Posting number: FY2026-01509
Department: Behavioral Healthcare Services
Job classification: Quality Assurance Analyst
Posting type: Open
Categories: Administration, Health Services, Miscellaneous
Under the general supervision, this position is responsible for the development, implementation and coordination of agency-wide quality assurance and risk management programs. Reports to the Utilization Administrator.
Assists the Utilization Administrator with conducting internal review and evaluation of all programs; develops related quality assurance and management policies and procedures; prepares and maintains operating manuals and implements training programs; ensures all licensed department programs comply with all applicable licensure regulations and other regulatory requirements; to include the investigation and coordination of risk management incidents and other related matters.
Co-manages the development, implementation, and monitoring of local and state quality improvement plans; monitors evaluative data and risk management systems.
Monitors and maintains all agency incident reports; develops and coordinates Human Rights compliance with Utilization Administrator, assist with HIPAA and Corporate Compliance training; coordinate, review and update policies and procedures, and advises contractual programs.
Researches, reviews and interprets governmental and Commission on Accreditation of Rehabilitation Facilities (CARF) regulations; recommends and implements appropriate policy and procedure changes; coordinates and monitors all departmental outcome measurement activities with Substance Use Managers.
Assists the Utilization Administrator with the oversight of the Quality Improvement Committee; Assist with developing and conducting or recommending clinical staff training programs and participates on various local and statewide committees as needed. Manages the Safety Committee and related practices, including drills and inspections.
Performs other duties as assigned. Individual assignments will be determined by supervisor based on current workload and department needs.
Knowledge of Job Has thorough knowledge of the principles, practices, techniques and programs engaged in the evaluation and treatment of mental disorders, substance abuse and mental retardation. Has thorough knowledge of modern management practices and techniques. Has comprehensive knowledge of applicable quality improvement/program evaluation procedures, research and related statistical procedures. Knowledge of State certification requirements for mental health, mental retardation and substance abuse programs along with requirements for Medicaid and Joint Commission on Accreditation of Hospital Organizations (JCAHO). Has general knowledge of modern medical records administration systems and procedures. Has general knowledge of the principles and techniques of adult training. Is able to communicate effectively and prepare related documentation.
Quality of Work: Maintains high standards of accuracy in exercising duties and responsibilities. Exercises immediate remedial action to correct any deficiencies that occur in areas of responsibility. Maintains high quality communication and interacts with all departments, co-workers and the general public.
Quantity of Work: Maintains effective and efficient output of all duties and responsibilities as described under “Essential Job Functions.”
Dependability: Assumes responsibility for doing assigned work and for meeting deadlines. Completes assigned work on or before deadlines in accordance with directives, policies, standards and prescribed procedures. Accepts accountability for meeting assigned responsibilities in the technical, human and conceptual areas.
Attendance: Attends work regularly and adheres to policies and procedures regarding absences and tardiness. Provides adequate notice to supervisor with respect to vacation time and time-off requests.
Initiative and Enthusiasm: Maintains an enthusiastic, self-reliant and self-starting approach to meet job responsibilities and accountabilities. Strives to anticipate work to be done and initiates proper and acceptable direction for the completion of work with a minimum of supervision and instruction.
Judgment: Exercises analytical judgment in areas of responsibility. Identifies problems or situations as they occur and specifies objectives. Identifies or assists in identifying alternative solutions to problems or situations. Implements decisions in accordance with prescribed and effective policies and procedures and with a minimum of errors. Seeks expert or experienced advice and researches problems, situations and alternatives before exercising judgment.
Cooperation: Accepts supervisory instruction and direction and strives to meet the goals and objectives of same. Questions such instruction and direction when clarification of results or consequences are justified, i.e., poor communications, variance with policy or procedures, etc. Offers suggestions and recommendations to encourage and improve cooperation between all staff within the department.
Relationship with Others: Shares knowledge with supervisors and staff for mutual and departmental benefit. Contributes to maintaining high morale among all department employees. Develops and maintains cooperative and courteous relationships with department employees and managers in other departments, to project a good departmental image. Tactfully and effectively handles requests, suggestions and complaints from other departments and persons in order to maintain good will within the city. Emphasizes the importance of maintaining a positive image within the city. Interacts effectively with fellow employees, Service Administrator, professionals, consumers and the general public.
Coordination of Work: Plans and organizes daily work routine. Establishes priorities for the completion of work in accordance with sound time-management methodology. Avoids duplication of effort. Estimates expected time of completion of elements of work and establishes a personal schedule accordingly. Attends meetings, planning Sessions and discussions of time. Implements work activity in accordance with priorities and estimated schedules. Maintains a calendar for meetings and deadlines.
Safety and Housekeeping: Adheres to all safety and housekeeping standards established by the city and various regulatory agencies. Ensures that the standards are not violated. Maintains a clean and orderly workplace.
Planning: Plans, direct and uses information effectively in order to enhance activities and production of the department. Knows and understands the expectations of the city regarding the activities of the department and works to ensure that these expectations are met. Designs and formulates ways, means and timing to achieve the goals and objectives of the department and the city. Within the constraints of city policy, formulates the appropriate strategy and tactics for achieving departmental and city objectives. Organizes, arranges and allocates labor, financial and other designated resources in an efficient and effective way to achieve the goals and objectives of the assigned programs and departments.
Organizing: Organizes work and that of subordinate staff as necessary. Ensures that staff members know what results are expected of them and that they are regularly and appropriately informed of all city and department matters affecting them.
Staffing: Works with other city officials and management to select and recommend employment of personnel for the department who are qualified both technically and philosophically to meet the needs of the assigned programs and department. Personally directs the development and training of department personnel in order to ensure that they are properly oriented and trained.
Leading: Provides a work environment that encourages clear and open communications. Has a clear and comprehensive understanding of the principles of effective leadership and how such principles are to be applied. Provides adequate feedback to staff so that they know whether their performance levels are satisfactory. Commends outstanding performance, and takes disciplinary action when necessary. Exercise enthusiasm in influencing and guiding others toward the achievement of city and department goals and objectives.
Controlling: Provides a work environment that is orderly and controlled. Coordinates, audits and controls labor and financial resources efficiently and effectively. Coordinates, audits and controls the utilization of materials and equipment efficiently and effectively. Has a clear and comprehensive understanding of city standards, methods and procedures.
Delegating: Assigns additional duties to staff as necessary and/or appropriate in order to meet department goals, enhance staff abilities, build confidence on the job and assist staff members in professional growth. Has confidence in staff to meet new and additional expectations.
Decision-Making: Uses discretion and judgment in developing and implementing courses of action affecting the department. When a particular policy, procedure or strategy does not appear to be achieving the desired result, moves decisively and definitively to develop and implement alternatives.
Creativity: Regularly seeks new and improved methodologies, policies and procedures for enhancing the effectiveness of the assigned programs and the Department. Employs imagination and creativity in the application of duties and responsibilities. Is not adverse to change.
Human Relations: Strives to develop and maintain a good rapport with all staff members. Listens to and considers suggestions and complaints, and responds appropriately. Maintains the respect and loyalty of staff.
Policy Implementation: Has a clear and comprehensive understanding of city policies regarding the assigned programs and department function. Adheres to those policies in the discharge of duties and responsibilities and ensures the same from subordinate staff.
Policy Formulation: Keeps abreast of changes in operating philosophies and policies of the city and state; continually reviews department policies in order to ensure that any changes in city philosophy or practice are appropriately incorporated. Understands the relationship between operating policies and practices and department morale and performance. Works to ensure those established policies enhance such.
Requires a Bachelor’s degree in the Human Services or Healthcare related field and 3-5 years of professional work experience in quality assurance, compliance, program auditing.
An acceptable general background check to include a local and state criminal history check and sex offender registry check.
A valid driver’s license with an acceptable driving record.
Individuals in this position cannot be listed as having a founded child abuse or neglect complaint.
In the event of a declared emergency in the City of Portsmouth, individuals in this position are required to work shelter duty and may be called on to perform duties as required to provide for the safety and care of the citizens of the community.
Physical Requirements: Requires the ability to exert up to 25 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Physical demand requirements are those for sedentary work.
Data Conception: Requires the ability to compare and/or judge the readily observable, functional, structural, or compositional characteristics (whether similar to or divergent from obvious standards) of data, people or things.
Interpersonal Communications: Requires the ability of speaking and/or signaling people to convey or exchange information. Includes giving instructions, assignments and directions to co-workers or assistant, as well as receiving information and assignments from supervisor.
Language Ability: Requires the ability to read program and policy manuals, human service journals, financial and budget documents and statements, regulatory documents, regulations and other administrative references. Must be able to prepare correspondence, annual reports, diagrams, and budget and administrative documentation using prescribed formats and conforming to all rules and punctuation, grammar, diction and style. Requires the ability to speak to people with poise, voice control and confidence.
Intelligence: Requires the ability to apply principles of logical or scientific thinking to define problems, collect data, establish facts and draw valid conclusions; interpret an extensive variety of technical instructions in mathematical or diagrammatic form and deal with several abstract and concrete variables.
Verbal Aptitude: Requires the ability to record and deliver information, explain procedures, follow oral and written instructions. Must be able to communicate effectively using Standard English and using administrative and behavioral terminology.
Numerical Aptitude: Requires the ability to utilize mathematical formulas. Must be able to add, subtract, multiply and divide, determine percentages and calculate interest, profit and loss and proportions, etc.
Form/Spatial Aptitude: Requires the ability to inspect items for proper length, width and shape.
Motor Coordination: Requires the ability to coordinate hands and eyes rapidly and accurately in using a variety of office equipment.
Manual Dexterity: Requires the ability to handle a variety of items, such as office equipment. Must have minimal levels of eye/hand/foot coordination.
Color Discrimination: Requires the ability to differentiate between colors and shades of color.
Interpersonal Temperament: Requires the ability to deal with people beyond giving and receiving instructions. Must be adaptable to performing under varying levels of stress and when confronted with persons acting under stress (emergencies).
Physical Communication: Requires the ability to talk and/or hear: (talking – expressing or exchanging ideas by means of spoken words, hearing – perceiving nature of sounds by ear). Must be able to communicate via telephone.
The City of Portsmouth is an Equal Opportunity Employer. ADA requires the city to provide reasonable accommodations to qualified individuals with disabilities. Prospective and current employees are invited to discuss accommodations.
This is a class description and not an individual position description. A class specification defines the general character and scope of duties and responsibilities of all positions in a job classification but is not intended to describe and does not necessarily list the essential job functions for a given position in a classification.
The City of Portsmouth was founded in 1752 and incorporated by the Virginia General Assembly in 1858. Over 250 years old, the city is home to one of the world's greatest natural harbors, situated on the James and Elizabeth Rivers, which empties into the Chesapeake Bay. Portsmouth, with a land area of approximately 33 square miles and a population of 96,066, is located in the heart of the Hampton Roads Region. It is bordered by Chesapeake and Suffolk, respectively, to the south and west and the City of Norfolk to the east.
The City of Portsmouth boasts 75.8 miles of shoreline and is home to Mile Marker Zero of the Atlantic Intercoastal Waterway, which stretches from Maine to Florida. Part of one of the world’s largest natural harbors, Portsmouth is just 18 miles from the open sea. Portsmouth's location on navigable waterways has been a dominant force in the City’s rich maritime history and economy. Its location on the over 40-feet-deep Hampton Roads shipping channel and the presence of both the CSX and Norfolk Southern Railroads allows Portsmouth to support national and international port commerce activities and the military presence in the region.
Portsmouth derives its governing authority from a charter granted by the General Assembly of the Commonwealth of Virginia. The City's governing body is the City Council, which formulates policies for the administration of the City. The City's charter provides for a Council-Manager form of government.
