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Quality Enhancement Coordinator

2 months ago


Chicago, Illinois, United States UCAN (Chicago) Full time

Position Title: Quality Improvement Specialist I, II and III

Department: Management and General

Reports to: Vice President of Quality Improvement, Impact & Analysis

Position Objective and Summary:

The Quality Improvement Specialist is tasked with overseeing various program assessments, quality enhancement, and quality control functions within UCAN. This includes ensuring programs comply with established quality benchmarks, deploying tools for program and service evaluation, and orchestrating data gathering and analysis. The QIS fosters collaboration among program staff to promote transparent communication and a constructive feedback loop for quality improvement. The QIS serves as a resource for each program, striving to maximize the contributions of every team member.

Key Responsibilities:

Best Practices

  • Advises UCAN programs on compliance with Council on Accreditation (COA) Standards and other relevant accreditation requirements.
  • Develops and oversees plans for COA review preparations and ongoing compliance.
  • Guides UCAN programs on adherence to Medicaid Rule 132/140 and related contractual obligations.
  • Provides technical support for Medicaid service and billing processes.
  • Prepares programs for Medicaid reviews.
  • Maintains knowledge of IDCFS Rules & Regulations and serves as a resource for programs.
  • Educates programs on ethical standards and mental health legislation.
  • Stays informed on current clinical best practices and shares knowledge with programs.
  • Leads program evaluation initiatives by keeping abreast of industry developments.
  • Researches evidence-based practices relevant to UCAN's services.
  • Evaluates current program practices and provides guidance on evidence-based approaches.

Program Monitoring, Evaluation & Outcomes

  • Creates and implements strategies for program evaluation and enhancement.
  • Designs data collection frameworks for evaluation purposes and supervises data analysis to inform recommendations.
  • Collaborates with programs to review findings and implement improvements.
  • Facilitates the development and revision of program plans, including literature reviews, logic models, and outcome measurement strategies.
  • Maintains a systematic approach for the development and upkeep of program plans.
  • Assists in formulating strategies for tracking and measuring outcome data.
  • Recommends enhancements in evaluation methodologies, outcome metrics, and data presentation.
  • Engages with management teams in the Performance and Quality Improvement (PQI) Meeting to discuss program monitoring and enhancements.
  • Adapts PQI processes to align with required outcomes, best practices, and program objectives.

Utilization Review

  • Contributes to the establishment and maintenance of quality standards, ensuring compliance with service provision and documentation requirements.
  • Collaborates with service providers to emphasize the importance of meeting and exceeding quality standards; offers training on best practices.
  • Coordinates Utilization Review activities, conducts on-site evaluations, and provides regular feedback to staff.
  • Analyzes and reports on Utilization Review outcomes, preparing quarterly summaries to highlight trends.
  • Develops action plans with program teams to address findings from the Utilization Review and monitors progress over time.

Data Management

  • Generates discrepancy reports to ensure data integrity.
  • Supports the agency in utilizing UCAN's information management systems and other relevant platforms.

Customer Satisfaction

  • Creates methods for gathering customer feedback, including surveys and focus groups.
  • Works with Program Leaders to design tailored survey questions for consumer feedback and supports survey administration.
  • Conducts focus groups as necessary.
  • Analyzes customer feedback results and communicates findings to program staff and stakeholders.

Collaboration

  • Acts as a liaison between IT, Development, and program teams to ensure program needs are addressed.
  • Builds rapport with staff through active participation in team meetings and provides individualized training as needed.
  • Maintains awareness of other quality improvement functions within the agency and collaborates on projects.
  • Conducts training sessions and provides educational resources for programs as identified.
  • Serves as Project Manager for team initiatives when assigned.

Other Duties as Assigned

  • Performs additional tasks as necessary to support UCAN's Vision, Mission, and Values.

Professionalism and Work Conduct

  • Exhibits integrity, high ethical standards, and a positive representation of UCAN.
  • Maintains professionalism and appropriate boundaries with clients.
  • Demonstrates accountability for outcomes and honors commitments.
  • Arrives prepared for work, meetings, training, and job-related activities.
  • Shows respect for the diverse cultural and socioeconomic backgrounds of youth, families, and colleagues.
  • Supports UCAN's cultural proficiency standards and strives to meet them.
  • Responds promptly to inquiries from youth, families, UCAN staff, external monitors, service providers, and other stakeholders.
  • Completes other related tasks as required or assigned.

Education /Job Experience/Certification:

Quality Improvement Specialist I

  • BA/BS in a human service field required; Master's degree in Social Work or related field preferred.
  • Minimum of 2 years of experience in the social service sector required.

Special Knowledge and Qualifications:

  • Proficient in Microsoft Office applications, especially Excel.
  • Strong verbal and written communication abilities.
  • Excellent decision-making and analytical skills, capable of resolving issues and correcting errors.
  • Strong interpersonal skills, exercising discretion and judgment in interactions.
  • Effective multi-tasking and organizational skills, managing multiple projects under tight deadlines.
  • Familiarity with COA, Medicaid, or DCFS standards preferred.
  • Valid driver's license and access to an automobile required.

Quality Improvement Specialist II

Education /Job Experience/Certification:

  • Master's Degree in human services with at least 2 years of quality improvement or program evaluation experience in social services required. OR
  • Bachelor's Degree in human services with at least 5 years of quality improvement or program evaluation experience in social services required.

Additional Responsibilities:

In addition to the responsibilities of a QI Specialist I, a QI Specialist II will:

  • Lead specialized projects and take on greater responsibility for individual tasks.
  • Identify and recommend areas for improvement within the department.
  • Assume additional responsibilities based on program needs.

Additional Special Knowledge and Qualifications:

In addition to the qualifications for a QI Specialist I, a QI Specialist II will:

  • Demonstrate expertise in quality improvement, quality assurance, and program evaluation, including problem-solving and data analysis.
  • Exhibit strong written and verbal communication skills.
  • Show commitment to UCAN and its continuous quality improvement efforts.

Quality Improvement Specialist III

Education /Job Experience/Certification:

  • A Master's Degree in Social Work or a related field is required.
  • 5 years of quality improvement or program evaluation experience in the social services field required, with at least 2 years at UCAN.

Additional Responsibilities:

In addition to the responsibilities of QI Specialists I & II, a QI Specialist III will:

  • Act as a leader, mentor, and role model for other QI team members.
  • Design and lead quality improvement projects.
  • Develop and implement processes to enhance the functioning of the QI department and programs.
  • Support and promote UCAN's mission and agency-wide initiatives.

Additional Special Knowledge and Qualifications:

In addition to the qualifications for QI Specialists I & II, a QI Specialist III will demonstrate:

  • A proven ability to independently and effectively lead quality improvement projects.
  • A track record of fostering positive relationships and collaborations with internal and external stakeholders.
  • A clear vision for the QI department and the advancement of UCAN's mission.