QUALITY ASSURANCE NC in FUQUAY-VARINA, North Carolina at KidsPeace Childrens Hospital

Quality Assurance Specialist

About Us

KidsPeace is a private charity dedicated to supporting the behavioral and mental health needs of children, families, and communities. Since 1882, we have offered psychiatric hospital services, residential treatment programs, accredited educational services, and foster care programs. Our team works in an environment defined by compassion, creativity, collaboration, and a commitment to delivering hope and healing.

Position Overview

The Quality Assurance role for North Carolina is responsible for auditing clinical documentation, ensuring compliance with state and federal regulations, and supporting the enhancement of patient care systems. This position analyzes data from various internal and external sources and collaborates with program leadership, committees, and performance improvement teams to develop, implement, and monitor initiatives that drive performance, quality, and regulatory compliance.

What We Offer

• Competitive Compensation
• Generous PTO
• Tuition Assistance & Student Loan Forgiveness Programs
• Comprehensive Benefits – Medical, dental, vision, and even pet insurance
• Professional Growth Opportunities – Ongoing training, development programs, and clear pathways for career advancement
• Supportive Culture – A team environment built on collaboration, respect, and compassion

Key Responsibilities

• Ensure the accuracy, completeness, and regulatory compliance of clinical documentation within Electronic Health Record (EHR) systems, including critical incident reports, progress notes, treatment plans, and discharge summaries, in accordance with organizational, billing, state, and federal requirements.
• Evaluate service quality and monitor compliance with state, federal, Medicaid, and Joint Commission standards by conducting internal audits, supporting continuous survey readiness, and participating in or leading onsite external audits and accreditation surveys.
• Maintain instructor certification in SCM and Ukeru training programs and serve as a backup trainer for new and existing staff, providing education and support to ensure compliance with organizational training requirements and best practices.
• Support the development and implementation of Continuous Quality Improvement (CQI) initiatives, including tracking, monitoring, and ensuring completion of corrective action plans to promote sustained compliance and performance improvement.
• Facilitate Quality and Safety Committee (QSC) meetings and present quality, risk, and compliance findings, trends, and recommendations to North Carolina leadership and corporate committees.
• Track, analyze, and report patient care, quality, safety, and risk management data to support regulatory compliance, performance improvement efforts, and data-driven decision-making.
• Provide consultation, training, and technical assistance to programs, committees, cross-functional workgroups, and teams regarding compliance, data analysis, reporting, quality improvement, and performance management activities.
• Develop, maintain, and optimize policies, procedures, EHR forms, reports, and data management systems to enhance operational efficiency and ensure regulatory compliance.
• Conduct root cause analyses, quality investigations, and risk assessments to identify systemic issues and implement effective corrective and preventive actions.
• Monitor and analyze Key Performance Indicators (KPIs) and Key Quality Indicators (KQIs), identifying trends, risks, and opportunities for organizational improvement.
• Perform additional duties and responsibilities as assigned by management.

Qualifications

• Bachelor's degree in an appropriate discipline required.
• Experience and knowledge in the field of mental health preferred.
• Experience in Joint Commission accreditation and regulatory compliance preferred.
• Experience in data collection required.