Manager, Quality and Privacy

2 months ago


Vancouver, Canada Coast Foundation Society 1974 Full time

**Status: Permanent, Full-time**

**Salary Range**:$75,587 - mid: $92,000 - $108,656**

**Location: Head-Office/Hybrid**

**Schedule: Monday - Friday: 9am to 5pm**

**Job Summary**:
The Manager, Quality and Privacy is responsible for quality management and privacy, including oversight of policy and procedure documents, external assessment (i.e. Accreditation), incident management reviews, client privacy, quality assurance / quality control and education.

Reporting to the Executive Director, Program Services, the Manager, Quality and Privacy participates in the planning, development, implementation, and evaluation of quality and client safety initiatives. Working collaboratively with Coast Program Managers, and stakeholders, the Manager completes accreditation planning activities, and acts as the on-site lead during audits, ensuring smooth interactions with auditors and facilitating successful site visits. The Manager also works with other managers to support the development and tracking of key performance indicators.

**Key Responsibilities**:

- **Accreditation**
- Develop and manage an accreditation project plan.
- Conduct surveys and manage the instructional manual.
- Track deadlines for accreditation, gathering and submitting documentation as per the established timelines.
- Participate in the preparation of Accreditation documents.
- Work collaboratively with agency leads, managers and executive team to ensure the standards are consistently adhered to across the Society.
- Assist with the writing of Coast policies which are in alignment with Accreditation Canada standards.
- Act as a liaison with Accreditation Canada.
- Serve as the agency’s on-site lead when audits occur, scheduling interviews, liaising with auditors, and ensuring site visits go smoothly.
- **Quality and Client Safety Systems**
- Manage the delivery of quality and safety services in collaboration with various teams.
- Ensure up-to-date, complete and accurate policies and procedures are in place.
- Organize, synthesize, and analyze clinical data to drive continuous improvement.
- **Key Performance Indicators**
- Support the development of actionable key performance indicators and operational plans.
- Collaborate to develop scorecards, dashboards, and reports.
- Drive data-informed decisions for clinical quality and safety.
- **Privacy**
- Lead the maintenance, updating and evaluation of a comprehensive Privacy program within Coast Mental Health.
- Responsible for the development of contracts, privacy impact assessments, privacy management and accountability documentation, and the privacy education program.
- Maintain privacy of electronic client records.
- Respond to incidents and provides training.
- Provide legislative interpretation and program and project advice to staff.
- Maintain current knowledge in the field of privacy - monitoring the trends and landscape of the field.
- **Related Responsibilities**
- Manage operational plans aligned with our strategic goals.
- Participate in policy and procedure development.
- Prepare reports for the Executive Director.
- Participate in Coast Committees as required.
- Maintain positive relationships with stakeholders,
- Assume responsibility for other duties and special projects as assigned.

**Qualifications**:

- Bachelor's Degree in business administration or other relevant discipline, plus three to seven (3 to 7) years' recent, related experience preferably in a health care setting, or an equivalent combination of education, training and experience.
- Knowledge of pertinent laws and legislation, including and not limited to Freedom of Information and Protection of Privacy Act.
- Training and experience using quality improvement methodologies.
- Training and experience in data analysis, presentation and interpretation.
- Successful completion of a Criminal Records Check.
- Successful completion of WHMIS certification

**Skills and Abilities**:

- Excellent communication and interpersonal skills to build and maintain effective relationships within a multidisciplinary environment, with people from diverse backgrounds.
- Critical thinking skills and proven ability to effectively manage human and fiscal resources.
- Demonstrated understanding and experience of quality assurance process, operational planning and program development.
- Demonstrated basic computer literacy with word processing, spreadsheet and/or database programs and ability to utilize a computerized client information system.
- Experience with Accreditation Canada would be considered an asset.
- Ability to exercise sound judgment, sensitivity, critical thinking and effective decision-making.
- Ability to communicate effectively, both verbally and in writing, with all levels of the organization, including advanced complaints management best practices, presentation and writing skills.
- Ability to analyze and problem-solve complex issues towards effective solutions.
- Ability to participate in, and facilitate inter-disciplina



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