Quality Management Specialist / Occurrence Reporter (HEALTH PROFESSIONAL III)

• Make decisions with and act in the best interests of the people we serve because Colorados success depends on their well-being.
• Share information seek input and explain our actions because we value accountability and transparency.
• Manage our resources efficiently because we value responsible stewardship.
• Promote a positive work environment to support and develop employees because their performance is essential to Colorados success.
• Meaningfully engage our partners and the people we serve because we must work together to achieve the best outcomes.
• Commit to continuous learning because Coloradans deserve effective solutions today and forward-looking innovation for tomorrow.

• Assists in the implementation of the Quality Management process that leads to positive and measurable impacts of CMHHIFLs strategic Quality Assurance and Performance Improvement Plan.
• Coordinates performance management and quality improvement projects throughout the hospital.
• Designs develops and implements organization PI initiatives thereby positively impacting patient care across all disciplines.
• Assists other disciplines with writing and revising hospital policies and serves as a quality management representative on policy-writing workgroups and committees. Ensures hospital policies align with regulatory standards.

• Identifies trends and implements strategic performance improvement projects as a result of identified gap areas.
• Collaborates with the RL Datix team quality department and hospital subject matter experts on the design of the information technology infrastructure required to support a statewide performance and quality improvement system.
• Ensures needed data is collected on a timely basis regular reports on progress are distributed and makes recommendations for further improvements based on the data.
• Provides monthly data analysis with regard to hospital incidents performance improvement projects and standing committees aimed at meeting regulatory standards.
• Tracks data to improve operational and clinical performance and promote accountability and transparency.
• Collaborates regularly with the leadership groups of the hospital including MEC Nurse Managers medical staff and line staff as it relates to incidents plans of action and reporting of occurrences to assist hospital in following regulatory standards
• Develops and manages dashboard to determine program viability identify areas for improvement make changes and reallocate resources if necessary

• Work with hospital management and staff to determine the level of compliance with regulatory standards and rules and develop plans for compliance.
• Work with the Joint Commission and other accrediting and regulatory bodies to report and correct problems. Monitor various publications websites and other media for current standard changes and issues.
• Determines and implements the tracer process including system and individual tracers.
• During survey years leads and develops preparatory activities including training and auditing of treatment units for compliance with standards.
• Develops and submits Evidence of Standard Compliance documentation to The Joint Commission
• Works with hospital management and staff to determine the level of compliance with regulatory standards and rules and develops plans for compliance.
• Works with the Joint Commission and other accrediting and regulatory bodies to report and correct problems.
• During survey years leads and develops preparatory activities including training and auditing of treatment units for compliance with standards.
• Develops and submits Evidence of Standard Compliance documentation to The Joint Commission.

• Provides consultation and guidance to hospital staff with regard to quality work and patient safety.
• Collaborates with external entities with regard to on-going performance improvement on behalf of CMHHIFL. May require travel within the State to meetings with regulatory partners or other CDHS partners.
• Collaborates with staff development to revise existing training materials and create new ones developing training based on quality issues found as part of tracers and incident management.

MINIMUM QUALIFICATIONS:

Six (6) years of relevant experience in an occupation related to the work assigned to this position

A combination of related education and/or relevant experience in an occupation related to the work assigned to this position equal to six (6) years

• Bachelors degree or higher in the clinical field of Counseling Psychology Nursing or Social Work.
• Five or more (5) years of experience working in a clinical or hospital setting.
• Behavioral health experience
• Experience investigating occurrences
• Prior utilization management experience
• Experience in writing professional reports
• Prior experience interacting with regulatory entities
• Previous experience in quality improvement measures
• Data collection and analysis
• Experience with Google Suite Applications

Conditions of Employment:

• Full background check and reference check required
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must (1) disclose that information on the application (2) provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position (3) provide the employee number from the applicants prior State employment. Absent extraordinary circumstances prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

Residency Requirement:This posting is only open to residents of the State of Colorado at the time of submitting your application.

Appeal Rights: (Updated)

As an applicant directly affected by the results of the selection or comparative analysis process you may file a written appeal with the State Personnel Director.

About Us:

*Some positions may qualify for the Public Service Loan Forgiveness Program. For more

We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore we encourage responses from people of diverse backgrounds and abilities.

ADA Accommodations:CDHS is committed to the full inclusion of all qualified individuals. As part of this commitment our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment including completing the application process interviewing completing any pre-employment testing participating in the employee selection process and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position please direct your inquiries to our ADA Coordinator Nancy Schmelzer at or call 1-.