QM Specialist

TX-HHSC-DSHS-DFPS • Vernon, TX

98d • $3,793 - $5,921

About The Position

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our 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. Explore more details on the Benefits of Working at HHS webpage. The Quality Assurance Specialist II (Quality Management (QM) Specialist) performs complex (journey-level) quality management work. Work involves assisting with planning, developing, and implementing departmental and hospital wide QM programs to include policy, QSO (Quality System Oversight) monitoring, Restraint/Seclusion processes, and other performance improvement activities. Ensures compliance with The Joint Commission (TJC) and Centers for Medicaid and Medicare Services (CMS). Works with department and agency staff as well as external stakeholders. Provides guidance to others, as requested. Works under general supervision, with moderate latitude for the use of initiative and independent judgement.

Requirements

• Two years of experience in social services, psychiatric/health care, auditing or investigating work; and developing plans of correction.
• Graduation from an accredited four-year college or university with major coursework in social services, nursing, psychology, or a related field is preferred, and a minimum of six months experience required.
• OR Associate degree and a minimum of twenty-four months experience required.
• OR No degree and a minimum of four years of experience required.

Responsibilities

• Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
• Reviews hospital policies, prepares and disseminates information to policy managers for review. Provides guidance and education with regard to organizational and statutory requirements as well as accreditation standards. Ensures policies are approved, updated, and posted for staff.
• Coordinates quality improvement and monitoring programs as assigned (such as QSO, Utilization Management (UM), Facility Support Performance Improvement (FSPI), other). Independently completes all aspects of this process. Explains quality management findings and assists in developing performance improvement plans.
• Compiles monthly samples, updates, and distributes audits in a timely manner. Provides education and support to auditors. Completes data entry within the time constraints provided. Aggregates data and compiles reports, as well as trend analysis information. Communicates regularly with the corresponding Central Administration program coordinator.
• Serves as data oversight coordinator for assigned Quality Assessment and Performance Improvement (QAPI) indicators (such as restraint/seclusion, injuries/falls, Length of Stay (LOS), national benchmarks, Patient Tracers, etc.). Monitors documentation of incidents to include a tracking system. Aggregates data. Coordinates committee meetings, compiles all agenda documents. Compiles reports for hospital committees and Governing Body. Compiles trend analysis information compiled for the Quality Management Director.
• Oversees the submission of reports to the Hospital Executive Committee and on to the appropriate committees of the State Hospital System Governing Body.
• Prepares, edits, and distributes correspondence, reports and documents. Maintains filing and records management systems.
• Completes other audit assignments as need arises (The Joint Commission monitoring, performance improvement projects, etc.).
• Performs other duties as assigned, including participating in disaster response and/or recovery or Continuity of Operations (COOP) activation.

Benefits

• 100% paid employee health insurance for full-time eligible employees
• Defined benefit pension plan
• Generous time off benefits
• Numerous opportunities for career advancement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree