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 quality initiatives across the organization. This position helps ensure services meet regulatory standards while supporting better outcomes for clients and the communities we serve. The role partners with leaders throughout KMHS to strengthen performance, advance health equity, and foster a culture of continuous improvement. If you're committed to improving systems that support quality care and organizational accountability, we welcome your application.
Primary Responsibilities:
•
Provide leadership and oversight for the agency's Quality Improvement Program in accordance with regulatory, accreditation, and certification requirements.
•
Evaluate current methods of care delivery and collaborate with clinical and operational leaders to improve recovery-oriented, client-centered services.
•
Use data, surveys, audits, and evaluation findings to identify opportunities for improvement across the organization.
•
Partner with clinical leadership to develop outcome measures, reporting processes, and monitoring systems.
•
Lead organizational readiness activities related to CARF, CCBHC, WAC, and other regulatory requirements.
•
Guide quality improvement initiatives that align with agency policies, strategic priorities, and quality standards.
•
Collaborate with organizational leaders to
advance quality improvement
, population health, and health equity strategies.
•
Utilize Plan-Do-Study-Act (PDSA) cycles and other quality improvement methodologies to improve workflows and processes.
•
Promote the use of evidence-based, data-informed, and recovery-oriented practices throughout the organization.
•
Analyze policies, procedures, and systems to ensure ongoing compliance and readiness for future accreditation requirements.
•
Provide quality improvement reports and recommendations to executive leadership, clinical leadership, and agency committees.
•
Communicate quality data and improvement initiatives across the organization to support engagement and accountability.
•
Coordinate quality committee meetings and ensure tracking of action items, documentation, and follow-up activities.
•
Participate in organizational audits, evaluations, and reviews and develop corrective action plans when needed.
•
Maintain current knowledge of regulatory requirements and emerging quality improvement practices.
•
Oversee the Community Advisory Council, including quarterly meetings, reporting activities, and communication of recommendations to agency leadership and the Board of Directors.
Minimum

Qualifications:

EDUCATION:
Bachelor’s degree in nursing, social work, psychology, behavioral health or related
field.
EXPERIENCE:
Specialist— minimum 7 years of job-related experience.
Preferred

Qualifications:

EDUCATION: Master's degree in nursing, social work, psychology, behavioral health or related field. EXPERIENCE:
Experience supporting accreditation, regulatory, or patient safety initiatives.
Four
or
more years
of
e
xperience 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.
LICENSE/CERTIFICATION:
Certified Professional in Healthcare Quality (CPHQ) preferred.
Formal Project Management training
preferred
.
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
field.
Familiarity with the Diagnostic and Statistical Manual, fifth edition (DSM-5) of Mental
Health
Disorders,
the
ASAM
Criteria,
and
quality
improvement
processes
at a systemic level.
SKILLS:
Excellent
communication
and
skill
in
establishing
and
maintaining
effective
working relationships with other employees, patients, organizations and the public.
Confidentiality,
diplomacy,
and
judgment
in
sensitive
situations.
ABILITIES:
Guide
individuals
and
groups
toward
desired
outcomes,
setting high-performance standards and delivering leading quality services.
Use
adaptive
leadership
and
a
systems
approach
to
implement
effective, organization
‑
wide improvements.
Establish
and
maintain
long-term
relationships
with
both
internal
and
external customers, building trust and respect by consistently meeting and exceeding expectations.
Ability to anticipate concerns and overcome objections.
Articulate
knowledge
and
understanding
of
organizational
policies,
procedures,
and
systems.
Proficient
in
Microsoft
Office
applications
and
the
ability
to
navigate
an
EMR
system and other applications as required with minimal training.
Worksite-Specific

Requirements:

check
applicable
worksite(s)

WORKSITE
#1:
Campbell
Campus

REQUIREMENTS:

No
additional

requirements

for
this
worksite
location.

WORKSITE
#2:
Remote
Worksite

REQUIREMENTS

:
Employees approved for remote work must
maintain a safe,
secure, and
professional
workspace
with
reliable
internet,
ensure
confidentiality
and
compliance with
KMHS
policies
(including
HIPAA),
and
remain
fully
available
and
responsive
during scheduled work hours.
Equipment Operated:
Standard
office
equipment
including
computers,
fax
machines, copiers, printers, telephones, etc.
Work
Environment
:
Office,
remote
workspace.
Mental/Physical

Requirements

:
While
performing
the
essential
functions
of
the
job,
the employee is required to:
Sit,
stand,
and
walk
for
extended
periods.
Lift,
carry,
push,
and
pull:

Up
to
10
pounds
(frequently)

Up
to
20
pounds
(occasionally)

Up
to
50
pounds
(seldom)
Use
hands
and
arms
for
reaching,
handling,
and
manipulation,
including
reaching above shoulder level.
Have
visual
acuity
and
peripheral
vision
sufficient
to
read
written
materials
and observe surroundings.
Have
hearing
sufficient
to
communicate
effectively.
Our recruitment processes are designed to prevent discrimination against our people regardless of gender identity or orientation, religion, ethnicity, age, neurodiversity, disability status, citizenship, or any aspect which makes someone unique.