Healthcare Quality and Performance Improvement Coordinator

Job Title:
Healthcare Quality and Performance Improvement Coordinator
Number of Positions Available:
Job Description:
The Healthcare Quality and Performance Improvement Coordinator is responsible for the coordination and management of the Agency's Quality and Performance Improvement Programs (QPI). This position will focus on quality assurance; incident/risk management; a data-driven QPI plan; quality indicators; healthcare best practices; and agency-wide quality improvement processes. The Healthcare Quality and Performance Improvement Coordinator will have oversight for agency compliance and all activities related to the administration of the Health Insurance Portability and Accountability Act (HIPAA) regulations. Essential Functions 1. Develops and implements Quality and Performance Improvement Plan and oversees all Quality Improvement initiatives. 2. Designs and implements quality assurance and performance improvement processes that are based on regulations, best practices, and identified needs of the organization. 3. Develops the agency's evaluation plan and assists in the development and measurement of outcomes promoting the agency's growth and improvement. Ensures outcomes are comparable to national standards (i.e. CARF) 4. Reviews/ensures the Program Policy Manual and recommends changes to maintain compliance with Federal, State, County regulations and licensing and accreditation standards. 5. Monitors and oversees all required regulatory quality assurance and risk management activities ensuring accurate completion of related documentation. 6. Serves as the Compliance Officer and monitors the Compliance plan and delivers required staff compliance training. 7. Develops and implements training programs, tools, and other documents to help staff successfully implement quality initiatives 8. Acts as the co-chair for both the Program Review and Quality Analysis Teams. Compiles data and generates reports to ensure organizational quality. 9. Coordinates and evaluates all program quality reviews preparing summary reports and making recommendations for improvements. 10. Conducts Abuse/Incident Investigations. Oversees the Agency's incident reporting for both MH/MR programs. Examines final reports and submits recommendations. 11. Collaborates with managers, staff, from within and outside the agency as needed and related to improving outcomes. 12. Provides guidance and training to staff on privacy and related matters. Assists with the responsibilities of HIPAA monitoring and compliance. 13. Ensures that the closed record files are submitted and maintained according to the regulations and agency practice. 14. Manages the hotline established for persons served and assists with the addressing of individuals' complaints, grievances and rights related questions. 15. Compiles and analyzes data generating statistical reports for the Executive Team and Board of Directors according to organizational need. 16. Ensures that the Agency evaluation and overall managerial practices are consistent with the Continuous Quality Improvement philosophy
Skill Requirements:
A minimum of five years of experience in healthcare – Required • Quality/Performance Improvement experience – Preferred • Experience in process improvement models e.g. PDSA, Lean-six-sigma, etc., meeting facilitation and process improvement tools – Preferred • Knowledge of Microsoft Office applications (Word, Excel, and Powerpoint) and how to use them to, at minimum, create surveys, conduct data analysis and generate presentations - Required
Education Requirements:
QUALIFICATIONS: • Bachelor’s degree from accredited college or university – Required
Company Description:
Transitional Services (TSI) provides residential and community rehabilitative services to individuals with psychiatric and intellectual disabilities who often have not had an opportunity to develop or sustain the necessary skills to live independently in the community. TSI opened its doors as a non-profit agency in 1969. TSI operates two divisions of services. Our Intellectual Disabilities division provides care in both group home and supervised apartment settings to adults with varying levels of mental capacity. Our focus is on daily living skills and community integration. Individuals in this program can reside with TSI for the duration of their lives pending that their level of care does not change. The psychiatric division serves adults with various mental illnesses such as schizophrenia and affective disorders. Services include residential care and community level programs for individuals living independently. The goal for these individuals is to achieve progress in their recovery.
Human Resources, Ron Abels Transitional Services 412.461.1322 x 1226

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