Quality Improvement Specialist

Description

Job title - Quality Improvement Specialist

Location - Onsite - Seattle Admin office

Compensation -  $80,168.40-  $90,000/annual

Work at Evergreen Treatment Services and make a difference in our community!

• ETS has been working to transform the lives of individuals and their communities through innovative and effective addiction and social services in Western Washington for over 50 years. Learn more about our mission and values. 
• Change begins within. We strive to foster and sustain a diverse and inclusive community within our organization. Find out how we are working to achieve racial equity, health equity, and community justice.
•  Our Clinic Services and REACH teams bring critical professional expertise and heartfelt compassion to the work they do every day to serve our most vulnerable community members. Check out the compelling stories told by our participants, and staff members that provide more information and a clear picture regarding our organization’s essential work.  

This dynamic position plays an important role in helping ETS accomplish our mission!

Job Summary:

• The Quality Improvement (QI) Specialist role is part of the Quality Improvement & Risk Management team that supports ETS’ mission by supporting and participating in oversight of behavioral health services provided in both Clinic Services and REACH through inspecting and evaluating processes, procedures, reported adverse events and adherence to applicable regulations and guidelines 
• This role makes a critical difference at ETS by participating in the development and ongoing implementation of Quality Management work plan activities related to quality reviews, adverse event management, and compliance 
• The QI Specialist reviews data, identifies trends, and communicates all adverse events to the Clinical Quality Improvement Program Manager (CQI PM). Additionally, this role assists in training teams to reduce service quality related problems and increase awareness and understanding of culture of quality and participant safety 
• The QI Specialist adheres to expectations of assignment and project ownership, and this position is expected to stay current with trends in quality improvement, patient safety and behavioral health practice transformation and integration 
• The QI Specialist is expected to follow and champion principles of just culture, by creating an environment of psychological safety, impartiality, and system focused approach to adverse event reviews and situations 

What you contribute to this role – Responsibilities:

• Help ETS succeed in carrying out our mission through working together with other staff to transform systems of harm and inequity to create different approaches to improving community health and safety through addressing substance use and homelessness 
• Assist with the organization-wide initiative to reimagine our interconnectedness within our community to overcome the aspects of our society and organizational culture shaped by white supremacy and settler colonialism 

Quality Improvement & Clinical Reviews  

• Enhance quality and services through data-driven evaluation and recommendations aligned with performance metrics ? Create and maintain relevant policies and procedures 
• Support Quality Committees and facilitate related processes and reporting
• Conduct and manage audits (internal and external) across service lines, including data entry, tool development, and tracking corrective actions
• Participate in interrater reliability assessments and scoring standardization 
• Execute internal reviews for documentation and quality compliance with regulatory and contractual standards 
• Oversee and support external audits (on-site and hybrid) for licensing and regulatory adherence per internal audit support guidelines and agreements with internal stakeholders. 
• Provide project management for patient safety initiatives, under the oversight and guidance of CQI PM 
• Prepare and deliver formal reports, supports regulatory responses and reporting. 

Adverse Event Reporting  

• Provides specialized support in patient safety and adverse event evaluation 
• Manage adverse events and grievances via paper and third-party platforms 
• Conduct Root Cause Analyses, Event Learning Reviews, and produce Critical Incident Reviews and investigative reports
•  Develop, implement, and monitor corrective action plans in collaboration with ETS leadership 
• Analyze adverse event data to identify and prioritize issues requiring action 
• Coordinate response workflows for serious clinical events, including issue escalation and protocol adherence. 
• Support pat