• Directly supervises, manages, and oversees staff, including hiring and providing performance evaluations, salary recommendations, and individual development goals and objectives. • Oversees quality improvement activities in assigned area of the State, such as data collection, monitoring, and reporting quality improvement functions. • Leads and/or participates in key committees associated with continuous quality improvement, staff education, and/or consumer health and safety issues. • Collaborates with Directors to design and conduct reviews of select processes and/or areas of operation to measure performance on quality and compliance indicators; assimilates data from these reviews, provides recommendations for improvement and presents findings to senior management. • Develops and implements quality improvement related processes and tools such as chart audits, consumer satisfaction surveys, focused reviews, ongoing data monitoring mechanisms, etc. • Monitors compliance of After-Hours requirements, including the review of the On-Call Log for complete and appropriate responses; oversees the preparation of summary records for annual reviews; monitors and facilitates reporting of incidents per protocols. • Adheres to the CareStar Rule in performance of job responsibilities. • Understands and complies with CareStar Policies and Procedures. • Maintains confidentiality as related to patient information.