Performance Improvement & Accreditation Coordinator

Rosecrance Behavioral Health; Des Plaines (IL); Hybrid; USD 63,000 - 77,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer match

Life Insurance, LTD and AD&D

Tuition assistance & licensure/cert./c

Paid Time Off and sick time

Referral program up to $1,000 per hire

Wellness program and on-site gym at些

Discounts at participating retailers

Daily pay via UKG Wallet

Job summary

Rosecrance Behavioral Health seeks a dedicated professional to establish and manage a comprehensive Quality Improvement/Performance Management system across all programs and affiliates. The role ensures ongoing performance improvement activities and regulatory adherence while coordinating with leadership to advance organizational safety and data-driven decision making.

The position involves data aggregation, EHR data entry guidance, staff training on PI initiatives, and frequent audits.

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 knowledge of regulatory standards (Joint Commission, DASA/SUPR, DMH, DHS and/or others).
• Training and proficiency in statistical information gathering and root cause analysis.
• Excellent written and verbal communication skills.

Responsibilities

• Establish and maintain a comprehensive Quality Improvement/Performance Management system across Rosecrance programs and affiliates.
• Implement regular performance improvement activities and ensure adherence to policies and regulations.
• Travel to Rosecrance facilities to aid in PI on-site activities as necessary.
• Assist leadership in review and revision of policies, safety, and risk management guidelines.
• Perform audits and support data-driven recommendations to senior management.

Skills

Communication skills

Data analysis

Regulatory knowledge

Training/teaching ability

Problem solving

Education

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

Tools

Excel

Word

Job 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

• 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.

Schedule

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

Our Benefits

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 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

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.

Equal Employment Opportunity

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).