Quality Improvement Manager

*** $1,000.00 Sign-On Bonus Available ***

Job Details:
Position Title: Quality Improvement Manager  
Employment Status: Full Time
Location: Greeley, Colorado 
Position #: 3139
Salary Range: $62,600.00/yr. - $93,892.00/yr.

The base compensation represents the entry point of the salary range. Salary placements will vary and may be above the starting wage based on factors including but not limited to location, experience, education, and licensure. Salary placements generally occur between the starting wage and the midpoint of the salary range.

Our Vision- Where Hope Begins and Change is Possible


 The Quality Improvement and Compliance Network staff assist with supporting the operational and clinical aspects of North Range Behavioral Health.  This position requires the use of independent judgment, originality, and the application of support, technical, and human relations skills as they relate to process improvement activities and data/reports to meet quality and compliance-related requirements. Assists the team with maintaining and monitoring quality improvement systems and clinical documentation standards across the organization. Will assist in improvements as needed. Staff assists the Quality/Compliance Network with project tasks and assignments. Reports results to oversight bodies as directed.

Quality Improvement is the foundational component utilized in the evaluation of behavioral health services within North Range Behavioral Health. The philosophy is embedded in practice by adopting quality assistance and a user-friendly approach that emphasizes teamwork, collaboration, and systemic changes. The outcome of quality is to provide customers with a wide array of quality, cost-effective, and efficient services that improve the health, safety, and well-being of individuals within the community.

Position Summary:
With a Customer First and Compassionate approach, the Quality Improvement Manager will:

  • Document standard operating processes and prepare routine reports; assist with the development of policies and procedures that lead to compliance and improve programs and processes.
  • Design and implement internal surveys related to quality activities for staff. Analyze data and report findings.
  • Ensure effective chart review process; analyze and evaluate charts; summarize and share findings with appropriate supervisors and managers; investigate progress notes for accuracy of clinical content and procedure billing codes.
  • Identify clinical staff in need of chart documentation training; develop training material, and conduct training for managers, supervisors, and staff as assigned.
  • Develop and implement tracking forms and systems to audit chart documentation to federal, state, and county regulations; identify and recommend methods to streamline procedures and improve efficiency.
  • Collaborate with supervisors to prepare for audits by governmental entities (i.e., Office of Behavioral Health) and other partners and funders and serve as a leader in such audits.
  • Evaluate audit findings of non-compliance with agency and/or regulatory standards.
  • Aid the staff in implementing the CAP including providing/arranging training and identifying additional resources for the staff to implement the plan.
  • Manage critical incident processes; work with supervisors, managers, and staff to report critical incident(s) according to policy and procedure; provide debriefing and support services as necessary.
  • Collect and analyze data for numerous agency programs to determine compliance with quality standards (i.e., level of service, capacity, client satisfaction, etc.), review productivity, and assess quality improvement trends, prepare and provide recommendations for remediation when needed.
  • Identify training needs and collaborate with the Chief Culture Officer to conduct staff development activities/training with an emphasis on improving quality, documentation, and the efficacy of clinical work on a regular basis.
  • Work with teams to identify efficiency gains driven by training and quality initiatives.
  • Report statistical findings to various constituents (i.e., board members, colleagues, community, and community consumer advocate groups, etc.) in an easily understandable manner.
  • Ensure compliance with federal, state, and local regulations for Mental Health Care Providers and Addiction Counselors.
  • May provide oversight for grievance and complaint processes; assure the quality of work meets all relevant rules and regulations, and agency policy.
  • Research data and information requirements and prepare preliminary analysis; prepare accurate and timely reports/recommendations for action based on findings.
  • Represent the department in committee, agency, and community meetings as necessary.
  • May provide management support for other agency managers as requested by Administrative Directors.

Minimum Qualifications:


  • Master's degree from an accredited college or university in Psychology, Social Work, Public Health, or related field is REQUIRED.


  • 3 years' experience, in a health or behavioral health care setting working in quality improvement, quality assurance, or risk management.
  • Experience leading groups in the assessment of programs and processes, development of solutions, and implementation.
  • Experience in the development and management of in-service training and education is highly preferred.

Additional Eligibility requirements, as required by the Colorado Department of Public Health and Environment (CDPHE):

  • Annual Flu Vaccine
  • COVID-19 Vaccine (Exemptions available upon hire according to company policy)
  • Annual TB Testing may be required

Knowledge of:

  • Federal, state, and local regulations regarding delivery and documentation of behavioral health services.
  • Electronic health record documentation practices
  • Rules and regulations of insurance documentation requirements
  • Professional and ethical guidelines as outlined by the State of Colorado.
  • Educational and continuing education requirements for licensed behavioral health professions for the State of Colorado.
  • Quality improvement and compliance activities, indicators, methodologies, and standards of quality assurance.
  • Organization structure, workflow, and operating procedures.
  • Organizational sensitivity regarding complex relationships with federal, state, and local agencies, government entities, and grant funders.

Skills/Abilities to:

  • Prevent errors by continuously clarifying and improving processes.
  • Create and present information and instructional education materials, train adult learners in small and large groups, adjusting training methods as needed.
  • Plan, organize, time manage, and prioritize multiple tasks and assignments. Use effective follow-through.
  • Read, analyze, and interpret related professional periodicals, journals, financial reports, technical procedures, or government regulations on a regular basis.
  • Write and speak clearly and succinctly in a variety of communications settings and styles; summarize findings and present them in ways easily understandable to the audience.
  • Strong attention to detail, organization, and accuracy of the information, including the ability to organize large amounts of data and track multiple projects simultaneously, setting priorities for analysis and use in consultation with numerous stakeholders.
  • Value diversity and be culturally sensitive.
  • Work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational effectiveness.
  • Maintain confidentiality.

Benefits and Perks:
This position may be eligible for the Loan Repayment Program through our partnership with the Colorado Health Services Corps (CHSC), National Health Service Corps (NHSC), or the National Health Service Corps Star Program. Additionally, we provide a comprehensive compensation and benefits package including:

  • Collaborative and Compassionate team culture
  • Competitive compensation structure
  • Medical Insurance, Dental Insurance, Vision Insurance, Basic Life and AD&D insurance, Professional Liability/Malpractice Insurance, Flexible Spending Accounts, Health Savings Accounts
  • Excellent Paid Time Off (PTO) and Extended Leave Bank hours
  • Access to Employee Assistance Programs
  • 403 (b) Retirement Plan with employer contribution
  • Supervision Hours and Group Supervision Hours
  • Professional Development Tuition Assistance Program
  • Employee Recognition Program 
  • Discounts at participating community and national vendors

North Range Behavioral Health is among the largest employers in Weld County. Our team members are supported and encouraged, and we strongly believe in the importance of a healthy work/life balance. We provide our employees with cutting-edge tools, training, and thoughtful supervision in professional development. We thrive on hearing from our employees and encourage the sharing of ideas.

North Range Behavioral Health is an Equal Opportunity Employer.