CQI & Compliance Manager

The CQI & Compliance Manager is responsible for overseeing the agency's Continuous Quality Improvement (CQI)
program and ensuring compliance with all federal, state, licensing, contract, and accreditation requirements. This
position leads internal audits, quality assurance reviews, corrective action plans, policy monitoring, and performance
improvement initiatives to support positive outcomes for children, families, foster homes, and agency operations.
The CQI & Compliance Manager works closely with leadership, case management, foster home development, clinical
staff, interns, and external stakeholders to ensure Houston Strong Children Services maintains compliance while
continuously improving service delivery and placement outcomes.

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HOUSTON STRONG CHILDREN SERVICES Job Description

ESSENTIAL DUTIES & RESPONSIBILITIES

Compliance & Regulatory Oversight
• Monitor compliance with Texas DFPS Minimum Standards, SSCC requirements, Medicaid regulations, and
agency policies.
• Conduct routine audits of foster home records, youth files, personnel files, and provider documentation.
• Track licensing deficiencies and ensure corrective actions are implemented.
• Maintain agency readiness for licensing inspections, desk reviews, and monitoring visits.
• Review incident reports, investigations, and corrective action documentation for compliance.
Continuous Quality Improvement (CQI)
• Develop and implement the agency's CQI Plan.
• Analyze performance data and identify trends, risks, and opportunities for improvement.
• Lead quarterly quality assurance reviews.
• Prepare CQI reports for leadership, board members, and funding agencies.
• Monitor agency outcomes including:
◦ Placement stability
◦ Licensing timelines
◦ Foster parent retention
◦ Permanency outcomes
◦ Youth satisfaction
◦ Referral response times
◦ Training compliance

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HOUSTON STRONG CHILDREN SERVICES Job Description
File Review & Auditing
• Conduct monthly audits of:
◦ Foster Home Files
◦ Home Studies
◦ Personnel Files
◦ Youth Placement Records
◦ Clinical Documentation
◦ Contract Files
• Ensure all required signatures, assessments, training records, and documentation are complete.
• Develop audit tools, scorecards, and tracking systems.
Corrective Action Management
• Develop corrective action plans when deficiencies are identified.
• Monitor completion of corrective actions.
• Provide technical assistance and coaching to staff regarding compliance requirements.
• Follow up on repeat deficiencies and performance concerns.
Training & Staff Development
• Train staff, interns, and supervisors on compliance standards and documentation requirements.
• Develop quality improvement training materials.
• Provide ongoing coaching regarding documentation best practices.

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HOUSTON STRONG CHILDREN SERVICES Job Description
Data & Reporting
• Maintain compliance dashboards and performance metrics.
• Prepare monthly compliance reports.
• Track key performance indicators (KPIs).
• Present findings and recommendations to leadership.
Intern Oversight Support
• Assist with compliance monitoring of internship documentation.
• Review intern case documentation for quality and completeness.
• Coordinate with clinical supervisors regarding intern compliance requirements.

MINIMUM QUALIFICATIONS

Education
Bachelor's Degree required in one of the following fields:
• Social Work
• Human Services
• Public Administration
• Psychology
• Business Administration
• Related Field
Master's Degree preferred.
Experience
• Minimum 3 years of experience in foster care, child welfare, behavioral health, quality assurance, or compliance.
• Experience with DFPS licensing standards preferred.
• Experience conducting audits and compliance reviews preferred.
• Experience with CQI methodologies preferred.

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HOUSTON STRONG CHILDREN SERVICES Job Description

KNOWLEDGE, SKILLS & ABILITIES

• Strong understanding of child welfare regulations.
• Knowledge of Texas Minimum Standards.
• Excellent organizational skills.
• Strong attention to detail.
• Data analysis and reporting experience.
• Ability to identify trends and recommend solutions.
• Strong written and verbal communication skills.
• Ability to manage multiple deadlines and projects simultaneously.

KEY PERFORMANCE INDICATORS (KPIs)

The CQI & Compliance Manager will be evaluated on the following performance indicators:
KPI Target / Focus

File Compliance Rate 95%+
Licensing Deficiencies Measurable reduction year-over-year
Corrective Action Plans Timely completion within assigned deadlines
Audit Completion Rate 100% of scheduled audits completed on time
Training Compliance Rate Agency-wide compliance with required training
Placement Stability Measurable improvement over baseline
Foster Home Documentation Full compliance across active home files
Monthly Reporting Accurate and submitted on time, every month

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HOUSTON STRONG CHILDREN SERVICES Job Description

BENEFITS

• Health Benefits (if applicable)
• Paid Time Off
• Professional Development Opportunities
• Mileage Reimbursement
• Flexible Work Environment
• Opportunities for Advancement