Quality Improvement & Accreditation Lead

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

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