State of Colorado · 9 hours ago
Health Professional III- Occurrence Reporter CMHHIP
Pueblo, CO
Full-time
Onsite
Senior Level
6+ years expThe State of Colorado is dedicated to providing high quality human and health services, and they are seeking a Health Professional III to assist with the implementation of the CMHHIP Critical Incident Reporting Program. This role involves reviewing and analyzing incident reports, investigating occurrences, and ensuring compliance with health and safety regulations to improve patient and staff safety.
GovernmentNon Profit
No H1B
Responsibilities
Ongoing development and implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-3-109
Collects, analyzes and reports data related to hospital-wide incidents in order to improve patient and staff safety
After investigating the incident and assessing the data collected, determines which events constitute an occurrence that must be reported through the iNotify database to Executive Management in Denver, CMHHIP/OBH leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH
Investigates and conducts mini root cause analyses into the incidents to further determine which incidents rise to the level of required reporting to the Colorado Department of Public Health and Environment (CDPHE) or the Joint Commission (TJC) as a Sentinel Event
Investigates and develops follow-up reports on any occurrence that meets the criteria, which includes, but is not limited to, visual review of video footage, performing interviews alone with staff and patients, recording interviews, listening to recordings, searching areas of the hospital, entering patient care areas and reviewing documentation
Additionally, this position is involved in the completion of Apparent Cause Analysis and Root Cause Analysis for critical incidents investigations
This position is required to complete emergency physical intervention/restraint training (CTI) and CPR
Collaborates with and advises Program and Unit Leadership, Department of Public Safety and Department Heads to respond to and investigate serious allegations that may require immediate response of an appointing authority to determine and develop an appropriate action to keep patients safe at all times
Formulates recommendations for change or improvement in operating procedures
Completes audits under the direction and in collaboration with the Quality Management QAPI team
Collects and summarizes findings by aggregating data per regulatory guidelines
Reports findings to the Director of Quality Management, and QAPI Supervisor
Assists with completing data input and collaborates on system maintenance for Quality Management spreadsheets and databases for audits, focused audits or focused audits requested by legitimate special interest entities affiliated with CMHHIP and TJC Tracers
Assists in determining the best method of data presentation based on the intended audience
Uses an established database in which results of all audits are maintained and through which comprehensive reports (including graphs and charts) may be extracted for the Director of Quality Management, Executive Committee or Program and Department Heads
Maintains a system for tracking chart delinquencies with a goal of no delinquencies older than 30 days hospital-wide
Monitors delinquencies and works with clinical staff to correct them within established timelines
Coordinates resolution of delinquencies with Quality Management QAPI team
Provides reports on delinquencies to the Director of Quality Management and Quality Management QAPI supervisor
As part of the utilization management program, this position may be asked to participate in various aspects of utilization review
For example, compose clinical letters in reply to third-party payer denial for reimbursement, and auditing the medical record to determine if there is additional documentation to be included to support medical necessity
Under Direction Of the Quality Management Director provides back-up support in the Tracer process, which mimics the tracer methodology employed by the Joint Commission when they conduct on-site surveys for themselves and CMS
Uses knowledge of Joint Commission and CMS Standards to complete intense observation of all areas, to include patient care areas, assessing environment of care, patient-staff interactions, observation of medication administration, seclusion and restraint, programming, plan of care reviews etc
This position specifically reviews Ambulatory Care Services, Physical Therapy, Dental Services and Radiology
Responsibility to perform assigned tasks and duties within the scope of practice for this position that do not fall within the realm of duty statements A-C to meet the vision and mission of the agency and/or the department
Qualification
Required
Six (6) years of relevant experience in an occupation related to the work assigned to this position
A combination of related education and/or relevant experience in an occupation related to the work assigned equal to six (6) years
Experience in a clinical or hospital setting
Behavioral health experience
Clinical degree; (Nursing; any type, Psychology, SW, etc.)
Any other relevant degree
FULL BACKGROUND CHECK: This position will have direct contact with vulnerable persons
CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check
This position will also provide direct care to vulnerable adults requiring a CAPS check
May work various shifts
Required to report without delay or interruption to provide essential or emergency services to ensure health, safety, and welfare
2-step TB (tuberculosis) screening is required of all new employees upon hire
A pre-employment criminal background check will be conducted as part of the selection process
Shall not initiate or engage in sexual, social, personal or financial relationships with patients
Successfully pass all modules of the CMHIP New Employee Orientation core curriculum
Possess the physical ability to successfully complete CTI & CPR
Lift arms above head and kick as high as own waist
Stabilize another person to accomplish a controlled containment to the floor
Withstand impact on own body using an ASP shield
Rotate body 90 degrees with feet planted for using a defensive tactic
Kneel on one or both knees and stand up again with multiple repetitions
Must be able to see and hear in order to observe, address and respond to potential breaches in safety
Seize, hold, control or subdue violent or assaultive persons and defend oneself or others to prevent injury
Demonstrate body agility, strength of all four limbs and the ability to walk and climb stairs consistently
Work in situations involving assaultive behavior, physical control of another person and/or restraint situations
Ability to read and comprehend the English language; effectively and fluently communicates in English, both verbally and in writing
Work in an environment with fluctuating noise and temperature (hot and cold)
Willing and able to travel
Annual influenza vaccination
Preferred
Relevant years of state service experience
Benefits
Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans
Medical and dental health plans
Employer supplemented Health Savings Account
Paid life insurance
Short- and long-term disability coverage
11 paid holidays per year plus vacation and sick leave
State of Colorado Employee BenefitHub Resource Center
Employee Wellness program
Excellent work-life programs, such as flexible schedules, training and more
Remote work arrangements for eligible positions
Some positions may qualify for the Public Service Loan Forgiveness Program.
Company
State of Colorado
State of Colorado is a non profit organization.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Jeanni Stefanik
Chief Financial Officer
Alan Salazar
Chief Strategy Officer for Colorado Governor John Hickenlooper
Recent News
The Business Times
2025-05-07
2025-03-14
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