Quality Enhancement Coordinator

2 weeks ago

Detroit, Michigan, United States Neighborhood Service Organization Full time
Job Overview

About Us:

Neighborhood Service Organization (NSO) is a holistic community-oriented health and human services entity dedicated to addressing the needs of at-risk populations in the Metropolitan Detroit area. NSO offers essential support to individuals and families, including those facing developmental or intellectual challenges, mental health issues, and housing instability, across multiple locations in Wayne and Oakland counties.

Key Responsibilities:

Aligned with our core values of Excellence, Integrity, Respect, Collaboration, and Innovation, the Performance Improvement Department at NSO is committed to enhancing the experiences and outcomes for those we serve. This department collaborates with personnel at all organizational levels to ensure the delivery of quality, cost-effective, and efficient services that promote the health, safety, and well-being of our clients. Our approach emphasizes teamwork, collaboration, and systemic enhancements.

The Quality Enhancement Coordinator will play a vital role in maintaining and overseeing quality improvement frameworks and clinical documentation standards throughout the organization. Responsibilities include:

  • Conducting process enhancement initiatives and assisting in their implementation and monitoring.
  • Identifying areas of risk and contributing to the development of mitigation strategies.
  • Compiling data and generating reports to fulfill quality and compliance requirements.
  • Communicating findings to the Director of Performance Improvement and NSO Leadership as necessary.

Driving/Travel Requirements:

☒ Will operate NSO Vehicle
☐ Must have access to reliable private transportation
☒ Must hold a valid MI driver's license/State ID
☒ Must maintain automotive insurance
☒ Must be able to visit various locations during work hours
☐ Expected to travel during work hours

Training Requirements:

☒ CPR and First Aid training are mandatory for this role
☒ Additional training will be required
☒ Non-Violent Intervention training is mandatory for this role

Education, Licensure, and Experience:

Education:

  • Bachelor's degree in a mental health or healthcare-related field.

Licensure:

  • No specific licensure required.

Experience:

  • At least 3 years of experience in a behavioral health-related field, with a preference for quality improvement experience.
  • Demonstrated understanding of quality improvement and documentation principles.
  • Familiarity with confidentiality regulations, including the Michigan Mental Health Code, Federal Regulations on Confidentiality of Substance Abuse Records, and HIPAA.

Job Knowledge and Skills:

  • Experience in quality management and/or compliance is essential; population health management experience is a plus.
  • Knowledge of quality improvement methodologies and evidence-based practices is preferred.
  • Experience in auditing clinical documentation and assessments.
  • Experience in managing quality and performance improvement initiatives within behavioral health and integrated healthcare programs.
  • Understanding of quality improvement processes in a Managed Care Organization (MCO) is preferred.

Essential Duties:

  • Primary Responsibilities:
  • Ensure NSO's compliance with all regulatory and licensing standards as per company, funder, state, and federal regulations.
  • Focus on process and quality enhancement: Plan, develop, and monitor process improvement projects related to clinical outcomes and ensure integration with service delivery systems.
  • Collaborate with the Director of Performance Improvement to create action plans to achieve departmental quality objectives.
  • Assist with quality improvement projects for internal departments and external regulatory bodies, maintaining thorough documentation of activities.
  • Analyze information to identify trends and apply findings to support program and process enhancements.
  • Identify issues and recommend changes to policies and procedures to enhance efficiency and effectiveness.
  • Conduct compliance and quality audits/reviews.
  • Review audit outcomes and assess the severity of findings to ensure appropriate actions are taken.
  • Propose areas for improvement and develop remediation plans.
  • Manage external audits, ensuring readiness and coordination with relevant departments.
  • Monitor fidelity to evidence-based practices.
  • Develop and implement corrective action plans at both organizational and departmental levels.
  • Prepare reports and documentation as assigned.
  • Provide technical assistance on quality and compliance matters, educating staff on standards and requirements.
  • Assist with consumer satisfaction survey processes.

Additional Responsibilities:

  • Contribute to the development of performance improvement processes, including Key Performance Indicators (KPIs).
  • Lead or participate in quality improvement initiatives and projects.
  • Serve on NSO's Credentialing Committee and other appointed committees.
  • Facilitate meetings to ensure all perspectives are considered.
  • Represent NSO at external meetings and committees.
  • Assist in developing and monitoring policies that ensure legal and ethical operations.
  • Support CARF-related activities.
  • Perform other duties as assigned.

Administrative and Professional Skills:

  • Exemplify NSO's guiding principles at all times.
  • Represent NSO professionally and promote its mission and vision.
  • Comply with all departmental and organizational policies and applicable regulations.
  • Maintain established quality and performance improvement standards.
  • Proficient in Microsoft Office Suite and experience with EHR systems.
  • Work independently with attention to detail and the ability to manage multiple priorities.
  • Communicate effectively, both verbally and in writing.

Working Conditions:

  • All NSO employees must be fully vaccinated against COVID-19 or qualify for a reasonable medical or religious exemption.
  • Work is performed in an office environment with typical office equipment.
  • Work locations may vary, including public areas and clinics.
  • Physical capabilities include bending, reaching, and manual dexterity for filing and document retrieval.
  • Regular communication and interaction with staff and clients are required.

Disclaimer: The above description outlines the general nature and level of work expected of individuals in this role. It is not intended to be an exhaustive list of all responsibilities and duties, and NSO reserves the right to amend or revise this job description at any time.

NSO is an Equal Opportunity Employer committed to diversity and inclusion, considering candidates without regard to any legally protected status.

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