Quality Improvement Director

Quality Improvement Director

Position Summary
South County Mental Health Center, Inc. is seeking an experienced and strategic Quality Improvement Director to lead agency-wide performance improvement and compliance initiatives. This leadership role is responsible for developing, implementing, and monitoring quality management systems to ensure excellence in patient care and adherence to regulatory standards. The Director works with a high degree of independence while collaborating with leadership and department teams to drive continuous improvement, manage risk, and support organizational goals. This role is critical in promoting a culture of quality, safety, and accountability across the organization.

About Us
South County Mental Health Center, Inc. is a private, non-profit, Joint Commission-accredited behavioral healthcare provider serving Southeast Palm Beach County. We are dedicated to delivering compassionate, high-quality mental health services to individuals and families in our community.

Minimum Qualifications

• Master’s degree in Social Work, Psychology, Health Administration, or related field (required)
• 3+ years of experience in quality improvement, compliance, or risk management (required)
• Strong written and verbal communication skills
• Working knowledge of Microsoft Office and documentation systems

Preferred Qualifications:

• License in LMHC or Risk Management
• Health administration background
• Strong knowledge of regulatory standards (e.g., Joint Commission, state and federal requirements)

Duties and Responsibilities
Quality Improvement Leadership

• Develop, implement, and oversee the organization’s Quality Improvement (QI) program
• Monitor performance metrics and identify opportunities for improvement
• Lead performance improvement initiatives across departments
• Ensure continuous readiness for accreditation and regulatory reviews

Compliance & Risk Management

• Ensure compliance with all applicable federal, state, and accreditation standards
• Investigate incidents, track trends, and implement corrective actions
• Oversee risk management processes and patient safety initiatives
• Maintain policies and procedures aligned with regulatory requirements

Data Analysis & Reporting

• Collect, analyze, and interpret data to drive decision-making
• Prepare and present reports to leadership on quality outcomes and trends
• Monitor key performance indicators (KPIs) and benchmark results

Training & Collaboration

• Educate and train staff on quality improvement practices and compliance standards
• Collaborate with department leaders to implement best practices
• Support a culture of continuous improvement and accountability

Audits & Reviews

• Conduct internal audits, chart reviews, and program evaluations
• Ensure accuracy and completeness of documentation
• Coordinate external audits and accreditation surveys

Core Competencies

• Strong leadership and strategic thinking skills
• High attention to detail and analytical ability
• Ability to interpret and apply regulatory standards
• Effective communication and presentation skills
• Problem-solving and decision-making capabilities
• Ability to influence and collaborate across all levels of the organization
• Commitment to quality, safety, and continuous improvement

Physical Demands

• Primarily sedentary work with occasional standing and walking
• Ability to use standard office equipment and computer systems
• Occasional movement throughout facility for audits and meetings

Working Conditions

• Professional healthcare office and clinical environment
• Frequent interaction with leadership, clinical staff, and regulatory bodies
• May require participation in audits, inspections, or urgent compliance matters
• Standard business hours with occasional extended hours as needed

Performance Standards
Performance will be evaluated based on:

• Effectiveness of quality improvement initiatives and outcomes
• Compliance with regulatory and accreditation standards
• Accuracy and timeliness of reporting and audits
• Reduction of risk and incident trends
• Collaboration with leadership and department teams
• Organizational readiness for surveys and inspections

Schedule & Work Details
Full-Time Position
Schedule: Monday – Friday (hours may vary based on organizational needs)
Location: In-person (Delray Beach, FL)

Benefits
We offer a comprehensive benefits package, including:

• Health, dental, and vision insurance
• Paid time off
• Life and long-term disability coverage
• Voluntary benefit options
• 401(k) with employer match

Additional Information
Background check required
Drug-free workplace
Equal Opportunity Employer (EOE)

Apply now.

Because of the work we do in the community, a full background check is required for all staff.

We are a drug free employer.

South County Mental Health Center, Inc is an EOE.