Demo

Quality Improvement Coordinator - $2,000 Sign On Bonus

Everstand
Baltimore, MD Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 3/26/2025

Position Summary:

The Quality Improvement Coordinator shall conduct a variety of QI activities to monitor the quality-of-service delivery for programs and departments throughout Everstand’s District of Columbia and Maryland locations.  Primary responsibilities include working within a database, pulling and designing reports and visuals, all stakeholder surveys, chart audits, and discovery processes.


Essential Functions:

  • Model and act in accordance with Everstand’s core values: safety, empathy, relationships, and impact.
  • Honor differences, acknowledge uniqueness, and amplify all voices. Participate in trainings and group experiences that explore Equity, Diversity, and Inclusion (EDI) topics. Model the use of inclusive language.
  • Demonstrate and practice Everstand’s leadership mindset, “Choose kindness. Solve problems and learn together. Make it happen.”
    • Attain Collaborative Problem Solving® Tier 1 certification and serve as a trainer and mentor of this practice for others.
  • Assure compliance of all standards that apply to the agency’s services including national accreditation, state licensure, and funders and serve as an internal resource on all applicable regulations.
  • Assist manager in the coordination and implementation of QI department objectives
  • Assist in state licensure and national accreditation activities.
  • Assist staff in implementing, monitoring, evaluating and planning procedures and activities in service delivery areas and for risk management.
  • Assist in developing policies and procedures to support service delivery and funding accountability in a multi-service organization.
  • Provide periodic training on topics or workflows related to Quality Improvement.
  • In partnership with other members of the QI team, monitor the centralized QI email inbox as well as assigned digital and physical formal concern inboxes. Open new cases in the appropriate database and follow up on assigned cases as needed.  Reply to questions from staff modeling best practices in customer service. 


Database and Reports:

  • Monitor the entry of data into the EHR.  Ensure other staff roles are entering data in a timely fashion and any catch-up data entry projects are completed.
  • Compile and distribute reports as scheduled which includes, but is not limited to, capacity, SIR, restraint, annual and quarterly outcomes, survey summary, and licensing reports.
  • Translate data from reports into Everstand’s company dashboard tool.
  • Interpret ad hoc requests for data into search criteria and create visual displays that meet the needs of the initial data request.
  • Provide technical assistance on Quality Improvement to administrative and management staff.
  • Attend team and program meetings regularly to review statistical data with care team staff.
  • Develop reports and presentations to present data to various organization teams and leadership committees.


Audits:

  • Ensure client charts meet all internal, regulatory, licensing, and accreditation standards, especially with regards to notes, completion date, signatures, and documentation.
  • Conduct physical assessments of programing spaces to ensure regulatory and policy compliance.
  • Provide oversight to and verification of completeness over support staff assisting in environmental and chart audits.
  • Conduct preliminary analysis of audit results to identify root cause. If needed following this analysis, assist department teams in the development of a Corrective Action Plan to be reviewed by the QI Manager.
  • Provide state licensing and other regulatory bodies access to Cx360 via a guided review during audits of charts and records.


Surveys:

  • Maintain mechanisms for stakeholder feedback for all major service areas of the agency. This includes, but is not limited to, surveys focused on employees, clients, families of clients, and referral sources.
  • Provide oversight to support staff for Everstand’s Survey Monkey account.  Work with other teammates and departments to code in surveys within the platform to meet their needs.
  • Pull data from Survey Monkey into reports as needed.
  • Analyze results to identify focus areas for improvements.


Discovery Processes:

  • Open cases to track any formal concerns received by the QI team. Oversee gathering of due diligence, assign interviews and statement collection to staff, and generally keep open cases moving forward to conclusion. Ensure tasks and follow ups are documented and completed.
  • Link with leaders to provide status updates, a summary of findings, and recommendations of next steps.
  • Run reports on formal concerns and client grievances to look for patterns.
  • Train new leaders on the formal concern process.


Electronic Health Record (EHR) Software:

  • Complete and maintain training as a certified EHR super user and ultimately become certified as a trainer for super users.
  • Report bugs and errors to QI Manager for review.
  • Participate as needed in data migration and document scanning phase of the project.
  • Conduct EHR training classes for end users as assigned.


COVID-19 Staff Guidance:

  • Using Everstand policy, gather needed information from staff reporting COVID-related symptoms, exposures or concerns and provide guidance on quarantine length. Give staff return to work clearance at the close of quarantine time periods.
  • Communicate unit exposures to program leadership to aid in unit quarantine determination. Send daily unit quarantine updates via email.

Contact state health department as needed to report applicable COVID-19 cases and to obtain guidance for distinctive situations.



Non Essential Functions:

  • Assist in trainings throughout the organization.
  • Assist with document retention and scanning projects as needed.
  • Identify changes or the creation of new policy and procedures. Assist with drafting and general documentation of workflows in policy and procedure manuals.
  • Monitor the quality-of-service delivery for programs and departments throughout Everstand’s Maryland and DC locations


Competencies:

  • Analysis of Data
  • Attention to Detail
  • Attitude towards Honesty
  • Conceptual Thinking
  • Following Directions
  • Handling Stress
  • Meeting Standards
  • Organized Workplace
  • Personal Accountability
  • Quality Orientation
  • Ability to resolve problems
  • Exercises Good Judgment
  • Discretion in Handling Responsibilities
  • Project Coordination



Supervisory Responsibility:

N/A


Work Environment:

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

In the nature of being at a residential and school living environment there may be times you experience conditions in which challenging behavior can be exhibited from our youth to include but not limited to, physical agitation, physical violence and/or emotion outburst.


Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.


Position Type/Expected Hours of Work:

This is a full-time position. Days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. This position regularly requires flexible hours to include some evenings.

Eligible for flex schedule.  This position is not essential during inclement weather.


Travel

Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected. As well as, some travel by car to community-based meetings.


Required Education and Experience

  • Bachelor’s Degree and at least 1 year of experience in a role that requires extremely high attention to detail as it relates to documentation audits, compliance, or data analysis.

OR

  • Associate degree plus 3 years of related experience (as noted above)


Preferred Education and Experience

  • Bachelor’s degree in a human service or data analytics related field
  • Experience in the field of child and family services, behavioral health, addiction recovery, or other related industry. 


Additional Eligibility Qualification

  • Must be able to self-manage and prioritize daily schedules, work effectively in a collaborative style with internal and external stakeholders, team members, managers and executives. 
  • Ability to read/understand vendor training materials.
  • Excellent writing skills. Able to effectively communicate with individuals at various levels of computer skill.
  • Ability to lead meetings, prioritize, resolve conflicts, maintain issues lists and manage a project plan required.
  • Strong communication and follow-up skills required.
  • Demonstrated ability to manage and direct project objectives independently via careful operational coordination, planning, and execution.
  • wKnowledge of Maryland/DC residential care regulatory requirements a plus.
  • Proven ability to manage multiple projects, priorities, meet deadlines, multi-task, and think creatively.
  • Solid Windows 10 computer proficiency.
  • Advanced knowledge of Microsoft Word is required (e.g. mail merge, creating a live table of contents).
  • Advanced knowledge of Microsoft Excel is required (e.g. pivot tables, graphs, filters, vlookups)
  • Proficiency in Microsoft Outlook and PowerPoint.
  • Ability to keep an electronic calendar (Outlook) and task list (com) is required.
  • Ability to obtain and maintain certification in CPR/First Aid.
  • Ability to demonstrate the possession of a valid driver’s license prior to employment and the ability to maintain the license and operate a motor vehicle thereafter.
  • Ability to pass CPS/UII background check both prior to employment and per the schedule outlined by HR thereafter.
  • Ability to pass a Tuberculosis Test both prior to employment and per the schedule outlined by HR thereafter.
  • Ability to pass a work-readiness physical performed by a certified medical professional both prior to employment and per the schedule outlined by HR thereafter.
  • Ability to pass a Federal and State Fingerprinting Background Check both prior to employment and per the schedule outlined by HR thereafter.
  • Ability to pass a drug screen via urinalysis both prior to employment and randomly thereafter.


Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Employee signature below constitutes employee's understanding of the requirements, essential functions and duties of the position.


#EverstandHP

Salary : $28 - $34

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