Quality Improvement Specialist - Tucson, AZ (Corporate)
Full Time
Tucson, AZ
Posted
Job description
Looking to build a lasting career? Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like?- Top-level compensation packages
- Exceptional health, dental, and disability benefits
- Career and compensation advancement programs
- Student loan forgiveness programs
- 401k company match
- Bilingual pay differential
- Holiday, PTO and employer paid life insurance
- Clinical licensure supervision and reimbursement
- Evidence-based treatment approaches, training, and supervision
- One of the first fully vaccinated COVID-19 workplaces in Arizona
Intermountain Centers is committed to the safety and well-being of our employees, our members, and the communities we serve and, as such, we require all employees to be fully vaccinated from the COVID-19 virus. Proof of full vaccination status is required prior to the start of employment.
GENERAL SUMMARY: The Quality Improvement Specialist II is responsible for compliance and performance improvement functions within the organization including the collection of data, analysis, and reporting. The Quality Improvement Specialist II may work with regulatory agencies including participation in state licensing surveys. The QI Specialist II may assist with internal investigations including mortality reviews, assist in the development of CAPS, and provide or assist with responses to LOIs and QOCs.
JOB RESPONSIBILITIES:
- QOCs, IADs, LOIs, Incidents, Grievances, CAPs: Track, and respond to; identify high risk incidents and report to QI director. Pull records for QOCs.
- Respond to site specific concerns, complaints, and grievances, involving compliance.
- Work with programs to develop CAP response, provide training, and monitor compliance to CAPs with reports created for the sites, QI Dir, and quarterly reports for Senior Leadership.
- Maintain trackers.
- Create monitoring tools for compliance, QI activities, new RFPs/contracts, and as needed.
- Provide monthly/quarterly reports with trends, analysis, and recommendations.
- Work with programs on any CAPs and monitors compliance to CAPs
- Incident reporting – both internally and on portal.
- Assist with, and/or conduct investigations related incidents and grievances.
- Participate in NEO and other training as needed (site specific or organizational-wide).
- Responsible for satisfaction surveys and data.
- Facilitate and oversee the implementation of the Culture of Safety program organization wide.
- Participate with Network Development during State Licensing surveys as needed and assist with CAPs as needed.
- Participate in health plan and regulatory meetings and communicate upcoming changes in processes as applicable.
- Assist with preparation of the QI Plan for the Board annually, along with data summary.
- Review sentinel events, conduct chart audit with root cause analysis, and participate in mortality reviews as required.
- Visit sites for mock audits and training.
- Performs other duties as assigned or necessary as they relate to the general nature of the position.
- Education – Master’s Degree preferred, in a field appropriate to the area assignment; OR Bachelor’s Degree and any equivalent combination of education and/or experience from which comparable knowledge, skills and abilities have been achieved. High School Diploma or GED required.
- Experience - At least two (2) years of related behavioral health experience preferred. Experience with analyzing and reporting data outcomes aimed to improve quality of service. Experience with auditing clinical documentation based on quality-of-care standards, identifying improvement opportunities, and providing constructive feedback to improve performance. Understanding of regulatory or accreditation requirements preferred.
- Certification – CPHQ or other certification in quality management preferred.
- Proof of COVID-19 vaccination required.
- Minimum 21 years of age.
- Arizona Level One Fingerprint Clearance Card (must possess upon hire and maintain throughout employment).
- CPR, First Aid & AED certification, if required (must possess upon hire and maintain throughout employment).
- Valid Driver’s License, 39-month Motor Vehicle Report, proof of vehicle registration and liability insurance that meet company insurance requirements, if required.
- Negative TB test result, if required (Employer provides).
ICHD is an equal opportunity employer. ICHD does not discriminate based on age, ethnicity, race, sex, gender, religion, national origin, creed, tribal affiliation, ancestry, gender identity, sexual orientation, marital status, genetic information, veteran status, socio-economic status, claims experience, medical history, physical or intellectual disability, ability to pay, source of payment, mental illness, and/or cultural and linguistic needs, as well as any other class protected by law.
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