Quality Specialist

Pay starting between $23.50 - $26.00/Hour.

It is never too early to plan for retirement!

As an employee of NCHC, you would be eligible for the Wisconsin Retirement System (WRS), which is among the best funded and best managed public pension systems in the country.

The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. The WRS is a strong public pension plan because of its stable funding, unique plan design and robust governance. These factors set the WRS apart from the vast majority of other plans in the United States. With some $142 billion in assets, it is the 8th largest U.S. public pension fund.

Participating staff contribute 6.8% and NCHC will match this at 100% each pay period!

Employee Benefits:  NCHC Employee Benefits

PURPOSE OF THE POSITION:    This position will have primary responsibility for conducting department-wide, data-driven, quality process improvement activities and support in alignment with evidence based/best practices, regulatory requirements, and Joint Commission accreditation standards for the behavioral health programs at North Central Health Care. Under the supervision of the Manager of Quality and Safety, the Quality Specialist is responsible for developing and implementing regulatory strategies and processes to assure compliance with applicable regulations and standards related to quality. This position is also responsible for interpreting the intent of standards and regulations to provide guidance to project teams and leadership.

Education, Licenses, Certification, Skills, and Experience Requirements:

• Minimum Education: Bachelor’s degree in related field

• Minimum Work Experience: 1-3 years prior relevant experience in quality, patient safety, regulatory and accreditation, and/or performance improvement.

• Required Skills: Effective oral and written communication skills & organizational skills. Proficient use of Microsoft Office and familiarity with healthcare quality related regulatory requirements.

• Driving Requirements:
  • Valid Wisconsin driver’s license and appropriate auto insurance coverage as required by North Central Health Care
  • Must have the use of a personal vehicle

• Preferred: Current Professional Nurse  Registration  from  the  Wisconsin  State  Board  of  Nursing,  Current  BLS  (CPR)  Certification, master’s degree in related field, Certified Professional in Healthcare Quality (CPHQ), Joint Commission and CMS survey experience.

 Any combination of education and experience that provides equivalent knowledge, skills and abilities may be considered.

Essential Job Duties and Responsibilities:

• Maintains regular on-site attendance
• Demonstrates knowledge and application of quality improvement principles
• Provides support to the Quality & Safety Manager in the interpretation, compliance, and maintenance of standards to match external requirements of all regulating and accrediting bodies including managing and maintaining Joint Commission Accreditation
• Operationalize processes to support standards compliance
• Facilitate continuous survey readiness activities
• Support and facilitate implementation of process improvement activities at the program level related to or resulting from patient safety, harm reduction, clinical performance, and compliance with the requirements of regulatory and accrediting agencies such as The Joint Commission, CMS, and Department of Health Services
• Facilitates and attends committee meetings where quality monitoring functions and activities are performed
• Contributes to root cause analyses
• Completes data acquisition, analysis, reporting, and improvement
• Advise others on quality related regulatory matters
• Evaluate applicable laws and regulations to determine impact on quality activities
• Provide technical review of data or reports
• Coordinate regulatory documentation activities
• Assist in surveys (ex. CMS, TJC, DHS)
• Management of corrective action plans
• Assist with the development, updates and/or revisions to relevant policies and procedures based on updates and/or revisions to relevant policies and procedures based on updates to interpretation of regulatory changes from state regulators impacting quality.
• Coordination of regulatory reviews, validations, and audits

Non-Essential Job Duties:

• All other duties as assigned.

Organizational Expectations and Competencies

• Completes annual leadership, job specific and core competencies as required by North Central Health Care and/or various regulatory agencies based on entity and/or job title
• Provides Person-Centered Service
• Adheres to professional boundaries, ethics, confidentiality and privacy practices, policies, procedures, and regulations

 Clinical Competencies

• Qualifications and provision of care are in accordance with national acceptable standards of practices.

Department Specific Competencies

• Demonstrates adherence to accepted ethical and behavioral standards of conduct

Program Specific Competencies

• Efficiently performs job duties by managing multiple priorities and utilizing time management best practices

Functional Demands:

• Activity Requirements (including Mental & Physical Activities):

• _51-70__% General Office Work: Frequent use of computer, keyboard, and other technology; data interpretation, decision making, problem recognition, problem solving, visual acuity (near visual acuity, far visual acuity, depth perception, color vision), hearing, verbal communication, verbal comprehension, writing communication, and written comprehension
• __31-50_% Sedentary Work: Continuous sitting at desk for several hours occasional standing, walking, turning, twisting, bending, stooping, carrying, pushing, pulling, reaching, grasping, and lifting of under 10 pounds as required
• _10-30__% Light Work: Intermittent lifting, sitting, standing, walking, turning, twisting, bending, stooping, carrying, pushing, pulling, reaching, and grasping. Must be able to lift a minimum of 10 pounds unassisted
  • __<10_% Medium Work: Frequent lifting, standing, walking, turning, twisting, bending, stooping, carrying, pushing, pulling, reaching, and grasping. Must be able to lift a minimum of 25 pounds unassisted
  • __<5_% Heavy Work: Frequent lifting, standing, walking, turning, twisting, bending, stooping, carrying, pushing, pulling, reaching, and grasping. Must be able to lift a minimum of 50 pounds unassisted
  • _<5__% Very Heavy Work: Frequent lifting, standing, walking, turning, twisting, bending, stooping, carrying, pushing, pulling, reaching, and grasping. Must be able to lift a minimum of 100 pounds unassisted

• Exposure to Hazards: Select the most appropriate level of hazard exposure
  • Limited exposure to workplace hazards

• Types of Hazards:
  • Biological
  • Chemical
  • Physical
  • Other

• Working Conditions:
  • Indoors
  • Background Noise

•  Travel Requirements:

•  Frequency:
  •  Minimal

•  Type of travel:
  •  In community
  •  Within the county
  •  Out of the county
•   

Nature of travel: 

•  Other: as business/project demands (staff meetings, coverage, etc.)

Salary : $24 - $26