Responsible for improving clinical quality performance measures; Develops and implements performance improvement projects; Utilizes data to develop intervention strategies to improve outcomes; and Reports quality improvement/performance outcomes. Management and delivery of effective and comprehensive training plan and training curriculum that meets the individual and agency needs and ensures compliance with all overseeing entities.
Essential Functions (duties):
1. Conducts quality assessment and improvement activities including investigating, evaluating, resolving, and tracking trends on key quality of care items and issues identified in the care delivery cycle.
2. Analyze and interprets data, and effectively communicates findings.
3. Reviews and analyzes identified electronic clinical documentation.
4. Presents reports summarizing measured activities, identified interventions, and results of continuous quality improvement efforts on outcomes over short and longer periods of time, to department leadership.
5. Analyzes, updates, and modifies standard operating procedures and processes to continually improve QI Department services and operations.
6. Works with the Director of Quality Assurance (QA) to convene various QA committees and work groups, set agenda to drive desired meeting outcomes, and ensure proper recording of committee activities.
7. Participate as requested by the Director of QA in QA Plan and Work plan development and evaluation on an annual basis.
8. Assist Director of QA with ensuring agency compliance with COA Accreditation and licensure requirements.
9. Assist Director of QA with all COA Accreditation and licensure efforts.
10. Acts as knowledge expert for continuous quality improvement activities, educating staff of other functional areas regarding QA process and accreditation requirements.
11. Performs various quality department functions and processes, such as quality of care complaint/adverse event review, assessment of clinical record review results and recommend actions to address any identified improvement opportunities.
12. Track and monitor submission of all agency deliverables to ensure compliance with requirements and due dates.
13. Manages and monitors clinical quality studies to include receipt and analysis of trended data, assessment of national benchmarks as available, development of improvement recommendations, presentation to leadership, implementation of plan, and evaluation for desired result.
14. Develops systems for close coordination of QA related functions with departments whose activities are directly a part of the QA Program.
15. Coordinate with agency department leaders to review and revise agency policies, procedures, and desktop procedures for presentation to the Leadership team for review and approval.
16. Conduct analysis of all complaint data to identify trends and opportunities for technical assistance and performance improvement.
17. Meet with staff at various levels of the organization to coordinate QA activities and data reporting in order to consolidate this information into high-level program documents (i.e., statewide quality data reports).
18. Manage and oversee clinical documentation review and audit schedule, including assignment of New Employees for auditing purposes.
19. Develop and deliver training to comply with agency Training Plan.
20. Analyze and evaluate training effectiveness and provide reports and recommendations to Director of QA.
21. Assist in identifying training needs and coordinate curriculum development with program directors.
22. Develop and conduct HIPAA training.
23. Develop, oversee and conduct New Employee Orientation in collaboration with relevant agency departments.
24. Coordinate with Human Resource Department to ensure staff compliance with agency training expectations.
25. Monitor and manage training curriculum to ensure compliance with RBHA, COA, ADHS/DBHS, and licensure requirements.
26. Develop agency training based on policy, procedure, and desktop procedure updates and changes.
27. Conduct additional training's as identified by the agency.
28. Follow current best practices in training development, provision and evaluation.
29. All other duties as assigned by supervisor.
Minimum Education and Experience:
- Bachelor’s Degree in a behavioral health related field and two years’ experience in Behavioral Health quality management and performance improvement systems.
- At least two years of progressively responsible clinical and quality management/performance improvement experience.
- Knowledge of Arizona Child Model and CFT process.
1. Must be 21 years of age.
2. Possess an Arizona driver’s license and state mandated auto insurance.
3. Possess or be able to obtain a Level One Fingerprint Clearance Card.
4. Must be able to pass a 5-panel drug screen.
Competency (knowledge, skills, and abilities):
1. Problem solving—the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
2. Interpersonal Skills—the individual maintains confidentiality, remains open to others’ ideas and exhibits willingness to try new things.
3. Oral communication—the individual speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.
4. Written Communication—the individual edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information.
5. Planning/organizing—the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.
6. Quality control—the individual demonstrates accuracy and thoroughness and monitors own work to ensure quality.
7. Adaptability—the individual adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.
8. Dependability—the individual is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.
9. Safety and security—the individual actively promotes and personally observes safety and security procedures, and uses equipment and materials properly.
10. Must meet all licensing and contracting requirements for agency personnel.
Why Work Here?In 1974, Open Hearts began with a dream to develop a new model of community-based services. We meet people in vulnerable situations right where they are in order to build on their strengths, expand their opportunity to cope, and empower them to strive toward a better future. As a 501(c)3 not-for-profit organization, we remain dedicated and true to our mission to provide holistic, quality services to support the well-being of people and the communities to which they belong.
Open Hearts provides integrated mental health and wellness services, sound clinical practice, driven by a team-based approach.