Volunteers of America National Services (VOANS) · 8 hours ago
Regional Quality Manager- Kentucky
Louisville, KY
Full-time
Hybrid
Mid, Senior Level
$76K/yr - $86K/yr
5+ years expVolunteers of America National Services (VOANS) Healthcare is seeking a Regional Quality Manager (RQM) to lead and advance quality improvement efforts across an assigned region. The RQM will ensure high-quality and compliant care by connecting operational leaders with corporate quality, compliance, and clinical expertise, while implementing the VOANS Healthcare quality improvement framework.
Non-profit Organization Management
Responsibilities
Lead and support the quality improvement process at each assigned program or facility, ensuring alignment with QAPI and VOANS Healthcare standards
Facilitate building-level quality or QAPI meetings with operational leadership and interdisciplinary teams
Help identify priority performance issues and develop structured performance improvement plans (PIPs) that address root causes
Ensure PIPs include clear metrics, interventions, monitoring strategies, and defined success criteria
Monitor PIP progress, barriers, and sustained outcomes, providing coaching and support to leaders throughout the improvement cycle
Promote integration of quality improvement into daily workflows, decision-making, and leadership practices
Analyze building-level quality data (e.g., audit results, survey outcomes, incident trends, PCC data, quality measures, BI dashboards)
Identify patterns, performance gaps, emerging risks, and opportunities for improvement
Develop and distribute data summaries, quality scorecards, and trend reports for local and regional leaders
Support operational leaders in understanding and using data to drive performance improvement
Collaborate with BI/PBI analysts to ensure dashboards and reports meet operational and quality oversight needs
Lead the building-level incident management process, ensuring timely follow-up, accurate documentation, meaningful RCAs, and strong communication
Ensure Quality Managers and operational leaders understand the regulatory significance of incidents (with support from the Regulatory Specialist)
Facilitate or guide root cause analyses (RCAs) when incidents have safety, compliance, or regulatory implications
Ensure corrective actions are defined, assigned, implemented, and monitored to completion
Identify trends from incidents and collaborate with leadership to mitigate systemic contributors
Serve as the primary facilitator for corrective actions arising from audits, incidents, survey findings, and performance deficits
Collaborate closely with building-level operational leadership to ensure corrective actions are specific, measurable, addressing root causes, feasible and realistic, and monitored over time
Track CAP/PIP implementation, verify completion, and assess sustained effectiveness (via data, observation, or follow-up review)
Ensure transparent, consistent communication between operations and corporate quality leadership regarding progress and barriers
Act as the primary connector between building-level operational leaders and the broader VOANS Performance Excellence infrastructure, including Regulatory Specialist, Clinical Specialist, Quality Director, Internal auditors, Compliance leadership, and PCC/clinical documentation support
Ensure operational leaders know what resources exist, when to access them, and how to integrate them into action plans or improvement efforts
Bring forward issues requiring regulatory interpretation, clinical consultation, or higher-level support
Ensure the full capabilities of the Performance Excellence Team are deployed effectively within the region
Partner closely with the Clinical Specialist to support clinical RCA components, review of clinical practices/competencies, clinical documentation quality, and infection prevention monitoring
Support for clinical components of PIPs or corrective actions and work jointly to ensure alignment between quality goals and clinical best practices
Coordinate site visits, educational efforts, and clinical focus reviews in collaboration with the Clinical Specialist
Ensure operational leaders receive consistent, aligned messaging from the quality and clinical teams
Collaborate with the Regulatory Specialist to ensure regulatory interpretation of identified issues is accurate and integrated into improvement planning
Coordinate with internal auditors on audit findings, follow-up needs, and clarification requests
Convert regulatory and audit feedback into actionable steps for operational teams
Ensure regional awareness of recurrent themes from internal audits and regulatory reviews
Participate in preliminary survey exit reviews and help operational teams determine immediate action steps
Lead building-level processes for post-survey review, corrective action planning, and tracking of sustained changes
Ensure operational leaders understand the quality and system-level implications of survey findings
Communicate progress and barriers to corporate quality leadership and the Regional VP
Provide coaching and training to EDs, DONs/Clinical Directors, department managers, and front-line staff on quality improvement processes, RCA and documentation expectations, effective monitoring and follow-through, and use of QAPI tools and quality systems
Support onboarding of new building-level leaders and familiarize them with VOANS quality systems
Reinforce regulatory and quality expectations developed by the Regulatory Specialist and corporate quality leadership
Conduct targeted follow-up reviews to ensure improvements implemented through CAPs or PIPs remain in place
Validate whether operational practices have changed as intended
Identify early warning signals of backsliding and engage leadership with timely recommendations
Participate in division-wide quality initiatives to promote standardization and reduce variation across the organization
Serve as a communication conduit for emerging issues, high-risk trends, and operational feedback
Collaborate with other Regional Quality Managers to exchange best practices and improve system reliability
Maintain a meaningful, predictable presence (on-site and virtual) at each assigned program/facility
Build trust-based, collaborative relationships with operational leaders, clinicians, and staff
Position the Quality Manager as a credible, supportive partner and coach for quality improvement and compliance work
Ensure required quality-related reporting is completed accurately and on time in collaboration with operational leadership and the Regulatory Specialist (e.g., abuse/neglect reports, accidents/incidents, ELFs/ALFs state-required submissions, SNF federal reporting requirements, PACE-required notifications)
Serve as the quality point of coordination to ensure the right stakeholders (Regulatory Specialist, operations, legal, clinical leadership) are involved when determining reportability or documentation elements
Track the timeliness and accuracy of required reporting to ensure compliance with state and federal rules
Support implementation and oversight of on-site quality systems such as grievance and complaint processes, customer experience/satisfaction survey processes, tracking and monitoring of required follow-up actions, and quality documentation systems (e.g., PCC, PACE documentation platforms)
Ensure grievances and complaints are investigated promptly, resolved appropriately, and documented in alignment with organizational expectations
Collaborate with operational leadership to strengthen documentation practices and process reliability
Conduct targeted on-site quality audits or focused reviews, in coordination with internal auditors, Clinical Specialists, Regulatory Specialists, Quality Directors or VP of Compliance
Use audit tools and quality monitoring instruments developed by the Performance Excellence Team to assess compliance with internal standards
Validate that corrective actions implemented following audits or surveys are functioning as intended during on-site reviews
Document findings and communicate them clearly to operational leaders with actionable recommendations
Assist with implementation of division-wide quality initiatives, pilot projects, or system rollouts (e.g., new Smartsheet systems, PCC workflows, policy rollouts, updated quality monitoring tools)
Participate in interdisciplinary workgroups focused on improving quality systems or standardizing practices across business lines
Represent the assigned region in project-related meetings and serve as the local coordinator for implementation tasks
Ensure quality-related documentation—incident follow-up, PIPs, quality meeting minutes, monitoring tools, grievance logs—is complete, accurate, and maintained according to organizational standards
Support building leaders in developing systems to maintain organized, accessible quality records for survey readiness and ongoing monitoring
Qualification
Required
Strong ability to create, build, and maintain productive relationships at all levels
Must have a valid driver's license, proof of insurance and means of transportation
Education: A bachelor's degree in a healthcare-related field (e.g., Healthcare Administration, Health Services Management, Nursing, Public Health, Health Information Management, or a related discipline) is required. An equivalent combination of education and relevant experience may be considered in place of a degree
Experience: Requires a minimum of five (5) years of healthcare experience, including at least three (3) years in senior care settings such as skilled nursing, assisted living, PACE, or home health, with two (2) or more years of direct experience in quality improvement, compliance, or regulatory support
Preferred
Licensure and Certification: Certified Professional in Healthcare Quality (CPHQ) or other healthcare quality certification preferred but not required
Company
Volunteers of America National Services (VOANS)
Volunteers of America National Services serves at the Housing and Healthcare affiliate of the Volunteers of America parent organization.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
David Nisivoccia
Executive Vice President and Chief Operating Officer
Lindsey O'Connell
Talent Acquisition Partner
Company data provided by crunchbase