Quality and Compliance Generalist

Job Description:

Quality & Compliance Generalist Reports To :

Chief Quality and Compliance Officer (CQCO) Position Summary The Quality & Compliance Generalist supports the organization's 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. Key Responsibilities Compliance & Regulatory Support Maintain and track compliance logs, regulatory requirements, and due dates Assist in preparation for surveys and audits (e.g., The Joint Commission, Centers for Medicare & Medicaid Services) Support document gathering, organization, and submission for regulatory reviews Monitor policy review cycles and follow up with responsible parties to ensure timeliness Quality & Performance Improvement Assist in coordination and preparation of QAPI (Quality Assurance and Performance Improvement) activities Collect, enter, and organize quality data for reporting and analysis Support performance improvement initiatives (e.g., PDCA cycles, basic Lean methodologies) Prepare reports, dashboards, and summaries for leadership review Audits & Monitoring Conduct basic internal audits using standardized tools and checklists Identify and escalate potential compliance risks or gaps to the CQCO Track audit findings and follow up on corrective action plans Incident, Complaint, and Investigation Support Assist in gathering information related to incident reports and complaints Conduct preliminary fact-finding for lower-complexity issues as assigned Track investigation status and ensure timely follow-up Maintain organized documentation of all activities Coordination & Accountability Follow up with department leaders regarding action plans, compliance items, and deadlines Maintain training, certification, and compliance records Serve as a liaison between departments and the Quality/Compliance function Patient Advocacy & Safety Support patient advocacy efforts by identifying, escalating, and assisting in the resolution of patient concerns and compliance-related issues Maintain awareness of patient safety risks while present in clinical areas and escalate concerns as appropriate Other Duties Perform additional tasks as assigned by the CQCO in support of departmental and organizational needs Qualifications Education Bachelor's degree preferred High school diploma or GED required Experience 1-3 years of healthcare experience required (behavioral health strongly preferred) Experience in quality, compliance, medical records, risk management, or accreditation support preferred Certifications Basic Life Support (BLS/CPR) required or must be obtained within 7 days of hire and maintained throughout employment Crisis Prevention Intervention (CPI) certification required or must be obtained within 7 days of hire and maintained throughout employment Training will be provided by the organization Skills & Competencies Strong organizational skills with ability to manage multiple priorities Attention to detail and accuracy in documentation Ability to read, interpret, and apply policies, standards, and regulations Basic data management and reporting skills Effective written and verbal communication Ability to follow up persistently and hold others accountable without direct authority Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) Preferred Qualifications Familiarity with The Joint Commission standards Experience with incident reporting systems and complaint management Exposure to Lean, Six Sigma, or PDCA methodologies Experience supporting audits, tracers, or survey readiness activities Work Environment / Role Expectations Work involves both administrative and clinical environment exposure, including behavioral health patient care areas Requires interaction with patients, staff, and leadership across departments Must be able to respond appropriately to emergency situations in accordance with training (e.g., initiating BLS until clinical staff respond, utilizing CPI techniques for personal safety and de-escalation) Not responsible for providing direct patient care May require availability during evenings, nights, and weekends to support departmental and organizational needs May be required to cross-train in related functions to support operational efficiency and departmental coverage Must maintain confidentiality and handle sensitive information appropriately

Pay:

$22.00 - $24.00 per hour

Benefits:

401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person