Quality Excellence Leader - Behavioral Health and Substance Use Disorder

The Quality Excellence Leader (RN) will help lead the implementation of quality improvement activities through the development, oversight and coordination of detailed work plans and gap analysis of various internal constituents and external agencies.

Reporting to the Nurse Director Regulatory, the selected individual assists with the analyses, review trends/research and develops new and more efficient approaches to care of the patient population and other populations as needed to maximize impact on operational efficiency, reduce preventable harm, improve incentive reimbursement and population health.

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

• Current Registered Nurse withcurrent Michigan license.

• BSN required, master's in nursing or health related discipline preferred.

• Three to five years quality improvement experience.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Coordinate and ensure development and implementation of annual quality improvement plan, evaluation of the annual plan and needed revisions in policy and procedures and practice related to the plan.

• Develop strategies with teams to ensure patients receive safe and equitable care.

• Coordinate the preparation of committee agendas and minutes; develop and maintain queue and tracking mechanism to ensure follow up and closure of issues prn.

• Collaborate with colleagues in identifying quality of care issues, assist in conducting audits and gap analysis resulting in detailed work plans to achieve compliance through team meetings and workgroups. Coordinate with appropriate management and staff to ensure timetables are attainable and met.

• Coordinate with appropriate departments to assure that all incentive programs are meeting data submission and quality indictor requirements to assure 100% reimbursement of the incentives.

• Educate or collaborate to ensure colleagues and stakeholders are updated on best practices in caring for key populations

• Respond to requests for data from internal and external sources following developed protocols for release of information.

REQUIRED SKILLS AND ABILITIES

• Advanced interpersonal skills necessary to effectively communicate complex theoretical and technical concepts effectively with a wide variety of individuals.

• Advanced analytical and computer skills in order to manage project work and data.

• Advanced analytical skills necessary to develop sound recommendations and assist in implementing improved delivery of care systems, policies and procedures, evaluating clinical practice outcomes and developing educational programs.

• Ability to work with and lead multidisciplinary teams in initiatives to facilitate implementation and measurement activities.

• Ability to integrate information across myriad settings with the goal of standardization (when appropriate), simplification, and reduction of non-value-added work and steps.

Our Commitment