NCQA, CCBHC and CARF.

I) Foster staff engagement by leading and supporting the adoption of data-driven quality improvement strategies, building analytical capabilities, and promoting informed decision-making that enhances program performance and outcomes. J) Work collaboratively with program management, staff, and external partners to promote a culture of quality and continuous improvement.

K) Build and maintain strong stakeholder partnerships to ensure quality standards are clearly communicated, effectively implemented, and integrated into operational and strategic decision-making. L) Ensure the integrity and accuracy of organizational reporting while overseeing program performance metrics and preparing data-driven reports on quality, compliance, and operational outcomes for leadership.

M) Follow up on corrective action recommendations to ensure issue resolution. N) Represent the agency in community outreach and engagement activities to promote the center’s services, gather actionable feedback, and influence service excellence through quality improvement strategies. O) Ensure client and family feedback is integrated into quality improvement efforts.

P) Performance standards are performed as applicable with MHMR’s We CARE values “We Connect People in Our Community. We Provide Access to Services. We Link People to Resources. We Empower People.” Q) Performs other job duties or responsibilities as requested or assigned. III) Knowledge of Laws, Regulations, Policies/Procedures, Skills, and Abilities A) Knowledge of quality assurance, data analysis techniques, statistical and improvement methodologies.

B) Comprehensive knowledge of relevant state and federal regulations, particularly in behavioral health and IDD services. C) Knowledge of accreditation, certification, and regulatory standards (e.g., NCQA, CCBHC, CARF). D) Knowledge of behavioral health, IDD service delivery systems, program evaluation and performance measurement principles.

E) Excellent written and oral communication skills for presenting findings and recommendations. F) Ability to work independently utilizing compliance requirements and familiarity with audit processes. G) Excellent interpersonal, collaboration, problem-solving, and critical thinking skills. H) Ability to work as a team, skilled in mentoring, and coaching others on quality improvement practices.

I) Ability to work effectively with diverse stakeholders, including leadership, staff, and external partners IV) Internal & External Customer Service A) This position requires extensive internal and external contacts. The employee will accomplish this with advanced written and verbal skills. B) Must demonstrate compassion, trauma-informed care, and safety practices including suicide safe care.

V) Travel A) Adhere to MHMR Mileage and Travel reimbursement policy and any other aspect regarding travel. B) This position requires driving to and from locations for work and/or may require overnight traveling. VI) Equipment Used A) Utilized as required for position. VII) Minimum Qualifications A) Minimum Education: Bachelor’s Degree B) Defined Education: Public Health, Social Work, Healthcare Administration, Data Science, Health and Human Services or a related field. C) Preferences: None D) Substitutions: Associate Degree and four (4) years’ experience E) Years’ Experience: Two (2) years F) Defined Experience: Behavioral Health, IDD services, or related healthcare fields G) License/Certifications: None H) Special Courses: None I) Supervisory Experience: None VIII) Agency Requirements A) All staff are required to participate in agency Emergency Preparedness and Environmental Safety programs and may be assigned by their department as a key/essential staff level function during critical events or for the purpose of sustaining business continuity.

B) This position may require temporary or permanent re-assignment to any MHMR Tarrant facility as determined by program needs and/or the Division/Director. C) Assigned work hours may change as the needs of the agency change. D) The Functional Title of this position may change as the needs of the agency change. E) All work will be completed within the scheduled work hours.

All non-exempt (hourly) employees are expected to clock in and clock out for each work shift, no work should be done off the clock. F) MHMR reserves the right to change, add to or eliminate positions as it deems appropriate. G) Employment is at will, as well as agency needs may change. H) Agency dress code is to be followed at all times.

I) Physical on-site presence, including regular attendance and punctuality, is an essential function of this position. Any changes or adjustments to your assigned work schedule or shift hours must be approved by your supervisor in advance. Lifting 0-15#