Performance Improvement Specialist II

The Performance Improvement Specialist II works with agency management/personnel to oversee and/or conduct assigned program audits, investigations, and focused reviews specific to compliance with licensing and other regulatory requirements, accreditation and contract requirements within the agency’s Performance Improvement and Risk Management approved procedures. Responsibilities include, but are not limited to:

• Ability to work with staff from throughout the organization collaboratively.
• Coordinates and performs assigned consumer record reviews in the EHR and quality improvement plans for contract and regulatory compliance.
• Provides analysis and designated reports including trend analysis for quality assurance and risk management purposes; maintains up to date databases assigned.
• Participates with assigned agency inspections and COA site visits; assist with development of corrective action plans as indicated. Coordinates inspections with managers as assigned.
• Conducts and participates in agency approved investigations, focused reviews and training procedures in preparation and investigatory functions: monitors agency security systems including video surveillance, incident management systems, and safety data assigned to assess areas of risk and follow up corrective actions or plans with departments.
• Serves as a resource/liaison to designated program staff in addressing outliers.
• Acts as System Administrator as assigned for assigned agency electronic systems/databases.
• Proficient use of Microsoft Excel with ability to extract data & accurately maintain datasets including agency incident management & safety management data systems and the Electronic Health Record.
• Ability to use SurveyMonkey system to create surveys and provide trend/outcome analysis reports for approved tools including satisfaction surveys and community surveys.
• Tracks required data, analyzes and reports on approved performance indicators.
• Participates as a member of assigned committees and teams; acts as committee secretary as assigned to maintain meeting minutes, agendas, and sign in sheets
• Provides support to orientation and training procedures
• Assist with obtaining data and information as required for agency improvement activities including marketing, contract reports, development, etc.
• Participates as Chair and member of assigned committees and teams in Performance Improvement Committee structures.

Hours:

Full Time with the following benefits:

• 3.2 weeks of Paid Time Off during the first year
• Medical insurance, vision, dental and life insurance benefits
• 9 Agency-paid holidays
• 403(b) employee participation & employer match
• Tuition Reimbursement after 1 year of employment

Education/Experience:  

Master’s Degree required in behavioral health clinical field with minimally 3 years’ experience in behavioral health; independent licensure as mental health practitioner preferred.  Experience with regulatory requirements, licensing and contract requirements preferred. Knowledge of Microsoft Office including Excel, Electronic Health Records, systems, online learning system and other required system venders as assigned.  In lieu of clinical license, training/certifications in agency endorsed crisis intervention/prevention and or clinical training instructor certifications may be considered including Ukeru, Safe Crisis Management, Nurtured Heart.

Legacy Treatment Services is an Equal Opportunity Employer.

#LTS456