CQI/UR Manager

CQI/UR Manager – Mental Health Services

Stepping Stones of Rockford, Inc.

Are you a licensed mental health professional who enjoys working with data, improving processes, and helping teams maintain high standards of care?

Stepping Stones of Rockford, Inc. is seeking an experienced and detail-oriented Continuous Quality Improvement/Utilization Review (CQI/UR) Manager to join our team. This is a leadership-level position for someone who enjoys looking at the bigger picture, identifying opportunities for improvement, and helping an organization maintain quality, compliance, and billing readiness.

What You'll Do

As our CQI/UR Manager, you will play an important role in supporting quality and compliance across the agency. Responsibilities include:

• Oversee Continuous Quality Improvement (CQI) and Utilization Review (UR) activities.
• Review clinical documentation for quality, accuracy, medical necessity, and compliance.
• Monitor Medicaid notes, IM+CANS, treatment plans, progress notes, discharge documentation, and other clinical records.
• Track and analyze quality, productivity, utilization, compliance, and performance data.
• Prepare reports that help leadership identify trends and make informed decisions.
• Monitor missing, incomplete, overdue, or deficient documentation and communicate follow-up needs.
• Support documentation cleanup and billing readiness before billing deadlines.
• Assist with CARF accreditation, SAMHSA grant requirements, payer reviews, external audits, and other regulatory activities.
• Serve as a resource for staff and supervisors regarding documentation, utilization management, productivity, billing requirements, and agency procedures.
• Provide administrative and operational support for the agency's electronic health record system, including troubleshooting, testing, forms, workflows, user access, and staff assistance.
• Participate in the implementation and monitoring of AI-assisted clinical documentation and compliance technology.
• Assist with quality improvement projects and other agency initiatives.

What We're Looking For

The ideal candidate is someone who can work independently, manage multiple priorities, meet deadlines, analyze information, and communicate effectively with employees at all levels of the organization.