Quality Improvement Coordinator
$2,000 Sign-on Bonus After 180 Days!
Rate: $31.70 - $43.75
Status: Full-Time | Exempt
What We Offer:
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Health, Vision & Dental Insurance
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Life Insurance & Retirement Plan
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Paid Trainings & 12 Paid Holidays
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Generous Leave Time Package
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24-Hour On-Site Gym
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Supportive Team Culture
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Public Service Loan Forgiveness Eligibility
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And more…
SUMMARY:
This position is responsible for leading the planning, monitoring, and reporting of the Authority’s quality improvement (QI) initiatives and accreditation activities. The role includes coordinating all aspects of surveys, reviews, and plans of correction associated with the Michigan Department of Health and Human Services (MDHHS), the Commission on Accreditation of Rehabilitation Facilities (CARF) International, and the Northern Michigan Regional Entity (NMRE) delegated functions.
As a standing member of the Quality Improvement Council, this position may serve as chairperson for various committees. It also functions as the Team Leader for the Risk Management Committee, overseeing root cause analyses of critical risk events and developing recommendations to improve systems and address identified quality of care concerns.
The position is responsible for ensuring the completion of all QI system monitoring and reporting requirements on behalf of the Authority. Additionally, it provides training to staff and stakeholders on QI processes and accreditation standards.
This role is integral in ensuring the Community Mental Health (CMH) organization remains compliant with established standards and regulatory requirements. It works collaboratively with agency programs and departments to support quality improvement activities and maintain adherence to applicable standards.
QUALIFICATIONS:
Education: A Bachelor's Degree in human services, business administration, public administration, or a related field.
Experience: Three years of experience in an appropriate mental health or health-related field is preferred. Knowledge of QI processes and auditing procedures. Lived experiences with mental illness, intellectual and developmental disabilities, and/or substance use disorders are valued.
Other: Functional computer literacy in Microsoft Office Products. (i.e., Excel, Outlook, PowerPoint, and Access)
ESSENTIAL JOB FUNCTIONS:
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Lead the development, implementation, and monitoring of quality improvement initiatives across the organization.
- Collect, analyze, and present data to identify trends, measure performance, and support data-driven decision-making.
- Ensure compliance with MDHHS, CARF, NMRE, and other regulatory and contractual requirements.
- Recommend, interpret, and support the implementation of policies and procedures related to quality improvement and accreditation standards.
- Coordinate all accreditation and regulatory review activities, including preparation, documentation, and follow-up plans of correction.
- Demonstrate familiarity with accreditation standards, rating indicators, and compliance documentation requirements.
- Develop and support work plans for pre-site and on-site survey activities and assist in compiling and submitting accreditation self-study materials.
- Work collaboratively with departments to ensure readiness and compliance with all applicable standards.
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Serve as a standing member of the Quality Improvement Council and may act as chairperson of designated committees.
- Act as Team Leader for the Risk Management Committee, conducting root cause analyses of critical incidents and recommending system improvements.
- Collaborate with the Clinical Leadership Team to establish and evaluate program outcomes.
- Serve as liaison to the Northern Michigan Regional Entity (NMRE) regarding quality oversight activities
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Ensure completion of all required QI monitoring, reporting, and performance improvement activities.
- Assist with departmental initiatives and collaborate with compliance, contracts, and quality staff on special projects and organizational priorities.
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Maintain professional relationships with staff, leadership, external partners, and the public.
- Demonstrate knowledge of universal precautions, standards of practice, and emergency protocols.
- Perform other related duties as assigned.
NON-ESSENTIAL JOB FUNCTIONS:
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Performs other related duties as required.
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May be required to provide own transportation while performing agency-related duties.
PHYSICAL REQUIREMENTS:
The physical demands here are representative of those that must be met by an employee to successfully perform the functions of this job. Ability to walk, bend, stand, sit, lift up to 25 lbs., with or without assistance, stretch/reach, hear, see, hand/finger dexterity, and drive. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions in accordance with applicable laws.
About NeMCMHA
Since 1968, Northeast Michigan Community Mental Health Authority has provided services that help individuals live and work independently. With nearly 400 employees across 17 accredited programs, we proudly serve Alpena, Alcona, Presque Isle, and Montmorency counties.
Northeast Michigan Community Mental Health Authority does not discriminate on the basis of race, color, creed, national origin, religion, age, gender, height, weight, marital or veteran status, physical or mental disability, genetic information, or any other legally protected status. Northeast Michigan Community Mental Health Authority is an equal opportunity employer.
