Program Supervisor II - Quality Management Specialist

TX-HHSC-DSHS-DFPS • San Antonio, TX

5d • Onsite

About The Position

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Quality Management Specialist is responsible for monitoring incident reporting and providing back up to abuse/neglect cases processing. Serves as the backup liaison between TSH and the Provider Investigations, HHSC-Pl. Daily duties include assisting with tracking incidents, completing Central Office notification, reporting incidents and completing documentation of all hospital incidents required by OP-07-01. Actively participates in organizational preparation for Joint Commission and CMS surveys.
Completes audits to maintain compliance with required standards. Develops and implement Performance Improvement systems related to job duties. Prepare reports as required. Interfaces effectively with hospital departments. Supervises assigned staff. Leads or serves on hospital committees as assigned. Ensure system data is received, reviewed and analyzed, communicated, and acted upon in relation to significant trends or events in the program. Consults and trains staff regarding QM functions and trends or incidents. Guides the implementation of action plans and ensures facilities stay aligned with organizational goals. Remains current with relevant knowledge base. Demonstrates effective human relation skills in management tasks. Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Reports to: Risk Manager and ultimately the Director of Quality Management.

Requirements

• Knowledge of Joint Commission/CMS standardsKnowledge of local, state and federal health care laws and regulations relevant to program areas.
• Knowledge of health care facility operation, regulation, and procedures.
• Knowledge of Abuse/Neglect/Exploitation rules and regulations.
• Ability to gather, assemble, correlate, and analyze facts.
• Ability to prepare and maintain records.
• Ability to devise solutions to problems.
• Ability to prepare reports.
• Ability to develop, evaluate, and interpret policies and procedures.
• Ability to communicate effectively.
• Ability to provide guidance to others.
• Ability to organize and present information effectively, both orally and in writing.
• Ability to use computers and computer software for word processing, database management and report writing.
• Ability to plan, assign and/or supervise the work of others.
• Graduation from an accredited four-year college or university with major coursework in social services, nursing, psychology, or a related field and two years of experience in social services, psychiatric/health care, auditing or investigating work; and developing plans of correction.
• Associate degree and a minimum of four years’ experience in social services, psychiatric/health care, auditing or investigating work; and developing plans of correction.
• No degree and a minimum of six years of experience in social services, psychiatric/health care, auditing or investigating work; and developing plans of correction.

Responsibilities

• Responsible for assisting in recognizing, reporting and monitoring incidents, under the guidance of the Risk Manager, reporting as required using processes set up by Central Office and documenting all incidents.
• Monitors interventions/mitigation and follow-up to reduce the possibility of recurrence.
• Position provides high level assistance to the Risk Manager in the Root Cause Analysis (RCA) process.
• Responsible for providing back-up for monitoring staff assignments, trends in ANE and ensuring cases are followed to conclusion on all reported abuse and neglect cases and compliance with the applicable Texas Administrative Codes.
• Monitors the facilities compliance with related administrative codes and applicable standards.
• Acts as the liaison between TSH and HHSC-Provider investigations.
• Reviews and copies video related to abuse/neglect.
• Follows up on all open cases and sends updates to the Superintendent, QM Director, Nursing and Risk Manager as required.
• Actively participates in organizational preparation and survey process related activities for reviews/surveys/audits conducted by regulatory and/or accrediting agencies for the purpose of maintaining Joint Commission accreditation, Medicare certification, and eligibility of the hospital to participate in federal and state regulated programs.
• Assists in the preparation of the required JC Intra-Cycle Monitoring (1CM) annually in coordination with hospital leadership.
• Assists in the organization’s preparation of Governing Body documentation.
• Maintains current working knowledge of Joint Commission standards, Medicare regulations and Rules of HHSC to provide requested consultation and reference materials for the purpose of educating/supporting personnel in the interpretation/application of recognized patient care and organizational standards.
• Supervises assigned staff. Ensures effective implementation of all activities.
• Establishes, reviews and updates performance improvement tracking with indicators and targets for assigned areas that are consistent with hospital-wide plans.
• Employee actively participates and/or serves in a supporting role to meet the agencies obligations for disaster response and/or recovery or Continuity of Operations Spent: (COOP) activation.
• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Benefits

• comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees