Quality Improvement Administrator
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Job Summary
Quality Improvement Administrator
Department:Quality Improvement
Status: Full-time
Who We Are
At Sertoma Star Services were on a mission to empower individuals with intellectual/developmental disabilities and those living with mental illness to reach their goals and lead fulfilling lives. With a strategic presence in South Chicagoland and Northwest Indiana we proudly serve over 2000 consumers through a diverse range of vocational educational therapeutic and residential programs.
Sertoma Star Services roots trace back to the merger of two dynamic social services organizations New Star and Sertoma Centre combining over 125 years of expertise in providing cutting-edge person-first services. Our united commitment is straightforward: to transform lives through delivering comprehensive services choices and opportunities to those we support in an environment that promotes self-advocacy and personal success.
By joining the Sertoma Star Team you will have a unique opportunity to challenge limits and change lives. Together we can shape a brighter future for those we serve.
Your Role
The Quality Improvement Administrator is responsible for supporting and collaborating with program staff persons served and other stakeholders for the purpose of promoting high-quality person-centered services advocacy and best practices in compliance with applicable rules regulations and accreditation standards. The position coordinates quality monitoring activities maintains quality documentation and data tracking systems prepares reports for leadership review and facilitates the Human Rights Committee to ensure the rights and protections of persons served are upheld. The position may also participate in or support additional agency committees and quality initiatives to promote continuous quality improvement across the organization.
Responsibilities
Who We Are
At Sertoma Star Services were on a mission to empower individuals with intellectual/developmental disabilities and those living with mental illness to reach their goals and lead fulfilling lives. With a strategic presence in South Chicagoland and Northwest Indiana we proudly serve over 2000 consumers through a diverse range of vocational educational therapeutic and residential programs.
Sertoma Star Services roots trace back to the merger of two dynamic social services organizations New Star and Sertoma Centre combining over 125 years of expertise in providing cutting-edge person-first services. Our united commitment is straightforward: to transform lives through delivering comprehensive services choices and opportunities to those we support in an environment that promotes self-advocacy and personal success.
By joining the Sertoma Star Team you will have a unique opportunity to challenge limits and change lives. Together we can shape a brighter future for those we serve.
Your Role
The Quality Improvement Administrator is responsible for supporting and collaborating with program staff persons served and other stakeholders for the purpose of promoting high-quality person-centered services advocacy and best practices in compliance with applicable rules regulations and accreditation standards. The position coordinates quality monitoring activities maintains quality documentation and data tracking systems prepares reports for leadership review and facilitates the Human Rights Committee to ensure the rights and protections of persons served are upheld. The position may also participate in or support additional agency committees and quality initiatives to promote continuous quality improvement across the organization.
Responsibilities
- Model that persons served are treated with dignity and respect while being provided the support needed to become as independent as possible.
- Serve as an advocate for persons served to ensure their wants needs and rights are respected and supported.
- Coordinate the annual process for gathering input from persons served and other stakeholders regarding program satisfaction service needs and interests. Compile results and prepare summary reports for leadership review.
- Coordinate the record review process across all program services identifying documentation concerns and potential quality issues. Communicate findings to department leadership and maintain documentation of review outcomes.
- Maintain systems used to track quality monitoring activities compliance concerns and follow-up actions related to quality reviews and audits.
- Collect and compile quality-related data from program services and prepare reports or summaries for leadership review.
- Provide ongoing support and consultation to Program Management to assist in meeting the requirements of applicable licensing funding accreditation and state or federal regulatory agencies.
- Serve as the agency liaison to the Office of Inspector General (OIG) including coordinating communication securing documentation and monitoring cases through resolution.
- Collect and maintain data related to all reported OIG incidents monitor for patterns or trends and provide reports to the Vice President for analysis and root cause review.
- Facilitate the Human Rights Committee (HRC) ensuring appropriate review of restrictive interventions and the safeguarding of the rights of persons served.
- Coordinate internal and external quality reviews and audits including CQL BALC and BQM reviews and assist in gathering documentation and tracking follow-up activities as needed.
- Collaborate with program leadership and direct support teams to review quality monitoring information identify potential areas of concern and communicate findings to leadership.
- Prepare and distribute regular quality monitoring reports and updates as requested by leadership.
- Carries out supervisory responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include recruiting onboarding and training employees; performance management; and conflict resolution.
- Provide support in maintaining CQL accreditation by assisting with the collection and organization of documentation and data related to CQL Basic Assurances and other accreditation requirements.
- Support the promotion of CQL principles of education experience and exposure across the agency.
- Provide staff training in response to CQL DHS or other accreditation and regulatory recommendations to promote best practices and ensure adherence to applicable standards.
- Facilitate agency trainings as needed and maintain required credentials for training status.
- Maintain compliance with applicable licensing funding accreditation and other state or federal regulatory requirements including agency safety standards and policies.
- Participate in professional training designed to increase knowledge improve job skills and support program development.
- Observe safe job practices and maintain a clean and safe working environment.
- Provide open and authentic feedback and demonstrate support through active listening encouraging open communication and collaboration among staff.
- Recognize staff talents abilities and interests and provide guidance to support professional growth and enhance department operations.
Qualifications
- Bachelors degree in human services field required.
- Strong knowledge of CQL accreditation standards CMHC requirements and applicable regulatory and licensing standards for behavioral health and I/DD waiver services in Illinois and Indiana is strongly preferred. Candidates must demonstrate the ability to learn new regulatory environments as needed.
- Minimum of two years experience in the field of developmental disabilities preferably with experience in performing quality inspections/reviews systems process improvements and developing policies and procedures.
- Excellent verbal and written communication skills
- Ability to effectively work with all stakeholders including consumers outside providers and coworkers
- Highly developed organizational and time management skills
- Excellent computer proficiency (MS Office- Word Excel and Outlook; email; ability to learn agency specific software skills)
- Valid drivers license and proof of insurance.
Benefits
- Generous paid time off
- 13 Paid holidays
- Medical/Dental/Vision Insurance Plans
- Employer Paid Insurance: Basic Life/AD&D and Long-Term Disability
- Employee Assistance Program
- 403(b) with company match
- Tuition assistance
- Eligibility for Public Service Loan Forgiveness
- Ongoing training and development opportunities
Health Safety and Culture
Sertoma Star is an equal opportunity employer that embraces the uniqueness of every person. Sertoma understands that in order for you to work effectively and be an advocate of inclusivity we must foster an environment that is respectful and sensitive to persons of all gender identities and from every cultural socioeconomic ethnic religious and racial background. Our open-door team-building concept supports both agency goals and employee success.
Sertoma Star is an equal opportunity employer that embraces the uniqueness of every person. Sertoma understands that in order for you to work effectively and be an advocate of inclusivity we must foster an environment that is respectful and sensitive to persons of all gender identities and from every cultural socioeconomic ethnic religious and racial background. Our open-door team-building concept supports both agency goals and employee success.
Required Experience:
Unclear Seniority
