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Quality Improvement Specialist

Company: Banner Health
Location: Greeley
Posted on: May 3, 2021

Job Description:

**Primary City/State:**

Greeley, Colorado

**Department Name:**

Quality Improvement-Hosp

**Work Shift:**

Day

**Job Category:**

Risk, Quality and Safety

**Primary Location Starting Range:**

$30.84/hr - $41.12/hr

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Are you looking for a position where you will play a critical role in improving processes for clinical care teams? If so, we would like to talk with you. We are looking for a Quality Improvement Specialist that will work at North Colorado Medical Center in Loveland, CO and will support our teams in our three hospitals in Northern Colorado. In this position, you will work with our care teams to provide education and training to them. Five years of acute care experience is required for this position. If you are interested, please apply today!

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

A 378-bed Level II trauma center and acute care facility with over 3000 employees, North Colorado Medical Center is the largest hospital in the region. As a regional medical center, we provide community-based and specialty services for a service area that includes southern Wyoming, western Nebraska, western Kansas and northeastern Colorado. In order to provide the most compassionate and innovative care possible, we bring together state-of-the-art technology and an exceptional team of health care professionals. For the healthcare professional, our Greeley, Colorado location offers access to a wide variety of recreational activities in an inviting, close-knit community.

POSITION SUMMARY

This position plans, coordinates, implements and evaluates clinic quality/performance improvements, patient safety programs, and/or coordinates compliance and regulatory programs for preparedness and accreditation requirements. Reviews and audits medical records to ensure that the documentation justifies the data billed on encounters and supports performance indicators required in the system of care. This position uses established methodology in determining omissions, correctness errors and measures of timeliness for encounter submissions and performance indicators set by Arizona Department of Health Services (ADHS) and the Regional Behavioral Health Authority (RHBA). Provides verbal and technical assistance to staff in order to resolve identified errors.

CORE FUNCTIONS

1. Monitors and evaluates the overall quality of behavioral health services provided by Whole Health Clinic and its contracted service providers to ensure compliance with Regional Behavioral Health Authority (RHBA) contracts, state legislation, Arizona Health Care Cost Containment System (AHCCCS), and Arizona Department of Health Services (ADHS) and Division of Behavioral Health Services (DBHS) regulations.

2. Coordinates investigation, analysis, and responds to quality/patient safety issues, events, significant care issues or trends. Leads and/or facilitate root cause analysis, failure modes and effects analysis, and process improvement.

3. Develops and analyzes data for administrative and clinical decision making, as well as regulatory requirements. Coordinates implementation of data collection processes: provide analysis, summary, research and benchmarking. Prepares and present reports for appropriate facility, system, and other external agencies. Provides oversight to projects including data abstracting and data entry as appropriate.

4. Coordinates, prepares and assists with internal and external audits.

5. Investigates critical incidents and prepares reports of findings and provides recommendations for corrective action implementation.

6. Tracks, monitors and implements improvement actions and evaluates success.

7. Supports implementation of quality and patient safety goals, policies, procedures, and activities designed to meet the requirements of regulatory and accrediting agencies.

8. Completes all training required by licensing agency and funding source.

9. Has freedom to determine how best to accomplish functions within established procedures and best practices.The position will require communication and coordination with Banner Risk Management, ADHS, the RBHA, internal and external providers, courts, and other county, state, and governmental agencies. Responsibilities cross all levels of internal and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies.

MINIMUM QUALIFICATIONS

Requires Bachelor's degree or equivalent in behavioral health, social services or other healthcare related field or equivalent experience.

Requires a proficiency level typically attained with two years of experience in behavioral health, case management, or quality management. Requires ability to perform complex statistical analysis and highly developed problem solving skills. Requires the ability to manage programs and projects. Requires demonstrated excellence in interpersonal and written communication skills.

Knowledge of CPT, ICD-10, HCPC and DSM coding. Employees working at the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

PREFERRED QUALIFICATIONS

Knowledge of behavioral health case management principles and practices.

Additional related education and/or experience preferred.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability.

Keywords: Banner Health, Greeley , Quality Improvement Specialist, Other , Greeley, Colorado

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