Quality Improvement Analyst

Post Date:  Mar 21, 2024
Location: 

Caseyville, IL, US, 62232

Position Type:  Full Time
Requisition Number:  31432
Work Schedule:  Monday - Friday

Are you looking to find personal and professional fulfillment, and align your career with your values? 

 

At Gateway Foundation, our employees have an opportunity to make a difference every day by helping people with substance abuse issues gain control of their lives.

 

Gateway Foundation is a recognized non-profit leader in evidence-based treatment proven to get results. Our experts in Addiction Medicine—including highly educated clinical and medical professionals and expert psychiatrists and nurses—deliver care that never stops. Throughout Gateway’s proud history of helping others, dedicated and professional employees have been vital to accomplishing our life-saving mission.

 

If you are a collaborative professional who shares our commitment to helping people with substance abuse and mental health issues turn their lives around – GATEWAY IS THE PLACE FOR YOU! 

 

 Responsibilities of Quality Management Analyst:

  • 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.

 

Requirements:

  • 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.    

 

Competitive Compensation and Benefits: 

 

Gateway Foundation values its employees and provides an inclusive and diverse work environment where dedicated employees can make a difference. We are committed to engaging and rewarding our employees in meaningful ways. For eligible employees, we provide a Total Rewards Package that includes:

  • Health Insurance - Including a wellness premium incentive opportunity
  • Dental & Vision Insurance
  • Paid Time Off - Including 18 days of PTO and 9 paid holidays in the first year
  • Flexible Spending Accounts and Health Saving Account
  • Commuter Accounts
  • 403(b) Retirement Plan with company match 
  • Life and AD&D Insurance
  • Short Term Disability (STD) and Long-Term Disability (LTD)
  • Employee Assistance Program (EAP)
  • Gateway is a qualified employer for Public Service Loan Forgiveness (PSLF)
  • Tuition Reimbursement
  • Training & Development Programs

 

Gateway Foundation is an Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets. Please view Equal Employment Opportunity Posters provided by OFCCP here.


Nearest Major Market: St Louis