What are the responsibilities and job description for the Quality Improvement Specialist position at All Well-Being Services?
Job Description Summary
The Quality Improvement Specialist must be able to assist in providing quality assurance throughout the entire Agency. This position will also assist in the supervision of work as required. This position reports directly to the Director of Quality and Compliance.
Core Competencies and Accountabilities
The examples listed are meant as a general description and do not represent the full extent of job responsibilities to which an employee in this classification may be assigned.
Essential Job Functions and Accountabilities
- Interpret, implement and evaluate adequacy of quality assurance/improvement standards.
- Monitor quality improvement initiatives through monitoring of Corrective Action Plans/Plan of Correction (CAP/POC) according to funder requirements.
- Prepare, evaluate and present quarterly funder audit information and Medicaid Claims verification through data collection and report writing activities according to CARF and funder standards.
- Responsibility for assisting the Director in overseeing grant compliance.
- Participate and co-facilitate internal quarterly Health and Safety meetings including reporting activities, completing in-services and other health and safety activities.
- Serving on agency committees (QIC and TQM) that are supported by the Quality Department.
- Contributing to the agency’s QI Plan on an annual basis according to CARF and funder standards.
- Working in partnership with Quality Director and program leadership to determine the best means of collecting and data and creating reports; and ensuring that the organization can report on key outcome measures required by a funder or grant programs.
- Helping programs understand how to run reports, interpret data, make conclusions, and shape work.
- Develop and facilitate in-person trainings to assist staff in maintaining quality performance standards.
- Completing medical records request in a timely fashion.
- Draft quality improvement policies and procedures.
- Review, compile, analyze, and report annual Satisfaction Surveys for all agency programs.
- Review compile and submit monthly customer service reports to funders.
- Exhibit strong customer service skills and the ability to analyze data to resolve issues.
- Ability to work with all stakeholders: members, families, and Detroit Wayne Mental Health Authority (DWMHA) staff in a caring and respectful manner, and with due understanding of and consideration for cultural differences.
- Ensure that programs have all necessary brochures and right booklets for the members we serve.
- Maintains confidentiality on behalf of consumers, staff and the Agency.
- Represent the agency by attending external meetings, in-services, and trainings including all trainings on the AWBS Training Requirements Grid.
- Performs other related duties as assigned.
Core Competencies
Action Oriented:
Taking prompt action to accomplish work objectives; Takes action to achieve goals and exceed job requirements. Possess the ability to manage multiple projects and knowing when to ask for assistance. Demonstrating innovative approaches to Quality Improvement opportunities.
Emotional Intelligence:
Demonstrates an engaged and collaborative interpersonal style which builds trusting relationships, teamwork effectiveness, and successful negotiations with their peers.
Communication:
Demonstrates effective written, verbal communication, interpersonal communication and presentation skills. Must have superior communication and writing skills.
Teamwork:
Works effectively and cooperatively with others within the Agency; establishing and maintaining good working relationships. Ability to participate on a team to accomplish tasks.
Adaptability:
Displays the behaviors necessary to support the Agency during the transition; adjusting effectively to new changing, and diverse tasks, requirements, and co-workers/professionals.
Personal Development:
Maintains professional affiliations and assures continuing self-development on current knowledge in the general regulatory health care industry and/or job code environment.
Physical Demands/Work Conditions
- Physical, mental and emotional condition adequate for performance of the work.
- Ability to work some evenings and weekends as required.
- Some travel is required to Agency locations.
- Flexibility required.
Education/Experience/Credentials
Education
Required
- Bachelor’s Degree in Social work, Nursing, Public Health, Public Policy or a related field.
Experience
Required
- Minimum three to five years of combined experience in Quality Improvement, Utilization Management, disease Management, Preventive Health or Case Management in a managed care health plan environment.
- Advance knowledge and experience using Microsoft Office Applications, including MS Excel.
- Two years’ experience managing multiple projects.
Credential
Required
- Bachelor’s Degree.
Leadership Qualities
- Supports AWBS’ Mission and Strategic Plan.
- Analyzes strengths, weaknesses, opportunities, threats, and local and national trends to assist in planning strategies and set goals.
- Demonstrated interpersonal communication skills to develop and maintain the confidence and cooperation of others; and to collaborate with staff, clients and other related groups on complex problems in order to take appropriate/effective actions and achieve results.
- Ability to be flexible with changing and/or unpredictable work settings and assignments, work independently with minimal direction and to respond to written and oral direction.
- Ensures compliance with funder, CARF, legal and AWBS requirements, standards and ethical practices.
- Ensures quality and customer focused services.
- Maintains confidentiality on behalf of consumers, staff and the Agency.
Salary : $37,000 - $42,000