Health Professional III- Occurrence Reporter CMHHIP

State of Colorado•Pueblo, CO

7d•Onsite

About The Position

This position assists with the implementation of the CMHHIP Critical Incident Reporting Program. It reviews and analyzes incident reports according to CDPHE standards, providing follow-up for CMHHIP, OBH, and CDHS. The role investigates events to determine if they constitute a critical incident/occurrence and if they need to be reported to Executive Management, CMHHIP leadership, the hospital CEO, the Deputy Director of Clinical Services for OBH, and the Colorado Department of Public Health and Environment (CDPHE). Additional duties include ongoing development and implementation of the Critical Incident Reporting Program, collecting and analyzing data to improve patient and staff safety, and conducting mini root cause analyses. The position investigates incidents that may require reporting to CDPHE or The Joint Commission (TJC) as a Sentinel Event. This involves reviewing video footage, conducting interviews, searching areas, entering patient care areas, and reviewing documentation. The role also participates in Apparent Cause Analysis and Root Cause Analysis for critical incidents. Training in emergency physical intervention/restraint (CTI) and CPR is required. Collaboration with leadership, Department of Public Safety, and Department Heads is necessary to respond to and investigate serious allegations. Recommendations for changes in operating procedures are formulated. The position also completes medical records audits under the direction of the Quality Management QAPI team, collects and summarizes findings, and reports them to the Director of Quality Management and QAPI Supervisor. Assistance is provided with data input and system maintenance for Quality Management spreadsheets and databases for audits and tracers. The role helps determine the best method for data presentation and uses a database to maintain audit results and extract reports. Tracking chart delinquencies with a goal of no delinquencies older than 30 days hospital-wide is also a responsibility, along with coordinating resolution and providing reports. As part of the utilization management program, this position may participate in utilization review, compose clinical letters for third-party payer denials, and audit medical records to support medical necessity. In survey readiness, the position provides back-up support in the Tracer process, mimicking Joint Commission surveys. This involves observing patient care areas, assessing the environment of care, patient-staff interactions, medication administration, seclusion and restraint, programming, and plan of care reviews. Detailed medical record audits are conducted to ascertain compliance with Joint Commission/CMS Standards. Ancillary services such as Radiology, Clinics, and Physical Therapy are also reviewed, with specific focus on Ambulatory Care Services, Physical Therapy, Dental Services, and Radiology. Other duties as assigned are expected to meet the vision and mission of the agency and department.

Requirements

Six (6) years of relevant behavioral health experience in a clinical hospital setting OR A combination of related education and/or relevant behavioral health experience in a clinical setting equal to six (6) years
Clinical degree; (Nursing; any type, Psychology, SW, etc.)
Any other relevant degree
FULL BACKGROUND CHECK : This position will have direct contact with vulnerable persons
CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check.
This position will also provide direct care to vulnerable adults requiring a CAPS check
May work various shifts
Required to report without delay or interruption to provide essential or emergency services to ensure health, safety, and welfare
2-step TB (tuberculosis) screening is required of all new employees upon hire
A pre-employment criminal background check will be conducted as part of the selection process as this position is deemed to have direct contact with vulnerable persons.
Felony convictions, conviction of crimes of moral turpitude, or convictions of misdemeanors related to job duties may disqualify you from being considered for this position.
Shall not initiate or engage in sexual, social, personal or financial relationships with patients either during or any time after hospitalization, even if the patient requests or initiates such a relationship
All relationships with current or former patients must be disclosed on your application
Successfully pass all modules of the CMHIP New Employee Orientation core curriculum to include English reading comprehension, relevant competency assessments and written/practical exams in Defensive Tactics
Possess the physical ability to successfully complete CTI & CPR
Lift arms above head and kick as high as own waist
Stabilize another person to accomplish a controlled containment to the floor
Withstand impact on own body using an ASP shield
Rotate body 90 degrees with feet planted for using a defensive tactic
Kneel on one or both knees and stand up again with multiple repetitions
Must be able to see and hear in order to observe, address and respond to potential breaches in safety
Seize, hold, control or subdue violent or assaultive persons and defend oneself or others to prevent injury
Demonstrate body agility, strength of all four limbs and the ability to walk and climb stairs consistently
Work in situations involving assaultive behavior, physical control of another person and/or restraint situations
Ability to read and comprehend the English language; effectively and fluently communicates in English, both verbally and in writing
Work in an environment with fluctuating noise and temperature (hot and cold) which may include working outdoors in inclement weather and/or concrete floor/wall work settings
Willing and able to travel.
Annual influenza vaccination
Former employees of the Colorado Department of Human Services (CDHS) who were disciplinary terminated or resigned in lieu of termination must disclose the information on your application and may not be eligible for employment at CDHS
Employment history is calculated on a full-time basis (40/hrs per week). Part-time employment is calculated on a prorated basis to determine qualifications.
You must specifically document your work experience and qualifications. Do not use "see resume" or "see attached."
You must meet the minimum qualifications to continue in the selection process.
Part-time work experience will be prorated.

Nice To Haves

Relevant years of state service experience.

Responsibilities

Investigates and determines which events constitute a critical incident/occurrence and determines which of those must be reported to Executive Management in Denver, CMHHIP leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH and Colorado Department of Public Health and Environment (CDPHE).
Collects, analyzes and reports data related to hospital-wide incidents in order to improve patient and staff safety.
Investigates and conducts mini root cause analyses into the incidents to further determine which incidents rise to the level of required reporting to the Colorado Department of Public Health and Environment (CDPHE) or the Joint Commission (TJC) as a Sentinel Event.
Completes audits under the direction and in collaboration with the Quality Management QAPI team.
Assists with completing data input and collaborates on system maintenance for Quality Management spreadsheets and databases for audits, focused audits or focused audits requested by legitimate special interest entities affiliated with CMHHIP and TJC Tracers.
Maintains a system for tracking chart delinquencies with a goal of no delinquencies older than 30 days hospital-wide.
Provides back-up support in the Tracer process, which mimics the tracer methodology employed by the Joint Commission when they conduct on-site surveys for themselves and CMS.
Performs assigned tasks and duties within the scope of practice for this position that do not fall within the realm of duty statements A-C to meet the vision and mission of the agency and/or the department.

Benefits

PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans
Medical and dental health plans
Employer supplemented Health Savings Account
Paid life insurance
Short- and long-term disability coverage
11 paid holidays per year plus vacation and sick leave
State of Colorado Employee BenefitHub Resource Center
Employee Wellness program
Excellent work-life programs, such as flexible schedules, training and more
Remote work arrangements for eligible positions
Some positions may qualify for the Public Service Loan Forgiveness Program