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Quality Assurance Strategist

Company: Recovery Centers of America
Location: Westminster
Posted on: November 19, 2021

Job Description:

RCA's Passion

In 2013, Recovery Centers of America (RCA) announced a goal: Save one million lives from the disease of addiction. We're working fast and hard to fulfill that promise, with over 11 facilities that offer evidence-based inpatient, outpatient, and medication-assisted treatment 24 hours a day, 365 days a year.

We know one size doesn't fit all when it comes to addiction treatment; that's why we tailor our treatment for each patient and offer specialized programs for patients with trauma and multiple recurrences, as well as programs for older adults, first responders, and more.

We believe in the power of local treatment, because families are a huge part of the treatment and recovery process at RCA. Our family program rebuilds, restores, or strengthens family relationships.

Our curriculum, resources, and evidence-based care were created to help patients not just achieve recovery, but maintain it for life. All of our services and treatment are delivered by clinical expertise - that's where you come in.

As a Quality Assurance Strategist, you'll be a part of our exciting mission of helping millions of people jumpstart their recovery. Your medical expertise will aid in patient recovery, as you support and implement effective techniques which will make a difference in the lives of patients, their families, and communities.

If you're looking for a fulfilling, life-changing job, Recovery Centers of America is the right place for you. And you're the right candidate for us!

Position Overview : - Under the supervision of the Corporate Director of Quality Management and Compliance and Corporate Director of Clinical Quality Assurance and in collaboration with the facility CEO's, the Quality Assurance Strategist is responsible for the implementation, management, coordination and oversight of RCA's Quality Assurance (QA) Performance Improvement (PI), and Compliance activities.

Daily Responsibilities Include:
Chart Audits
Monthly Qualitative Chart Audits (10% of prior months discharges)
Daily chart audits based on priority issues and/or PIP/CAPs/DCOs
Ensure PIP follow up and correction for areas of concern
Follow up with all staff regarding results of all audits, compile summary
QA Reports
Morning FLASH Briefing
Morning leading dissemination of deficiency reports/docs due
Working with leadership to ensure documentation timeliness and completion
End of day dissemination of continued areas of deficiency reports/docs due
Monthly Compliance Summary Response (sent by compliance dept)
QA report education (how to read, how to verify)
Incident Reports
FLASH briefing
Disseminate IR (i.e. high to low; if it needs to be sent to DMHAS, etc.)
Manage IR
Prepare to discuss/identify trends in daily meeting
Ensuring all are investigated with interviews and collecting data
Ensure all are closed
Follow up with team to make sure incident follow up is completed
Follow up with KOP team for any state reporting requirements
IR re-training/re-education is done
Send weekly IR reports to KOP
Conduct investigation (interviews, review of footage, root cause as needed)
Grievances
Follow up and respond to all patient grievances daily
Send weekly Grievance reports to KOP
Utilize ACTS for grievances
Patient Satisfaction Surveys
FLASH briefing
Patient Sat daily tracking and weekly aggregation
Distribute, collect, and prepare data for leadership to present at QAPI
Follow up with patients refusing to complete
Follow up on weekly comments to ensure response to comments
Co-Chair the following Committee Meetings with Site Leadership:
QAPI Committee Meeting- Monthly
Serves as the QAPI Co-Chair/site Leadership as Chair (as appointed by CEO)
Complete QAPI Presentation/Summary Sheet
Ensures follow through on Senior Leadership PIPs
Medical Records Committee Meeting -Monthly
Medical Records Co-Chair/site Leadership as Chair (as appointed by CEO)
Aggregate data and prepare reports/identify trends
Complete Medical Records Presentation/Summary Sheet
Ensures follow through on Senior Leadership PIPs
Safety Committee Meeting -Monthly
Safety Co-Chair/site Leadership as Chair (as appointed by CEO)
Prepare data and summary sheet
EOC checks/safety checks
Infection Control Committee-Quarterly
Co-Chair/Medical Director and/or DON Chair
Monitoring of Risk Assessment and Plan
Pharmacy and Therapeutics Meeting
Co-Chair/ Medical Director and/or DON Chair
Review of standing agenda
Weekly Leadership Meetings
Provide leadership with weekly data/information as requested
Assist in development of performance improvement plans as needed
Monthly Environment of Care Walkthroughs
Participate in ECO walkthroughs and document areas for improvement.
Assist in development and monitoring of PIPs as needed
Policy & Procedure and Protocol Governance
Ensures dissemination and understanding of approved P&Ps
Update P&P manual on site
Ensure protocol development has been reviewed/approved by governing committee
Ensure facility feedback prior to P&P meeting on upcoming P&P
Plan of Corrections (DCOs, CAPS, PIPS)
Assist in development
Monitor completion
Ensure appropriate follow up
Regulatory and Accreditation Awareness/readiness
Training on regulatory and accrediting requirements
TJC intracycle monitoring
Survey and Survey Prep
Assist in state, local, accrediting body preparation
Serve as site liaison during on site survey
Overall Strategic Responsibilities:
Strategic oversight encompasses all organizational areas to include but not limited to: risk management, patient satisfaction surveys, regulatory/payor/accreditation compliance, clinical outcomes management, clinical programming, quality management committees, coordination of care, models of supervision, system validity/reliability, and operational efficiency. Strategic oversight includes:
Implementation and monitoring of performance improvement plans and strategies
Proactive analysis of systems and processes that underscore adverse/high-risk events and/or decline in measurement scores and implement action steps to address
Proactive project management for implementation of quality initiatives
Ongoing survey readiness and education of all levels of staff in regulatory, accreditation, and organizational expectations
Education and Experience:
Bachelor's degree in a related field (healthcare management, psychology, social services, nursing); master's preferred
Five years of clinical experience and two years quality management experience with a focus on behavioral healthcare
Understanding of systems of quality measurement/management and evidence based practices (American Society of Addiction Medicine, Substance Abuse and Mental Health Services Administration, Healthcare Effectiveness Data Information Set, National Committee for Quality Assurance, National Institute on Drug Abuse, National Alliance on Mental Illness)
Understanding of Risk Management best practices as governed by the American Hospital Association, American Society for healthcare risk management
Previous experience implementing systems and process to include organizational change management
Understanding of managed care to include commercial insurance and CMS governance (Medicaid/Medicare)
Experience and knowledge of ongoing survey readiness and survey processes to include federal regulations, state regulations, Joint Commission, and Commission on Accreditation of Rehabilitation Facilities (CARF surveys and standards.
Experience working with and developing solutions within electronic health records
Proficiency in Microsoft Office products (Office, Excel, Project)
Excellent organizational skills required
Competencies:
Customer Service: - Demonstrates concern for meeting internal and external customers' needs in a manger that provides satisfaction for the customer within the resources that can be made available.
Impact and Influence: - Works effectively with and through others including those whom there is no formal authority over.
Project Management: - Coordinates the diverse components of the project by balancing scope, time, cost, and quality.
Communication: - Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, has good listening skills.
Work Environment: - This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate.
Physical Demands: - The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, or kneel. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus.
Travel: - 10%travel is required which includes local, out-of-the-area, and overnight travel.

Keywords: Recovery Centers of America, Worcester , Quality Assurance Strategist, Other , Westminster, Massachusetts

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