Quality Improvement Specialist
This position is a Quality Improvement Specialist focusing on regulatory compliance for children and adult psychiatric hospitals. The children’s hospital is accredited with the Joint Commission hospital and behavioral health manuals and A tags with CMS. The adult hospital is accredited with the Joint Commission through the hospital manual and one certified unit. This position reports to the Quality Management department and communicates with leadership and multi-disciplinary teams to monitor, implement, and correct healthcare compliance.
Responsibilities
- Provide Joint Commission hospital and behavioral health manual, and CMS A tag information to the organization
- Organize monthly mock surveys for three campuses
- Work with leaders on action plans from mock surveys, tracers, or surveys
- Conduct monthly facility education regarding compliance with Joint Commission and CMS A tags
- Perform weekly walks on the units for all three campuses
- Collect data after Joint Commission or CMS surveys
- Prepare monthly reports on compliance to facility leadership
- Serve as expert for hospital and behavioral health TJC chapters and CMS hospital tags
- Member of Provision of Care and Patient Rights for both facilities
- Conduct annual review of policies
- Prepare bi-annual compliance matrix to leadership
- Create training materials related to standards
- Attend TJC and CMS training then report information to QM and leadership
- Monitor practice against policy
- Attend Infection Control rounds
- Other duties as assigned
Requirements
- No discipline within the last 12 months
- Bachelor’s degree in safety, public health, environmental health, occupational safety, healthcare field, or other related field
- Two (2) years’ experience related to workplace safety, environmental science, regulatory compliance, healthcare life safety, or healthcare environment of care
- Two (2) years in healthcare administration/healthcare policy interpretation
Benefits
- Affordable health, vision, and dental insurance
- Paid basic life insurance (amount equivalent to annual salary)
- Cafeteria Plan
- Deferred Compensation
- MOSERS Retirement (Members contribute 4% of pay to MOSERS plan and 1% towards Deferred Compensation)
- 13 paid holidays per year
- 10 hours of annual leave accrued per month
- 10 hours of sick leave accrued per month
Schedule
Day shift (Saturday/Sunday off)
About the Organization
The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining this team, you can make a difference in the lives of those impacted by mental illness or developmental disability, helping them pursue their dreams, live their lives to the fullest, and be valued members of their communities.