Quality Improvement Director

Quality Improvement Director

Full-Time, On-Site in Bremerton, WA

Exempt (Salaried): $107,910.40 - $137,592.00 per year

Benefits at a Glance 

• Comprehensive Coverage: Health, Dental & Vision 
• Generous PTO: Up to 19 days + 2 mental health days + 10 holidays (pro-rated for part-time)
• Fully Paid YMCA Membership for you and eligible family members
• Company-Paid Life & Disability Insurance 
• Student Loan Assistance & Professional Development 
• 403(b) Retirement Plan with Company Contributions 
• Employee Assistance Program (EAP) 
• Pet Insurance 
• Free Wellness App (2MorrowHealth) 
• Collaborative, Supportive Team Environment 

Kitsap Mental Health Services (KMHS) is seeking a Quality Improvement Director to lead the agency's quality improvement program and accreditation readiness efforts. This position helps ensure clinical and operational practices meet regulatory expectations and support high-quality care. This role uses data to identify improvement opportunities and guide organizational decision-making. If you're committed to improving systems that support quality care and organizational accountability, we welcome your application.

Primary Responsibilities:

•         Provide leadership and support in establishing and directing the Quality Improvement Program consistent with all regulatory requirements.

•         Develop and execute a comprehensive quality strategy that advances clinical excellence, client safety, recovery-oriented care, health equity, population health, and measurable outcomes.

•         Lead the evaluation of care-delivery models and collaborate with clinical and operations teams to identify opportunities, implement evidence-based improvements, and sustain high-quality services across the organization.

•         Lead the development of key performance indicators, outcomes measures, data-collection methods, benchmarks, and reporting structures used to monitor clinical quality, regulatory compliance, client experience, and organizational performance.

•         Guide multidisciplinary teams in testing, evaluating, scaling and sustaining changes that improve workflows, clinical outcomes, access to services, care coordination, and client experience.

•         Collaborate closely with the Compliance Director to lead organizational readiness for CARF accreditation, DOH licensing, certifications, contractual, and all other external audit requirements.

•         Direct gap analyses, mock reviews, corrective action plans, and improvement activities to ensure alignment with organizational policies, applicable quality standards, state regulations, and other requirements.

•         Develop executive-level reports, dashboards, presentations, and recommendations that translate complex findings into clear, actionable insights for clinical, operational, and governance audiences.

•         Work collaboratively with leaders across the organization to support quality improvement, population health, and health equity initiatives.

•         Build organizational capability improvement by coaching leaders and staff, facilitating multidisciplinary teams, and providing education on measurement and process improvement.

•         Employ Plan-Do-Study-Act cycles (PDSAs) and other improvement methods to evaluate and strengthen organizational workflows.

•         Promote understanding and adoption of evidence-based and data-driven best practices throughout the agency.

•         Analyze processes, policies, and systems to ensure continued alignment with regulatory requirements and accreditation standards.

•         Lead the dissemination of quality improvement information and performance data to leadership and committees.

•         Communicate quality goals, improvement priorities, and performance results to employees across the organization.

•         Plan and facilitate quality committee meetings and ensure timely follow-up on action items and improvement activities.

•         Participate in evaluations and audits and develop associated action plans and quality improvement objectives.

•         Maintain current knowledge of regulatory requirements associated with the Quality Improvement Program.

•         Oversee the Community Advisory Council and communicate quality improvement recommendations and community feedback to KMHS Leadership and the Board of Directors.

•         Hire, train, coach, and supervise quality improvement staff.

•         Collaborate with the Chief Compliance and Privacy Officer in the annual performance review process.

Minimum Qualifications:

EDUCATION: Bachelor’s degree in nursing, social work, psychology, behavioral health, healthcare administration, public health, quality improvement, or related subject.

EXPERIENCE: Seven (7) or more years of progressively responsible job experience in healthcare quality improvement, behavioral health administration, regulatory compliance, or program evaluation.

• Experience supporting accreditation, regulatory, or patient safety initiatives.
• Four or more years of experience working in a healthcare setting, including hospitals, ambulatory care, community health, or managed care environments.
• Experience managing organizational risk and liability issues.
• Three years of management or supervisory experience.

Preferred Qualifications:

EDUCATION: Master’s degree in nursing, social work, psychology, behavioral health, healthcare administration, public health, quality improvement, or related subject.

LICENSE/CERTIFICATION: Certified Professional in Healthcare Quality (CPHQ). Formal Project Management training or certification.

Performance Requirements:

KNOWLEDGE:

• Knowledge of applicable clinical principles and practices.
• High-level knowledge of HIPAA and HITECH security regulations and other confidentiality and health information protections and their impacts in the clinical practice setting.
• Working knowledge of legal statutes and quality improvement strategies that govern clinical skills, clinical documentation, and agency operations.
• Federal, state, and local regulations in the behavioral healthcare</