Abraxas Youth & Family Services · 2 weeks ago
DIRECTOR OF QUALITY & COMPLIANCE
Pittsburgh, PA
Full-time
Hybrid
Lead/Staff, Director/Executive
$90K/yr - $115K/yr
5+ years expAbraxas Youth & Family Services is a provider of services for youth and families in Pennsylvania, and they are seeking a Director of Quality & Compliance. This role involves ensuring licensing, contractual, and accreditation compliance across programs while providing consultation and technical assistance to ensure quality standards are met.
ConsultingHealth CareNursing and Residential Care
Responsibilities
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
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
Provides technical assistance and education to the program staff on licensing, contractual, and accreditation standards, including as-needed in-service training regarding the implementation of licensing, contractual, and accreditation standards
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
Qualification
Required
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
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
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
Specialized knowledge of the Pennsylvania Office of Children, Youth and Families (OCYF) licensing regulations under 55 Pa. Code Chapters 3800 and related subchapters for secure and non-secure residential programs
Demonstrated experience preparing for and managing OCYF inspections, announced and unannounced site visits, compliance investigations, licensing renewals, complaint responses, and CAP negotiations
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 spreadsheet/graphic development
Must be at least twenty-one (21) years of age
Must have a valid driver's license
Preferred
Familiarity with the state of Colorado and Ohio residential licensing requirements
Company
Abraxas Youth & Family Services
Abraxas offers alternative education, outpatient counseling, in-home services, detention, and more services to youth and adults.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Jeff Giovino
Chief Executive Officer
Bob Voas
Vice President and Chief Administrative Officer
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