Quality and Compliance Generalist

Job Summary

The Quality and Compliance Generalist support's the quality assurance, performance improvement, and regulatory compliance activities. This role is responsible for coordinating data, tracking compliance activities, assisting with regulatory readiness, and supporting investigation and follow-up processes under the direction of the CQCO. 

This position works in both administrative and clinical environments and supports patient advocacy and safety efforts. The role does not independently determine regulatory risk or provide direct patient care, but plays a key role in preparing, organizing, and executing quality and compliance functions. 

Supervisory Responsibility: None

Position Qualifications

Education: 

• Bachelor's degree in business administration preferred; High school diploma or GED required

Experience: 

• 1-3 years of healthcare experience required (behavioral health strongly preferred)
• Familiarity with The Joint Commission standards is preferred
• Ability to consistently demonstrate a high level of reliability, accountability and organizational understanding
• Proven experience using Excel

Responsibilities:

• Maintain and track compliance logs, regulatory requirements, and due dates
• Assist in preparation for surveys and audits (The Joint Commission)
• Support document gathering, organization and submission for regulatory review
• Support performance improvement initiatives
• Conduct basic internal audits using standardized tools and checklists
• Identify and escalate potential compliance risks or gaps to the CQCO
• Assist in gathering information related to incident reports and complaints
• Follow up with department leaders regarding action plans, compliance items, and deadlines
• Support patient advocacy efforts by identifying, escalating, and assisting in the resolution of patient concerns and compliance related issues
• Perform other duties/additional tasks assigned by the CQCO in support of departmental and organizational needs