Performance Improvement & Accreditation Coordinator

Summary

Rosecrance is a behavioral health services organization that helps individuals and families overcome substance use and mental health challenges through compassionate, evidence-based care. The Performance Improvement & Accreditation Coordinator establishes and maintains quality improvement, performance management, and data aggregation systems, conducts performance improvement activities, supports regulatory and accreditation readiness, and analyzes data to improve organizational processes.

Responsibilities

• Work hours prescribed by the Performance Improvement Director and any additional hours deemed necessary for the responsibilities assigned
• Assist staff with accessing client portal data, including technical support, and troubleshooting any problems
• Assist staff with electronic health record (EHR) data entry questions, provide constructive feedback and training with staff regarding PI initiatives and to ensure accurate data collection and aggregation
• Administer paper based and/or electronic outcome and survey tools with individual and groups of clients as needed
• Perform data calculations and routine analytical functions relative to performance improvement activities
• Identify, evaluate, and correct errors caused by inappropriate decision making, human behavior, leadership practices or organizational weaknesses that impact safety and/or operational performance
• Incorporate identified organizational weaknesses into training methods and procedures to cultivate a culture of continuous improvement
• Train and mentor personnel at various levels across the organization in the handling of client data
• Collect and analyze company wide client outcomes and staff performance data to provide conclusions and recommendations to senior management to support improved processes
• Assist organization in meeting requirements for Joint Commission and state licensing surveys, including completing mock surveys, tracers, staff training, and other Joint Commission readiness activities
• Maintain up to date knowledge on regulations affecting the organization and serve as a resource to staff
• Assist leadership in reviewing and revising the Policy and Procedure Manual, safety policies, risk management policies and infection control guidelines
• Perform audits as requested by leadership
• Assist in quality assurance and focus medical reviews under the guidance of leadership
• Assist Director of Performance Improvement on any specific PI/Quality related tasks, research, and help to develop educational material for identified service needs
• Travel to various Rosecrance facilities to aid in Performance Improvement onsite activities as necessary and as assigned by leadership
• Assume other related responsibilities as assigned by leadership

Skills

• Bachelor's Degree in behavioral health or business-related field required
• Demonstrated experience working with customers or clients, preferably in a healthcare setting
• Must possess NiaTx, Lean Six Sigma or other change management certification
• Must be proficient with computers and database management
• Demonstrated ability in Microsoft Office Suite, particularly adept in Excel and Word
• Proficiency in training, adult learning, or education methodologies
• Proven track record in Performance Improvement initiatives or programs
• Must have a working knowledge of The Joint Commission, DASA/SUPR, DMH, DHS and/or other regulatory standards
• Training and proficiency in statistical information gathering and root cause analysis
• Excellent written and verbal communication skills coupled with strong critical thinking abilities
• Remote within 50 miles of Rockford, IL or Des Plaines, IL
• Required to be onsite on occasion
• Local travel: 25%-50%

Qualifications

Must Haves

• Bachelor's Degree in behavioral health or business-related field required
• Demonstrated experience working with customers or clients, preferably in a healthcare setting
• Must possess NiaTx, Lean Six Sigma or other change management certification
• Must be proficient with computers and database management
• Demonstrated ability in Microsoft Office Suite, particularly adept in Excel and Word
• Proficiency in training, adult learning, or education methodologies
• Proven track record in Performance Improvement initiatives or programs
• Must have a working knowledge of The Joint Commission, DASA/SUPR, DMH, DHS and/or other regulatory standards
• Training and proficiency in statistical information gathering and root cause analysis
• Excellent written and verbal communication skills coupled with strong critical thinking abilities
• Remote within 50 miles of Rockford, IL or Des Plaines, IL
• Required to be onsite on occasion
• Local travel: 25%-50%

Benefits

• Medical, dental, and vision insurance (multiple plan options to meet your needs)
• 401(k) with employer match & discretionary contribution
• Group Life Insurance, LTD and AD&D
• Tuition assistance & licensure/certification reimbursement
• Paid Time Off, sick time, bereavement leave
• Referral program earning up to $1,000 per hire!
• Wellness program, including an on-site gym at select facilities
• Discounts at participating retailers
• Daily pay available through UKG Wallet for financial flexibility
• Remote within 50 miles of Rockford, IL or Des Plaines, IL
• Required to be onsite on occasion