Indian Preference in hiring is given to qualified enrolled members of Ketchikan Indian Community (KIC) and Native Americans consistent with P.L. 93-638 and in accordance with KIC policy and other applicable federal laws.

Job Summary

The Health Systems Specialist ensures accreditation and licensing requirements are met for the Salmon Falls Healing Center and implements systems and processes under the direction of the Salmon Falls Healing Center Administrator. This position works collaboratively with the KIC Tribal Health Clinic Quality and Patient Safety team to align standards, share best practices, and maintain consistency across KIC health operations.

The incumbent is responsible for coordinating CARF accreditation readiness, supporting state licensing processes, developing and maintaining policies and procedures, managing quality improvement activities, and ensuring data collection and reporting systems support program integrity and compliance. This position serves as the operational bridge between Salmon Falls and KIC's established quality infrastructure while building systems specific to residential treatment operations.

 

Job Duties & Responsibilities

• Coordinates CARF accreditation activities, including gap analysis, standards implementation, documentation preparation, and survey readiness.


• Supports State of Alaska Division of Behavioral Health (DBH) licensing processes, including application preparation and ongoing compliance monitoring.


• Tracks accreditation and licensing timelines, ensures deadlines are met, maintains required documentation, audits and reviews to assess compliance with policies and accreditation requirements.


• Develops and implements Quality Improvement (QI) plans, policies, and procedures using data-driven approaches and QAPI methodologies.


• Collects, analyzes, and interprets program data to monitor performance, identify trends, and recognize risks to patients and the organization; maintains performance dashboards and prepares reports communicating QI findings to the Administrator, leadership, and stakeholders.


• Manages incident and adverse event reporting systems, ensuring processes are in place and sustained.


• Assists in developing, revising, and maintaining policies and procedures aligned with CARF standards, state regulations, and tribal requirements.


• Ensures policies address governance, risk management, human resources, clinical operations, and quality improvement; coordinates policy review processes and maintains organized documentation systems.


• Implements and maintains systems for admissions, referral tracking, billing documentation, utilization monitoring, and reporting.


• Supports electronic health record implementation and ensures documentation standards meet compliance requirements.


• Coordinates with KIC Finance, Health Services, and external partners (e.g. True North) to ensure system alignment and data integrity.


• Works collaboratively with the KIC Tribal Health Clinic Quality and Patient Safety Director and team to align quality standards, integrate processes, and share best practices.


• Attends meetings as a representative of Salmon Falls and facilitates workgroups as assigned.


• Participates in training initiatives and supports staff development related to quality and compliance; leads facilitation and training efforts for staff to understand accreditation and regulatory standards.


• Other related duties as assigned

Working Conditions

The physical demands described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. 

 

While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.  The employee is frequently required to stand and/or sit. The employee is occasionally required to walk, climb, or balance. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.  Specific vision abilities required by this job include close vision, peripheral vision, and depth perception.  The noise level in the work environment is usually average but may be loud during periods of construction.