Job Description
Position Title: Clinical Continuous Quality Improvement Manager
Department: Clinical Operations/CCBHC
Reports to: Director of Clinical Operations and Analytics
FLSA Status: Exempt
Employment Status: Full Time
Revised: October 2026
General Purpose
The Clinical Continuous Quality Improvement (CCQI) Manager serves as Solvista Health’s lead for clinical quality improvement and CCBHC quality management activities. This position is responsible for establishing and maintaining a formal Clinical Continuous Quality Improvement (CCQI) Program that promotes accountability, compliance, service excellence, and organizational learning.
The CCQI Program serves as Solvista Health’s framework for clinical quality improvement and fulfills the organization’s Continuous Quality Improvement (CQI) requirements under CCBHC standards.
Working under the direction of the Director of Clinical Operations and Analytics, the CCQI Manager collaborates with leaders across the organization and partners closely with the Community Liaison Director to develop, implement, and sustain a comprehensive CCQI Plan, CCQI Governance Structure, implementation strategy, performance measures, and accountability framework.
This position works collaboratively with the Quality Manager to support the organization’s overall Quality Management Program. While the Quality Manager maintains primary responsibility for quality assurance activities, audits, compliance monitoring, and regulatory reviews, the CCQI Manager leads the organization’s performance improvement efforts by using data, stakeholder feedback, outcome measures, and evidence-based practices to improve access, engagement, service quality, operational effectiveness, and clinical outcomes.
To perform this job successfully, and individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Duties/Responsibilities
Clinical Continuous Quality Improvement Leadership
- Develop, implement, and maintain the organization’s CCQI Plan.
- Establish and facilitate the CCQI Governance Structure, including committees, reporting processes, accountability systems, and performance improvement priorities.
- Lead organization-wide CCQI initiatives aligned with strategic goals, CCBHC requirements, and regulatory expectations.
- Serve as the organizational lead for clinical quality improvement and performance improvement efforts.
- Promote a culture of accountability, performance improvement, and continuous learning throughout the organization.
- Monitor organizational performance and ensure improvement activities are effectively implemented and sustained.
- Performance Monitoring and Improvement
- Develop and maintain organizational performance measures, quality indicators, dashboards, and reporting processes.
- Collect, analyze, and interpret quality, operational, and outcome data to identify trends, service gaps, risks, and opportunities for improvement.
- Monitor client outcomes, access measures, satisfaction data, survey results, audit findings, and other performance indicators.
- Partner with the Quality Manager to identify audit findings, compliance concerns, and quality indicators requiring performance improvement activities.
- Develop and monitor improvement plans in response to identified trends, quality concerns, and organizational priorities.
- Evaluate the effectiveness of improvement interventions and recommend strategies to sustain gains and improve outcomes.
- Prepare and present quality and performance reports to leadership teams, CCQI Committees, Quality Management Committees, and governing bodies.
- Support leaders in developing and implementing performance improvement initiatives.
- Quality Management Collaboration
- Serve as an active participant in organizational Quality Management meetings and committees.
- Partner with the Quality Manager to ensure alignment between quality assurance activities, compliance initiatives, and CCQI efforts.
- Present performance data, quality indicators, outcome measures, and improvement initiatives during Quality Management meetings.
- Collaborate with clinical and operational leaders to prioritize improvement activities based on audit findings, outcome data, client feedback, and organizational priorities.
- Support the development of annual quality goals and organizational improvement priorities.
- Ensure recommendations and action items from Quality Management meetings are incorporated into CCQI activities and improvement plans.
- Community and Stakeholder Collaboration
- Partner with the Community Liaison Director to incorporate community needs assessment findings, stakeholder feedback, Member Advisory Council recommendations, and client voice into CCQI activities and organizational priorities.
- Collaborate with operational and clinical leaders to identify barriers to care and opportunities to improve services and the client experience.
- Facilitate cross-functional CCQI initiatives, teams, and workgroups.
- Support initiatives designed to improve access, engagement, service quality, equity, and health outcomes.
- Quality Assurance and Compliance
- Coordinate CCQI activities arising from audits, chart reviews, compliance monitoring, and regulatory findings.
- Support organizational readiness for CCBHC certification, audits, reviews, and ongoing compliance requirements.
- Track CCQI activities, action plans, and outcomes to ensure accountability and follow-through.
- Maintain documentation of CCQI activities, findings, recommendations, and outcomes.
- Participate in leadership meetings, grant-related activities, and organizational planning efforts.
- Other Duties/Responsibilities
- Performs other duties as assigned.
- Attend required staff meetings.
- Maintain prompt and regular attendance.
- Performs other duties as assigned.
Supervisory Duties (if any)
- Coordinates and facilitates CCQI Committees, performance improvement teams, and quality improvement workgroups.
- Serves as a key participant in organizational Quality Management activities and collaborates closely with the Quality Manager to advance agency-wide quality goals.
- May provide administrative supervision to quality improvement staff, interns, contractors, or project-based personnel as assigned.
- Provides consultation and technical assistance to leaders and teams regarding clinical quality improvement methodologies, performance improvement practices, outcome measurement, and organizational performance improvement.
Knowledge, Skills, and Ability
Knowledge of clinical quality improvement principles, performance management, outcome measurement, data analytics, and process improvement methodologies.
Knowledge of behavioral health operations, CCBHC requirements, and applicable federal and state regulations.
Knowledge of performance improvement frameworks, change management principles, and healthcare quality measurement practices.
Ability to collect, analyze, interpret, and communicate complex data to a variety of audiences.
Strong project management, facilitation, organizational, and problem-solving skills.
Ability to lead cross-functional initiatives and build collaborative relationships across departments.
Strong written, verbal, and presentation skills.
Ability to manage multiple priorities and meet deadlines.
Demonstrates professionalism, integrity, sound judgment, and commitment to Solvista Health’s mission and values.
Education or Formal Training
Bachelor’s degree in behavioral health, Social Work, Psychology, Nursing, Public Health, Healthcare Administration, Quality Management, Data Analytics, Business Administration, or a related field required.
Master’s degree in behavioral health, Social Work, Counseling, Psychology, Public Health, Healthcare Administration, Nursing, or a related field preferred.
Active Colorado professional licensure preferred, including LCSW, LPC, LMFT, LAC, Licensed Psychologist, RN, or equivalent credential preferred.
Certification in healthcare quality, performance improvement, Lean, Six Sigma, or a related discipline preferred.
Experience
Minimum of three to five years of experience in quality improvement, performance improvement, healthcare operations, behavioral health, analytics, compliance, or a related field required.
Experience using data to identify opportunities, monitor outcomes, and drive organizational improvement required.
Experience leading organizational change, performance improvement, or clinical quality improvement initiatives preferred.
Experience in community behavioral health, CCBHC programs, healthcare quality management, accreditation standards, or grant-funded initiatives preferred.
Experience facilitating multidisciplinary teams and translating data into actionable improvement strategies preferred.
Working Conditions and Other Conditions of Employment
Working Environment
This position operates in a professional office and healthcare environment and routinely uses standard office equipment. Travel between organizational locations and community sites may be required.
Physical Activities
Ability to remain in a stationary position for extended periods of time.
Ability to operate a computer and other office equipment.
Ability to communicate effectively in person, by phone, and electronically.
Ability to occasionally lift or move items weighing up to 25 pounds.
Conditions of Employment
Must possess a valid Colorado driver’s license and maintain an acceptable driving record.
Must successfully pass all applicable background checks and screenings required by Solvista Health.
Must maintain confidentiality and comply with all HIPAA, regulatory, and organizational requirements.
Annual TB, federally required drug screening, and Influenza vaccination or compliance with policy and procedure.
Required possession of a valid state driver’s license.
Successful candidate must submit to and pass, post-offer drug screen.
Disclaimer
This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Duties and responsibilities may be added, modified, or reassigned as organizational needs evolve. Employees may be required to perform other job-related duties as assigned.
Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.
