Risk Analyst (Broughton Hospital)

Agency

Dept of Health and Human Services

Division

Broughton Hospital

Job Classification Title

Quality Assurance/Standards Specialist (NS)

Position Number

Grade

NC17

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest most complex agencies in the state and has approximately 17000 employees. It is responsible for ensuring the health safety and well-being of all North Carolinians providing human service needs for special populations including individuals who are deaf blind developmentally disabled and mentally ill and helping poor North Carolinians achieve economic independence.

Description of Work

The Quality Assurance/Standards Specialist is responsible for planning developing and facilitating the quality assurance and patient safety programs in an in-patient state psychiatric hospital setting. The Quality Assurance/Standards Specialist is responsible for ensuring hospital systems and processes are well-designed assessing risks and evaluating the effectiveness of practices to promote safety and quality care for patients staff and visitors.

The Quality Assurance Standards Specialist is responsible for:
Conduct quality control reviews audits and inspections; provides technical assistance and consultation to management and staff on the interpretation and application of quality-of-care standards accreditation requirements (Joint Commission CMS HBIPS/Global Measures) and Department of State Operated Health Facilities (DSOHF) dashboard indicators.
Reviews incident reports adverse events and near misses; leads or participates in root cause analyses and comprehensive systematic analyses; identifies trends contributing factors and system/process issues.
Investigate patient incidents and safety events as assigned including interviewing patients and staff reviewing documentation and collecting/securing supporting evidence.
Develop risk assessment tools and data collection methods; analyzes service delivery and compliance problems; develops written reports corrective action plans and improvement strategies.
Collaborate with management interdisciplinary teams and Performance Improvement teams to design/redesign processes implement changes monitor sustainability and promote performance improvement activities hospital-wide.
Track analyze and share hospital performance data with departments committees patient care units hospital leadership and the Quality Risk Management and Compliance (QRMC) team to prioritize patient safety and quality initiatives in response to internal and external requirements.
Participate in committees special projects audits and inspections related to hospital risk patient safety environmental hazards and patient rights as assigned by the QRMC Department leadership.
Consult with other departments as needed (e.g. police department for criminal events advocacy/protection services for allegations of abuse neglect or exploitation) and presents findings to management and the Clinical Cabinet for evaluation of safety concerns and trends.
Routinely perform functions within the Patient Safety Evaluation System (PSES) including review and analysis of events maintenance of Patient Safety Work Product (PSWP) in a secure environment and entry of patient safety event information into designated PSES and Patient Safety Organization (PSO) databases.

Knowledge Skills and Abilities/Management Preferences

Recruitment Range: $60881.00 - $106544.00

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge Skills and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred

Management Preferences:

• Experience completing investigations/reviews to determine risk of harm or property damage.

• Experience working with others teams departments or workgroups to assess problems develop recommendations and implement action plans/plans of correction/performance improvement plans in order to reduce risk and promote a culture of safety.

• Experience gathering and analyzing data and developing reports.

• Experience overseeing and facilitating team projects.

• 2 years of experience working as part of a treatment team with psychiatric or similar patient population.

• Knowledge of Joint Commission CMS and (or) other accrediting bodies.

• Experience in applying regulatory standards and developing policies and procedures.

• Experience in communicating effectively verbally and in written form with various staff.

Conditional Requirements: Selected applicants must be able to pass a State Bureau of Investigation Criminal History Check and complete and pass BLS/CPR training and Crisis Prevention Intervention (CPI) training during orientation

This Position Is Designated As Mandatory And Must Report Or Stay Over During Adverse Weather Events.

About the Facility:

Broughton Hospital is one of the three regional psychiatric hospitals with statutory responsibility for operating as part of the Division of State Operated Healthcare Facilities (DSOHF). With the North Carolina Department of Health and Human Services we provide help and support to North Carolinians and their families experiencing mental illness. Our hospital serves the western thirty-seven (37) counties of North Carolina as part of the states system of care and treatment for persons with mental illness.

Supplemental Contact Information:

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications internal equity and budgetary considerations pertinent to the advertised position.

Positions in the Division of State Operated Healthcare Facilities shall be subject to pre-employment drug testing and criminal record background checks. Also the use of tobacco products of any kind including vapor products are prohibited from our campuses. All employees are required to adhere to the facilitys Vaccination Policy.

Application Process
Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application.

• Information should be provided in the appropriate areas to include the following: Education including high school and all degrees obtained Work Experience and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.
• Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions you must provide supporting information within the Work Experience section of the application to support your answers.

• If multiple applications are submitted to an individual posting only the most recent application received prior to the closing date will be submitted by 11:59pm prior to the closing date.
• Due to the volume of applications received we are unable to provide information regarding the status of your application over the phone. To check the status of your application please log in to your account. Upon the closing date applications are Under Review and will be screened by Human Resources for the qualified applicants. The hiring process may take several weeks.
• Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. For a list of organizations that perform this specialized service please visit the NACES membership website at and National Guard Preference
  • Applicants seeking Veterans Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications.
  • Applicants seeking National Guard Preference must attach an NGB 23A (RPAS) along with the state application if they are a current member of the NC National Guard in good standing.
  • Applicants who are former member of either the NC Army National Guard or the NC Air National Guard with honorable discharge and six years of creditable service must attach a copy of the DD 256 or NGB 22 along with the state application.

  ADA Accommodations

  Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA) DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment DHHS will ensure that people with disabilities or known limitations covered by the PWFA are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process please contact the person indicated below.

  Applicants will be communicated via email only for updates on the status of their application. If there are any questions about this posting other than your application status please contact HR at .

  Minimum Education and Experience

  Some state job postings say you can qualify by an equivalent combination of education and experience. If that language appears below then you may qualify through EITHER years of education OR years of directly related experience OR a combination of both. See the Education and Experience Equivalency Guide for details.

  Masters degree in psychology social work education health business administration or related human service field from an appropriately accredited institution and two years of experience in professional level treatment programming for the applicable client population; or Bachelors degree in one of the fields listed above from an appropriately accredited institution and three years of experience as indicated above; or an equivalent combination of education and experience.

  EEO Statement

  The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination harassment or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy childbirth or related medical conditions; and for religious beliefs observances and practices.

  Recruiter:

  Shanna Marie Hennessee

  Email: