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Gateway Foundation · 2 weeks ago

Quality Improvement Analyst

Chicago, IL

Full-time

Hybrid

Mid Level

3+ years exp

Gateway Foundation, Inc. is a national non-profit dedicated to helping individuals with substance use and mental health disorders. The Quality Improvement Analyst is responsible for monitoring and evaluating the adequacy of care, conducting audits, and developing quality improvement training for clinical staff.

Addiction TreatmentHealth CareMedicalMental HealthNon ProfitRehabilitationWellness

Responsibilities

Conducts review of client records to monitor and evaluate adequacy and appropriateness of care in accordance with established standards and medical necessity

Audits client records and reports to ensure accurate and timely completion by clinical staff, and assure compliance with regulations, contracts, and policies and procedures; as well as quality of care standards for intake, assessment treatment planning, counseling, discharge planning, medical services, environment of care life/safety issues, and so forth. Compiles audit data, and records results on audit forms

Conducts regular site inspections to identify potential problems or deficiencies in compliance and quality of environment of care, and life/safety issues which includes review of housekeeping, food services, facilities maintenance, and medical services

Works with supervisors and directors to initiate corrective action-improvement plan in response to identified deficiencies or errors in charts, or potential noncompliance issues, according to established policies, procedures and quality of care standards. Follows up with site staff as necessary to ensure compliance of corrective action-improvement plan

Develops and provides quality improvement training and in-service programs for all levels of clinical staff

Monitors site administration and results of client satisfaction surveys. Review client satisfaction results and trends with sites and help identify areas for improvement including identified benchmarks

Monitors risk reports such as incident reports. Reviews and tracks incident reports for compliance and quality documentation. Review identified trends with sites to identify opportunities to reduce risk

Facilitate site-level Quality Improvement meetings to review monthly audit findings and compliance with Gateway identified Quality Improvement Indicators. Help committee identify areas for improvement and developing improvement plan. Record site-level meetings or designate person to record meetings

Prepares summary reports and presentations of program activities and results for review and use by management in planning and evaluating quality of services, and process improvement. Participates in analyzing data to identify trends, program strengths and weaknesses, and interpret and explain results. Contributes to developing recommendations to enhance services and compliance

Travels to various sites to review client records, conduct audits and provide staff training

Assists supervisor in developing reporting mechanisms to evaluate standards of compliance and quality of care, establishing review criteria, recommending standards and measures, and selecting methodologies for data retrieval

Participates as member of committees or teams concerned with utilization review, quality management, and process improvement; and assists committees and teams in carrying out responsibilities by aggregating and reporting pertinent review and audit findings. Identifies client care problem areas, and provides input into resolution of identified problems

Works with utilization review and quality management committees to develop guidelines, standards and criteria related to provision of care, and carries out committee directives. Drafts and assembles meeting materials such as minutes and agendas

Keeps current regarding changes in regulations, standards and contracts governing utilization review and quality management; as well as trends and developments in data retrieval and reporting methodologies; through reading of appropriate articles and journals, and by attending appropriate conferences and seminars

Qualification

Bachelor’s degreeTreatment planningData analysisMicrosoft OfficeElectronic Medical RecordsAnalytical skillsTactDiplomacyVerbal communicationWritten communication

Required

Bachelor's degree in nursing, health care, health information management, social services or other closely related field

Comprehensive knowledge of treatment planning and documentation, therapeutic services and intervention techniques, and medical records administration

Knowledge of substance abuse treatment planning and implementation, familiarity with record review process, understanding of diagnoses, and ability to collect and analyze data independently and offer workable solutions to quality of care or noncompliance problems; at a level normally acquired through three to five years progressively more responsible experience in healthcare or social services, with concurrent experience in substance abuse counseling

Strong verbal and written communication skills, and high degree of tact and diplomacy, in order to gather and exchange utilization and quality management data, present written and verbal reports of findings, and provide effective advice and guidance to clinical staff in achieving compliance and enhancing quality of services

High level analytical skills necessary to collect, analyze and interpret client data, determine significance of information collected, form inferences and/or forecasts from data, and prepare abstracts and summaries of statistical information for reports

Proficient in Microsoft Office such as word and excel in order to complete required forms, reports, and analyses

Proficient in Electronic Medical Records

A current and valid driver's license, in order to travel to assigned sites