Posting: Manager Quality Improvement - The Children's Center
April 18, 2023
Manager – Quality Improvement
FLSA Classification: Exempt
Core Values
- Dedicated-We are devoted, dedicated and always willing to pitch in.
- Passionate-We are passionate about what we do
- Accountable-We do what we say.
- Can Do Attitude- We have a "Can Do" attitude.
- Respectful- We always treat co-workers, donors and children and families with respect,
- courtesy and patience.
Job Summary
The TCC Manager – Quality Improvement is responsible for managing and coordinating the activities in the Quality and Compliance Department including both internal and external audits. The Manager – Quality Improvement leads the Quality Department in analysis of data for the agency’s quality initiatives. The Manager - Quality Improvement assesses the agency’s adherence to fiduciary requirements and implements, through coordination with programs and departments, process improvements that lead to agency change. The Manager – Quality Improvement represents the agency well by collaborating with programs and departments to affect change at TCC.
Job Requirements
- Master’s Degree in mental health field such as social work, counseling and/or psychology.
- Must have a limited or full license in the State of Michigan matching master’s degree as a Social Worker, Professional Counselor and/or Psychologist and maintain licensure for the duration of employment.
- Strong skill level with Excel (charting, formulas, pivot tables, data entry, different uses of the application).
- Must possess excellent organizational, written, and verbal communication skills.
- Must be objective, extremely detailed oriented, organized, a self-starter and capable of adhering to multiple deadlines.
- Behavioral Health Knowledge-Possess a strong understanding of Behavioral Health programs including, outpatient services, community-based services, and medical services.
- Possess a strong understanding of standardized assessment(s) used in authorization and delivery of clinical services in Seriously Emotion Disturbance (SED) and Intellectual and Developmental Disabilities (I/DD) programs.
- Knowledge of CPT and HCPCS codes.
- Must provide clearance that there is no record and/or convictions as a perpetrator of child abuse/and or neglect on the State of MI Child Abuse/Neglect Central Registry and other states of residency over the past 5 years.
- Must possess solid understanding of Customer Service, Recipient Rights, MDHHS standards, and federal regulations.
- Ability to demonstrate advanced skills related to windows navigation, Microsoft Office, and general office equipment.
- Must have reliable transportation, a valid driver’s license, automobile insurance and a clear driving record.
Essential Functions
- External Audit Coordination – responsible for coordinating the external audits for the organization. Inform departments/programs of audit deadlines and move the agency through the audit timeline. Schedule meeting rooms and technology.
- Internal Chart audits – Conduct formal audits (MHWIN) and random sample to uncover areas for compliance concerns and create summaries. Assign chart reviews to internal staff and compile reports. Complete ad hoc internal reviews.
- Data Analysis - Ability to analyze data and use data to inform decisions. Utilize measurement tools and statistical analysis methods to determine and analyze outcome measures which will support organizational goals. Creating monthly and quarterly report summaries. Engage in and/or oversee ad hoc data analysis to satisfy impromptu data requests.
- Report Management - Produces accurate and timely reports to program leadership highlighting key performance indicators. Create timely and accurate reports that drive the decision-making process. Create reports aggregating audit results for internal and external stakeholders.
- Guideline adherence – Monitor the adherence of TCC programs to Medicaid, MDHHS, DWIHN and COA requirements. Keep abreast of changes to requirements and provide recommendations for program change in response to evolving requirements. Complete and monitor agency Corrective Actions Plans (CAPS), improvement and development plans, and create summaries for senior leadership identifying areas to address.
- Supervisor responsibilities – Monitor, track, manage and support Quality staff to meet organizational goals. Engage in goal development and the annual performance review process with assigned staff.
- Quality of Services – Actively work with programs to identify and improve client care for clients who are high risk or not receiving services as outlined in their IPOS.
- Collaboration - Participate in external and internal meetings and committees. Serve as the Recipient Rights Advisor. Facilitate resolution of consumer formal and informal grievances. Communicate with senior leadership regarding high risk audit results and provide recommendations for improvement. Work with program services managers to establish workflows for efficiency and positive results.
- Staff Development – Conduct internal trainings for agency staff on specialized topics for clinical professional development and on compliance with standards.
- Meeting participation – Participate in pertinent meetings at DWIHN and internal meetings/committees (DWIHN QI/OPS, Customer Service (quarterly), NEO, ROCKS, BTPRAC, PPI, M.U.G., MT.)
- Customer service – maintain lobbies with needed information
Physical Requirements
- Ability to lift up to 10 lbs. overhead.
- Administrative work - ability to prepare and inspect documents in hard copy or electronic format. Ability to tolerate exposure to computer screen and operate computer/keyboard and other office equipment on a frequent and/or continuous basis
- Communication - Ability to receive and exchange information; accurately and effectively communicate/converse with others.
- Sitting - Ability to sit for extended periods of time.
Robust Health Care and Benefit Package including:
- Medical
- Vision and Dental Plan sponsored 100% by The Children’s Center
- Matching 3% 403(b) retirement plan after one year, fully vested after two years of employment
- 160 hours of paid time off your first year, 200 hours your 2nd year, up to 280 hours
- 10 paid holidays
- Life Insurance
- Long Term Disability sponsored 100% by The Children’s Center
- Longevity Pay
- Health Savings Account
- Dependent Care Account
- Tuition reimbursement
- Employee Assistance
Voluntary Benefits
- Critical Illness
- Accident
- Voluntary Life, voluntary spouse and dependent life
- Pet Insurance
- Legal Shield (prepaid legal services)
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.