The Quality Improvement (QI) Coordinator 1 is responsible for the Agency deliverables tracking and completing internal and external reporting data as required by regulatory statues. This position will process data for the Measures and Outcomes Tracking System (MOTS).The QI Coordinator also provides assistance and support to the QI Manager in maintaining the agency’s internal compliance program, preparing for audits, and reporting responsibilities.
· Responsible for maintaining the Measures and Outcomes Tracking System and working with clinical staff to maintain compliance with The State of Oregon.
· Coordinates, conducts, and tracks Data Integrity Audits (DIA)/reviews to test compliance and established regulations and rules, polices and procedures and identified guideline, including periodic chart audits for internal charts.
· Generates data from Tableau for assigned QI deliverable monthly/quarterly reports.
· Coordinates and leads the yearly QI agency survey and others as requested.
· Leads monthly deliverable meetings.
· Ensure the timeliness of reports; maintain accurate and cogent records.
· Participate in all team and agency meetings as scheduled.
· Serves as back-up to Compliance Officer/principal investigator for the agency coordination and screenings of complaints and incidents as required by policy, procedures, and applicable Oregon Administrative Rules.
· Maintains and tracks all agency deliverables with Microsoft Excel Spreadsheet and sends staff monthly, quarterly, semi-annual, and annual reminders via email.
· Adheres to all Mental Health & SUD program policies and procedures and remains updated on all rules and OAR’s pertaining to Mental Health and SUD services.
· Provide assistance and support in the development, implementation, facilitation, and maintenance of MCCFL departmental compliance programs, to include HIPAA and 42 CFR Part 2 compliance. Conduct audits and reviews to test compliance with established regulations and rules, policies and procedures and identified guidelines, including periodic chart audits for both internal charts and external contract providers.
· Assemble and prepare information in response to audits and other requests for information, as assigned.
· Develop and maintain positive Agency relationships with law enforcement, courts, district attorneys, State regulatory agencies and other stakeholders. Remain current on all OARs and other rules pertinent to the work.
· Regular and reliable attendance, maintaining confidentiality, and professional communication are essential responsibilities of the position.
· A bachelor’s degree in human services, social, behavioral and two (2) years’ experience in human services, law enforcement, or investigative experience; OR
· An associate’s degree in human, social, behavioral or criminal science and four (4) years’ experience; OR
· A high school diploma or GED and five (5) years of equivalent training and work experience.
· Bilingual fluency Spanish/English is preferred.
· Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 407-007-0200 to 407-007-0370.
· Must possess a valid Oregon or Washington Driver’s license, maintain an acceptable driving record, and be insurable client service purposes and for travel to investigation sites, between business offices, and to meetings and/or trainings.
Knowledge of general QI practices and processes common to healthcare or social service agencies; ability to work independently and have exceptional organizational skills; knowledge of OARs and other regulations governing developmental services and behavioral health services; knowledge of MCCFL-based and other community-based services; knowledge of emergency community resources available to victims; knowledge of principles and practices associated with technical and investigative records maintenance.
Skill: Skill in the use of clinical software systems; skill in the use of standard office software; skill in keyboarding.
Ability: Ability to understand and effectively apply the concepts and practices of a trauma-informed philosophy in performing the work. Ability to work within strong professional ethics and rules of confidentiality to provide effective services. Strong ability to conduct in-depth interviews with a variety of individuals, in both formal and informal settings; strong ability to conduct effective full-cycle investigations. Ability to maintain a strong service orientation and to represent the client’s best interests; ability to write and maintain timely and cogent notes, reports and other professional documents; ability to organize and execute work effectively under the pressure of time-sensitive deadlines; ability to work with grace and good humor under pressure and to meet multiple deadlines; ability to work cooperatively with other departments within the Agency and with external providers, law enforcement, and other community stakeholders; ability to communicate effectively, both orally and in writing, and within Sanctuary Model guidelines; ability to effectively represent Agency interests to community partners and other stakeholders; ability to establish and maintain harmonious work relationships with co-workers at all levels of the organization, consultants, contractors, community partners, and consumers.
This position works under the supervisory leadership of the QI Manager. The designated supervision emphasizes independence of method and process while indicating accountability for results.
This position provides supervisory leadership to the file clerk.
While performing the essential duties of this position, the employee is regularly required to use office automation including computer and phone system that requires fine manipulation, grasping, typing and reaching, sometimes for long periods. The employee may be required to sit or stand for several hours at a time, depending on environment and need. This position may occasionally be required to lift up to twenty (20) pounds, and to kneel, reach, bend or squat while in the office or in the community. Field work will require the ability to move over uneven terrain; incumbent must be able to drive to field locations that may be difficult to access. Specific vision abilities required by this job include close vision, peripheral vision, and depth of perception, the ability to adjust focus, and distance vision (if driving).
Work is performed in various settings, including office environment, community settings and other agency stakeholder facilities. The office environment is typically with moderate stimuli and may often result in exposure to increased sensory experiences. Community settings, such as residence, schools, police precincts, respite
facilities, hospitals and other public spaces may pose additional risks or discomforts which require safety precautions.
While this description is intended to accurately reflect the activities and requirements of the QI Coordinator 1 position, management reserves the right to modify, add or remove duties as necessary. This document does not create an employment contract, implied or otherwise, other than an "at will" employment relationship.