Quality Management Specialist - State Hospital

Texas Health & Human Services Commission•Harlingen, TX

5d•$3,793 - $5,921•Onsite

About The Position

The Quality Assurance Specialist II (Quality Management Specialist) performs complex, journey-level quality management work for Rio Grande State Center. The role assists with planning, developing, and implementing departmental and hospital-wide quality management programs, including policy, Quality System Oversight (QSO) monitoring, restraint and seclusion processes, and other performance improvement activities. The specialist ensures compliance with The Joint Commission and Centers for Medicare and Medicaid Services requirements, collaborates with department and agency staff and external stakeholders, and provides guidance to others as requested. The position works under general supervision with moderate latitude to use initiative and independent judgment. The role reviews hospital policies and supports their review, approval, updating, and posting. It coordinates assigned quality improvement and monitoring programs, conducts audits and data analysis, supports auditors, tracks quality indicators and incidents, prepares reports and trend analyses, coordinates committee meetings, and oversees report submissions to hospital and governing-body committees. It also prepares and distributes correspondence and maintains filing and records management systems. Other duties may include support for disaster response, recovery, or Continuity of Operations activation, which may require a different shift pattern or location.

Requirements

For the four-year degree pathway: graduation from an accredited four-year college or university with major coursework in social services, nursing, psychology, or a related field, and at least six months of experience.
Alternatively, an associate degree and at least 24 months of experience.
Alternatively, no degree and at least four years of experience.
At least two years of experience in social services, psychiatric or health care, auditing, or investigating work, and developing plans of correction.
Knowledge of local, state, and federal laws related to the program area.
Knowledge of The Joint Commission and CMS standards.
Knowledge of statistical analysis processes, research techniques, training techniques, and project management processes.
Skills in interviewing and analyzing data.
Skills in using computers and applicable software.
Ability to plan, coordinate, and administer quality improvement programs; identify problems and develop solutions; communicate effectively; and provide guidance to others.
Must pass a fingerprint criminal background check, pre-employment drug screen, and applicable registry checks.
Must be at least 18 years old for employment at a state-operated facility.
Must comply with HHSC immunization policy and state hospital procedures related to immunizations.
Males aged 18–25 must be registered with the Selective Service.

Responsibilities

Review hospital policies and prepare and distribute information to policy managers for review; provide guidance and education on organizational, statutory, and accreditation requirements; ensure policies are approved, updated, and posted for staff.
Coordinate assigned quality improvement and monitoring programs, such as QSO, Utilization Management, and Facility Support Performance Improvement; independently complete all aspects of the process, explain findings, and assist with performance improvement plans.
Compile monthly audit samples, update and distribute audits in a timely manner, educate and support auditors, complete data entry within required time constraints, aggregate data, and prepare reports and trend analyses.
Communicate regularly with the corresponding Central Administration program coordinator.
Serve as data oversight coordinator for assigned QAPI indicators, monitor incident documentation and tracking, aggregate data, coordinate committee meetings, compile agenda documents and reports for hospital committees and the Governing Body, and prepare trend analysis information for the Quality Management Director.
Oversee submission of reports to the Hospital Executive Committee and appropriate committees of the State Hospital System Governing Body.
Prepare, edit, and distribute correspondence, reports, and other documents; maintain filing and records management systems.
Complete other audit assignments as needed, including Joint Commission monitoring and performance improvement projects.
Attend work regularly and work assigned schedules, which may include rotating schedules, extended shifts, or overtime.
Participate in or support agency disaster response, recovery, or Continuity of Operations activities when needed; this may require an alternate shift pattern or location.
Perform other duties as assigned.