Behavioral Health Quality Assurance & Implementation Coordinator

Carle Foundation Hospital•Champaign, IL

27d•$32 - $55

About The Position

Partners with Behavioral Health leadership to implement and monitor behavioral health quality assurance/quality improvement activities, identifies and monitors key performance indicators/program requirements, analyzes and reports on various data indicators and implements and tracks quality improvement activities. Additionally, this position will develop clinical trainings and educational/training materials, as well as conduct presentations to teams. Coordinates the development of policies/procedures and strategies to ensure compliance with federal and state behavioral health regulatory requirements. Objectively and systematically assesses, monitors, evaluates and promotes the improvement of processes that affect the quality of patient care, ensuring regulatory compliance.

Requirements

Bachelor's Degree in Nursing
Master's Degree in Counseling
Master's Degree in Social Work
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
Licensed Clinical Professional Counselor (LCPC) - Illinois Department of Financial and Professional Regulation (IDFPR)
Licensed Clinical Social Worker (LCSW) - Illinois Department of Financial and Professional Regulation (IDFPR)
Behavioral health nursing 3+ years
Behavioral health 3+ years
Quality 1+ years
Ability to analyze data and create action plans 2+ years
Knowledge of continuous quality improvement theory and statistics, and a strong grasp of the principles and skill set of nursing/behavioral health clinical processes.
Strong human relations, influencer, leadership, teamwork, process management, interpersonal, and communication skills.
Ability to facilitate diverse groups/teams.
Extensive knowledge of licensing body standards and requirements.
Ability to analyze, interpret and display data.
Excellent organizational skills.
Advanced presentation skills.
Knowledge of quality improvement tools and techniques.
Proficiency in Windows environment, EPIC, MS Word, Excel, and PowerPoint; and ability to readily develop proficiency in any software programs necessary to the position.

Responsibilities

Collect, analyze and effectively present data related to quality and performance management activities
Maintain a current understanding of the behavioral health rules, regulations, and guidelines from governing bodies and assure compliance with state, federal, and local requirements
Assist in the development of policies and procedures to ensure appropriate implementation of updated regulatory guidance
Develop and facilitate behavioral health clinical trainings related to regulatory and clinical requirements
Develops and maintains collaborative relationships with department executive director, managers, providers, other Carle systems, and external contacts in order to meet program objectives.
Develops education and monitoring tools for utilization by all departments to attain the continuous, systematic, and organization-wide improvement necessary for patient outcomes as well as compliance with accreditation and regulatory requirements.
Reviews standards and literature, monitors regulatory websites, and consults with external sources as necessary to remain current with changes in standards and regulations. Works with all departments to develop or revise policies as a result of research, new or existing regulatory requirements.
Oversee and actively guide utilization review, medication monitoring, treatment plans and peer review in accordance with federal, state, and local government and payor requirements
Provide guidance to the Executive Director, Behavioral Health, for focused review as it relates to mental health and substance use disorder (SUD) activities
Develop sustainable performance improvement practices through analysis of data and prioritization of efforts to improve survey readiness and consistency of care delivery using expected best-practices
Monitor and analyze data to identify trends and areas for improvement in the delivery of care
Conduct regular audits and reviews to ensure the accuracy and completeness of program documentation
Implement and monitor quality management activities and initiatives, including clinical documentation and program auditing, creation of operational materials including manuals, policies & procedures, data analysis, establishing key performance indicators, identifying system performance improvements and implementing/evaluating improvement activities as warranted.
Responsible to complete Environmental Risk Assessment for departments
Assists with preparation and follow up plans of correction for external audits
Routinely generates and distributes department reports
Assist with gathering data in various systems available