Movojobs
Back to results

Added

Wellness HealthCare

Quality Improvement Coordinator

  • AB, Canada

Full-time

Apply About employer

Applications open in a new tab.

Job details

Job type
Full-time
Posting language
English
Posted

Original job description

Home » Careers » Quality Improvement Coordinator

Job Title:Total Quality Improvement Coordinator

Department:Compliance /Quality Improvement

Immediate Supervisor Title:Chief Compliance Officer (CCO)

Job Supervisory Responsibilities:Intermediate

General Summary:An exempt position responsible for directing and coordinating quality management efforts, including development, implementation, education, data collection, and analysis.

Essential Job Responsibilities

  • Help the Quality Improvement Director (QID) and/or the corporate Chief Compliance Officer (CCO) to plan, design, implement, and maintain a comprehensive psychotherapeutic, clinical, and medical necessity practice continuous quality improvement (CQI) program, including utilization management and risk management.
  • Assisted in educating new staff about QI systems and requirements, including providing training related to quality improvement and assurance processes and procedures.
  • Meet with internal and external audiences to identify and problem-solve QI issues.
  • Monitor everyday operations to ensure compliance with internal and external QI standards. Review records and other documentation to ensure service excellence.
  • Helps to prepare annual QI report.
  • Coordinate the effort to gather data and prepare reports to meet internal and external standards, as well as regulatory/accrediting guidelines, including client/consumer satisfaction data.
  • Evaluate variance and other data to identify QI opportunities and risk management issues.
  • Monitor utilization and service quality through medical necessity review, HEDIS quality measures, payer/provider/client satisfaction surveys, grievances/complaints resolution, and investigations.
  • Follow through on complaints, including identification of corrective actions needed. Provide reports on results.
  • Manage a team of auditor(s) and incident coordinator/investigator(s) under the oversight of the QID and or the CCO. Prepare, record, keep, track, and submit an incident report(s) internally and externally to the regulatory agencies when needed. Perform grievance/complaint intakes to consumers/clients.
  • Provide EMR support and guidance to staff.

EDUCATION

Minimum of a Bachelor’s degree in Social Work or any health-related field or equivalent

Experience

Minimum four years of experience in behavioral and mental health with a minimum of three years of experience in quality management/leadership, preferably in a Core Services Agency (CSA) setting.

OTHER REQUIREMENTS:Current CPR certificate. NCQA certification preferred.

Performance Requirements

KNOWLEDGE

  • Knowledge of CQI principles, practices, methods, and tools.
  • Knowledge of computer applications related to QI, including spreadsheets.
  • Knowledge of medical records and clinical care processes.
  • Knowledge of medical necessity standards and DBH guidelines.

Skills

  • Skill in effective education and facilitation of CQI efforts in the behavioral and mental health field
  • Skill in the application of analytical methods and statistical software by developing appropriate reports.
  • Skill in conducting QI checks of medical necessity documentation/records and other clinical documentation, including performing client satisfaction surveys.

Abilities

  • Ability to educate staff in both verbal and written form about QI in formal and informal settings.
  • Ability to interact effectively with healthcare team members.
  • Ability to analyze QI data and identify trends and corrective actions.

Equipment Operated: Standard office equipment, including computer hardware and software.

Work Environment: Primarily office and classroom settings.
Apply About employer
More about this job

Responsibilities

Coordinate and maintain continuous quality improvement, utilization management, and risk management programs, including staff education, audits, data analysis, and regulatory reporting. Oversee complaint and incident processes, monitor service quality and compliance, and provide reports and electronic medical record support.

Requirements

Requires a bachelor's degree in social work, a health-related field, or equivalent, at least four years of behavioral or mental health experience, and at least three years in quality management or leadership. A current CPR certificate is required; NCQA certification is preferred, along with knowledge of quality improvement methods, medical necessity standards, clinical records, and data analysis.

Skills

  • Quality Management
  • Utilization Management
  • Risk Management
  • Data Collection and Analysis
  • Regulatory Compliance
  • Medical Necessity Review
  • HEDIS Quality Measures
  • Clinical Documentation Auditing
  • Staff Training and Education
  • Grievance and Complaint Resolution
  • Incident Reporting and Investigation
  • Corrective Action Planning
  • Client Satisfaction Surveys
  • Electronic Medical Record Support
  • Statistical Reporting

Visa sponsorship

Not detected in the job text

Categories

  • Healthcare
  • Management & Leadership
  • Data & Analytics
  • Social Services
  • Security & Safety

Keywords

  • Quality Management
  • Utilization Management
  • Risk Management
  • Behavioral Health
  • Mental Health
  • Medical Necessity
  • HEDIS
  • NCQA Certification
  • CPR Certification
  • DBH Guidelines
  • Regulatory Compliance
  • Clinical Documentation
  • Medical Records
  • Electronic Medical Records
  • Data Collection
  • Data Analysis
  • Statistical Software
  • Spreadsheets
  • Client Satisfaction Surveys
  • Grievance Resolution
  • Incident Reporting
  • Investigations
  • Corrective Actions
  • Auditing
  • Staff Education
  • Accreditation Guidelines

Report this job