QI Specialist II

Centerstone is among the nation’s leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people’s lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!

JOB DESCRIPTION:

SUMMARY OF POSITION

This position will support quality management activities including customer service and client advocacy related to management of client complaints.  

ESSENTIAL DUTIES & RESPONSIBILITIES

Position will support quality management activities such as:

• Develops expertise in and acts as internal subject matter expert for state and federal regulatory expectations, accreditation requirements and payer expectations.
• In conjunction with the Regional Director, Quality and Patient Safety facilitates internal activities necessary to successfully achieve and maintain compliance to all external regulatory and payer requirements. 
• Acts as subject matter expert for the state’s use of Policy Stat, Centerstone’s document management software and provides guidance to the organization for the management of associated documents. 
• Provides leadership regarding content development, as needed, for policies and other documents.  Manages data collection and ongoing reporting to necessary internal management teams to ensure timely review and update, as needed, for organizational documents.
• Preparation of weekly, monthly, quarterly, and other periodic data reports that analyze clinical and other metrics, extracting data from the electronic health record system, and other sources for the quality and patient safety department and management and leadership teams to identify strengths and barriers in program and individual operational performance as directed by Regional Director, Quality and Patient Safety.
• Provide primary analytical support to Centerstone Leadership team by completing data analysis and providing summary narrative reports with analysis results. Communicates results of reports to leadership as directed by Regional Director, Quality and Patient Safety (QPS).
• Provides project management for Quality and Patient Safety deliverable.
• Participate in ad hoc or department workgroup associated to key deliverables. 
• Participate in or contribute to a minimum of one Centerstone event outside the QPS Department
• Provide expertise regarding payer rules, reviewing and reporting on internal and external reports and following up on specific high utilization cost outlier cases as assigned
• Collaborate with staff, management and other organizational departments regarding core Quality and Patient Safety functions/activities.
• Demonstrate regular and reliable attendance
• Accurate and timely completion of other Quality and Patient Safety duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES

• Effectively communicate via written, verbal, in person and virtual methods.
• Knowledge of guidelines for confidentiality
• Knowledge of applicable regulatory guidelines and codes, agency policies and procedures, and Federal and state laws pertaining to position
• Skill in written and oral communication
• Skill in customer service techniques
• Skill in establishing and maintaining interpersonal relationships with clients and staff
• Skill in problem-solving
• Skill in identifying and prioritizing job tasks
• Demonstrate skill in use of Microsoft Office products

QUALIFICATIONS

Education Level              

High School Diploma or GED required. Bachelor’s degree preferred.

Years of Experience       

Three years of direct care work experience in behavioral healthcare field including demonstrated experience working in quality improvement or related area required.

Certification/Licensure 

N/A

PHYSICAL REQUIREMENTS

Standing – 20%

Sitting – 80%

Squatting – Occasional

Kneeling – Occasional

Bending – Occasional

Driving – Occasional

Lifting – Occasional

DISCLAIMER

The duties and responsibilities described in this document are not a comprehensive list and additional tasks may be assigned to the employee from time to time, or the scope of the job may change as necessitated by business demands.

Time Type:

Pay Range:

Delivering care that changes people's lives starts with our employees. Below are just some of the great benefits Centerstone employees enjoy:

• Medical, dental, and vision health coverage
• Flexible Spending and Health Savings Accounts
• 403b retirement plan with company match
• Paid time off and ten paid holidays
• AD&D Insurance, Life Insurance, and Long Term Disability (company paid)
• Employee Resource Groups
• Continuing education opportunities
• Employee Assistance Program

Centerstone is an equal opportunity employer. Employment at Centerstone is based solely on a person's merit and qualifications directly related to professional competence. Centerstone does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), or any other basis protected by law.

At Centerstone, we use our values as a guide for what we do. Respect, Expertise, Integrity and Empowerment are at the heart of every interaction at Centerstone, and particularly rooted in our Culture.

Our approach to culture is to create an environment that encourages, supports and celebrates the voices and experiences of our employees. We are committed to a culture of empowerment, respect, integrity and expertise that powers our innovation and connects us to each other, our clients and the communities we serve.

Centerstone is also committed to a strong culture of quality and safety, celebrating role-models who champion best practices for quality, clinical risk, and patient safety.