Performance Improvement & Accreditation Coordinator

Rosecrance Health Network; Des Plaines (IL); On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer match

Paid Time Off

Job summary

Rosecrance Health Network in Des Plaines, IL is seeking a Performance Improvement & Accreditation Coordinator to build and maintain a comprehensive Quality Improvement system across all programs. This role ensures adherence to accreditation standards, state and federal regulations, and effective data aggregation.

The position requires a Bachelor’s degree in behavioral health or business, plus experience in healthcare, proficiency in Excel and EHR data handling, and certification in change

Qualifications

• Bachelor’s Degree in behavioral health or business-related field required.
• Experience working with customers or clients, preferably in a healthcare setting.
• NiaTx, Lean Six Sigma or other change management certification required.
• Proficient with computers and database management.
• Proficient in Excel and Word.
• Experience with training, adult learning, or education methodologies.
• Proven track record in Performance Improvement initiatives.
• Working knowledge of Joint Commission, DASA/SUPR, DMH, DHS or similar standards.
• Training in statistical information gathering and root cause analysis.
• Excellent written and verbal communication skills with strong critical thinking.

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

Customer service

Excel

Word

Training methods

Root cause analysis

Statistical analysis

Communication skills

Performance improvement

Change management

Database management

Regulatory knowledge

Education

Bachelor's Degree in behavioral health or business-related field

Job description

Performance Improvement & Accreditation Coordinator

Job Category: Professional Support

Requisition Number: PIACC011755

• Posted : September 18, 2026
• Full-Time
• Hybrid

Locations

Showing 1 location

Des Plaines, IL 60018, USA

Description

Join Our Mission to Transform Lives!

At Rosecrance, we’ve been leading the way in behavioral health services for over a century. Our team empowers individuals and families to overcome substance use and mental health challenges through compassionate care and evidence-based therapies. If you’re ready to make a meaningful impact, we’re ready to welcome you! We are looking for dedicated individuals to join our team and help deliver on our mission of hope and recovery.

Position Summary

In this role, you will establish and maintain a comprehensive Quality Improvement/Performance Management system and data aggregation framework across all Rosecrance program and affiliates. In addition, this position implements regular performance improvement activities and ensures adherence to agency policies, state and federal regulations, and accreditation standards.

Qualifications

• 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

Responsibilities

1. Work hours prescribed by the Performance Improvement Director and any additional hours deemed necessary for the responsibilities assigned
2. Assist staff with accessing client portal data, including technical support, and troubleshooting any problems.
3. 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.
4. Administer paper based and/or electronic outcome and survey tools with individual and groups of clients as needed.
5. Perform data calculations and routine analytical functions relative to performance improvement activities.
6. Identify, evaluate, and correct errors caused by inappropriate decision making, human behavior, leadership practices or organizational weaknesses that impact safety and/or operational performance.
7. Incorporate identified organizational weaknesses into training methods and procedures to cultivate a culture of continuous improvement.
8. Train and mentor personnel at various levels across the organization in the handling of client data.
9. Collect and analyze company wide client outcomes and staff performance data to provide conclusions and recommendations to senior management to support improved processes.
10. 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.
11. Maintain up to date knowledge on regulations affecting the organization and serve as a resource to staff.
12. Assist leadership in reviewing and revising the Policy and Procedure Manual, safety policies, risk management policies and infection control guidelines.
13. Perform audits as requested by leadership.
14. Assist in quality assurance and focus medical reviews under the guidance of leadership.
15. Assist Director of Performance Improvement on any specific PI/Quality related tasks, research, and help to develop educational material for identified service needs.
16. Travel to various Rosecrance facilities to aid in Performance Improvement onsite activities as necessary and as assigned by leadership.
17. Assume other related responsibilities as assigned by leadership.

Schedule

• Hours: Monday - Friday; 8:30am - 5:00pm (40 hours per week)
• Shift: 1 st shift

Work Location

• Remote within 50 miles of Rockford, IL or Des Plaines, IL
• Required to be onsite on occasion
• Local travel: 25%-50%

Compensation & Rewards

• Base Pay: $70,054.40

Rosecrance values its employees and offers a comprehensive benefits package for you and your family:

• 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 leaveReferral 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

Who We Are

Rosecrance has been at the forefront of providing behavioral health services for over a century. Our mission is to empower individuals and families to overcome substance abuse and mental health challenges through evidence-based therapies and compassionate care. Join us in our mission to foster lasting recovery and transform lives.

We are committed to providing careers that make a difference in the lives of the people we serve and the people we employ. We do this through the work we do, our core mission and values, our employee resources, and especially through our purpose-driven community of opportunity and hope.

Our Health and Safety Commitment

We maintain a zero-tolerance drug-free environment, including marijuana, to prioritize safety for staff and clients. All candidates must pass an occupational health screening, ensuring a secure and healthy workplace.

Rosecrance is an equal opportunity employer and values diversity in the workplace. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, marital status, veteran status, or any other legally protected status. Our hiring decisions are based solely on qualifications, skills, and experience relevant to the requirements of the position.

Our Partnerships

• AARP Employer Pledge Program
• MSEP (Military Spouse Employment Partnership).

Ready to Make a Difference?

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.