Quality and Risk Coordinator

About the Job:

The Quality and Risk Coordinator provides support activities for the Quality and Patient Safety department by assisting the Director in completing all regulatory related duties including Joint Commission ICM reviews, corporate quality initiatives, and LCD audits on all Medicare clients. Assists department directors and staff to maintain compliance with facility policies and procedures and regulatory and accrediting agencies to ensure that there is a safe environment in which to provide quality care.

Roles and Responsibilities:

ESSENTIAL FUNCTIONS:

• Assists in maintaining accreditation compliance, client safety goals and other state or licensing requirements.
• Audits program components to ensure compliance with contracts, licensing, and accreditation standards.
• Assists in the development and oversight of corrective action plans to address deficiencies in contract compliance.
• Maintains updated policy and procedure manuals and electronic and physical database.
• Assists in the attainment and renewal of accreditation and licensing for the facility.
• Maintains and analyzes incident reports to support PI data collection and reporting needs and direction. Enters data into computer database for reporting and tracking purposes.
• Assists in the development of new programming and program expansion projects including quality related training.
• Assists in the initiation and oversight of the follow-through for program improvement initiatives and corrective actions.
• Completes quality analysis reports and identify recommendations for improvement.
• Facilitates document processing between managers and committees.
• Assists department directors and staff as needed to maintain compliance with regulatory guidelines and policy implementation.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required. Associate’s degree or Bachelor’s degree within a clinical healthcare field such as nursing or counseling preferred.
• One years’ experience with Joint Commission/CARF accreditation preferred and working in a compliance or quality capacity.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• CPR and de-escalation certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.

WORK LOCATION:

This position is onsite at the facility and is not a remote position.

SUPERVISORY REQUIREMENTS:

This position is an Individual Contributor.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.