Director of Accreditation and Standards


GENERAL DESCRIPTION

This is professional work, driving the national accreditation and certification activities of the Heartland Center for Behavioral Change. The Director of Accreditation and Standards directs the activities of Heartland Center programs to achieve and maintain compliance with the standards and regulations of the Department of Mental Health and other regulatory bodies. The qualified candidate interprets standards and regulations, coordinates Heartland Center’s policy process, develops and disseminates internal operating procedures, trains staff in requirements, and develops a system of audits and checks to ensure ongoing conformance with all requirements. The employee takes corrective action when necessary. The employee is expected to work with a high degree of initiative and independence, performing moderately complex duties with only general instruction.

EXAMPLES OF WORK

Work may include, but is not limited to, the following examples:

  1. Leads, directs and manages activities and processes to ensure continuous compliance with national accreditation standards and the regulations of the Department of Mental Health.
  2. Reviews and interprets laws, regulations, and related requirements and effectively translates to policy, internal operating procedures, and written guidance.
  3. Effectively coordinates the dissemination of policies, internal operating procedures and other guidance to staff.
  4. Arranges or provides staff training to support continuous compliance of Agency with accreditation and regulations.
  5. Establishes quality benchmarks and monitors and audits agency performance against benchmarks. Reports results.
  6. Leads successful change management activities to address performance gaps. Implements performance improvement plans, provides consultative or technical support to management and staff in the planning and implementation of processes to support and maintain compliance with accreditation and regulatory standards.
  7. Develops and establishes systems for collecting data; analyzes statistical data collected from these studies; and prepares both technical and general reports which summarize results. Makes recommendation
  8. Maintains and organizes records necessary to support successful accreditation, certification, and contract compliance reviews.
  9. Establishes and maintains effective relationships with administrators, managers, government officials and stakeholders.
  10.  Attends meetings, internal and external training events, and professional development events.
  11. Complies with Code of Conduct. Reports violations immediately.
  12. Maintains confidentiality.

EXAMPLES OF KNOWLEDGE, SKILLS, AND ABILITIES

  • Comprehensive knowledge of the field of substance abuse, and of current trends and methods employed in the care, treatment, rehabilitation, and evaluation of clients
  • Comprehensive knowledge of the certification standards of the Division of Behavioral Health
  • Knowledge of national accreditation requirements and processes
  • Knowledge of methods of instruction and the presentation of training materials
  • Skill in oral and written communication
  • Skill in presenting complex information to others in an understandable format
  • Ability to coordinate, implement, and drive accreditation and quality activities
  • Ability to analyze and interpret data, and to effectively communicate findings
  • Ability to establish and maintain effective working relationships with employees, public officials and the general public
  • Ability to organize and develop a records management system
  • Ability to interpret complex regulations and standards and to translate to practices
  • Ability to plan, develop, and organize an effective training program and carry it out to a successful conclusion.
  • Ability to present ideas clearly and communicate effectively with others.
  • Ability to assist, and exercise tact, patience, and understanding of others.
  • Ability to handle confidential information appropriately.

EXPERIENCE AND EDUCATION QUALIFICATIONS

  1. Bachelor’s degree in human services related field
  2. Certification by the Missouri State Substance Abuse Certification Board in substance abuse
  3. Three (3) or more years’ of experience in substance abuse treatment.
  4.  Candidates with past experience in CARF accreditation or the administration of Department of Mental Health services/programs are preferred.