ASSOCIATE DIRECTOR OF Quality Assurance (Healthcare)

Description

Envision Unlimited is a full spectrum of care organization serving people with disabilities from infants to 80+ years old regardless of race, gender, religion, or ability to pay. Founded in Chicago in 1948, Envision Unlimited has a legacy of evolving care delivered with empathy, every time and everywhere.  Innovative services offered across Chicagoland and Central Illinois include community living options, novel day programs, behavioral health services, employment programs, respite for families, and foster care for children with disabilities.

Summary:

Responsible for assisting in the overall management of the agency’s Quality Assurance program.

Essential Responsibilities, include but are not limited to:

• Chairs the Safety Committee, Co-Chair of the Human Rights Committee and a member of other committees across the organization to provide a quality perspective.
• Participates in the Quality Assurance Community of Practice.
• Writes, reviews, and updates organizational policy as it relates to quality initiatives.
• Conduct performance analysis of agency outcome measurement system for all program services.
• Prepare an annual report analyzing QA activities and agency wide incidents, injuries, medication errors, etc.
• Prepare an annual report analyzing accessibility throughout the organization and opportunities for updates.
• Review a representative sample of mental health program billing records quarterly.
• Review files from all programs quarterly.
• Participate in monthly meetings for all programs and report on QA concerns/findings.
• Complete monthly Health and Safety reviews of agency sites for CDS, CLS, and MH and report on findings; following up on corrective action plans to ensure programs are monitoring for health and safety related concerns
• Conduct Rule 116 review two times per year, as needed to support the QA RNt.
• Conduct an IPS audit two times per year
• Assist in all audits-BQM/BALC/CARF/CQL, etc.
• Provide leadership and direction for annual satisfaction surveys of all program members as well as external entities such as employers, DHS workers and ISC agencies. Additionally, complete a quarterly respite survey. Supports programs in understanding the results from the survey compared to data previously collected.
• Other projects as needed.

SUPERVISORY RESPONSIBILITIES

No supervisory responsibilities.

OTHER EXPECTATIONS

Employees shall respect the diversity of all individuals (e.g., clients, co-workers, stakeholders) and refrain from any form of discrimination and/or harassment based on religious, martial, ethnic, racial, gender, sexual orientation or other differences. Employees share the responsibility of creating and maintaining a welcoming and supportive work environment.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and/or skills required of all employees so classified.

QUALIFICATIONS

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must have reliable transportation and flexibility to be available based upon licensing and/or accreditation needs.

Requirements

QUALIFICATIONS

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must have reliable transportation and flexibility to be available based upon licensing and/or accreditation needs.

EDUCATION, SKILLS, and/or EXPERIENCE

B.A. with 3-5 years’ experience in human services.

Strong knowledge of DHS and DMH rules and regulations (Rule 115, 116, 119, 132, 140)

Experience with quality improvement systems.

Knowledge of database and Microsoft Office Suites (Excel, Outlook, SharePoint)

Analytics skills with the ability to identify trends, problem areas, and the ability to present results/solutions.

Must have the demonstrated ability to multi-task and function in a high-paced environment, positive “can do” attitude, ability to think creatively and strong organizational skills required.