Caminos Quality Improvement Associate

Baltimore, Maryland, United States Full-time

Position Summary:

The Quality Improvement Associate shall manage the coordination of a variety of QI activities to monitor the quality of service delivery for the Caminos program.  Primary responsibilities include working within various databases, pulling and designing reports and visuals, as well as conducting stakeholder surveys, chart audits, and discovery processes.  This position will also provide support to ensure that identified essential program functions occur in accordance with state and federal regulations and meet BCC and accreditation best practice standards.

Essential Functions:

  • Assure compliance of all standards that apply to the Caminos Program, including national accreditation, Federal and state licensure, and serve as an internal resource on all applicable regulations.
  • Assist in Federal and State licensure and national accreditation activities.
  • Assist staff in implementing, monitoring, evaluating and planning procedures and activities in all service delivery areas and for risk management.
  • Assist in developing policies and procedures to support service delivery and funding accountability.
  • Identify changes or the creation of new policy and procedures based on both program needs as well as from Federal and State regulation announcement changes. Responsible for updating all documentation in both policy and procedure manuals as well as supporting training materials.   Draft new training materials as needed following significant revisions.  
  • Provide periodic training on Quality Improvement.

 

Database and Reports:

  • Monitor the entry of data into the Caminos portal.  Ensure other staff roles are entering data in accordance with regulatory timelines and any catch-up data entry projects are completed.
  • Compile and distribute reports as scheduled that include, but are not limited to, capacity, SIR, restraint, annual and quarterly outcomes, survey summary, and licensing reports.
  • Ensure all medical services both rendered and owed are entered into required databases database appropriately and accurately.
  • Translate data from reports into BCC’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 and Chart Management:

  • Following the discharge of a client from the Caminos program, ensure all documentation is present and tasks completed before officially closing out the file.
  • Conduct physical assessments of classroom and living unit spaces to ensure regulatory and policy compliance.
  • Ensure client charts meet all internal, regulatory, licensing, and accreditation standards, especially with regards to notes, completion date, signatures, and documentation.
  • 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.

 

Surveys:

  • Maintain mechanisms for stakeholder feedback for the Caminos Program. This includes, but is not limited to, surveys focused on employees, clients, families of clients, and other stakeholders.
  • Work with the QI department to code in surveys within the Survey Monkey platform to meet the Caminos QI needs.
  • Pull data from Survey Monkey and other survey mechanisms into reports as needed.
  • Analyze results to identify focus areas for improvements.

 

Discovery Processes:

  • Follow up on formal concerns received by the QI team and conduct an initial review and gathering of due diligence. Summarize findings for further analysis. Ensure all formal concerns are entered into BCC’s database and any other required regulatory data systems.  

 

Electronic Health Record (EHR) Implementation Project:

  • Complete the training to become a certified EHR super user.

 

Non- Essential Functions:

  • Assists with responding to federal records request as needed.
  • Assist with documentation and status reporting on Corrective Action Plan (CAP) items as needed.
  • Participate in all scenario and functionality testing for the new EHR system. Report bugs and errors to QI Manager for review.
  • Participate as needed in data migration and document scanning phase of the EHR project.
  • Assist in trainings throughout the organization.
  • Assist with document retention and scanning projects generally as needed.
  • Provide coverage for the Caminos medical coordinator as needed.

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
  • Prioritization
  • Discretion in Handling Responsibilities
  • Navigating web-based data systems and portals
  • Learning new technology (hardware and software)

 

 

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, tablets and smart phones, photocopiers, scanners, 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 required on at least a weekly basis.  A company vehicle will be provided as needed.

 

 

Required Education and Experience

  • Bachelor’s Degree in human service related field.
  • A minimum of 1 year documented, progressively responsible experience in the field of child and family services and/or behavioral health care.
  • A minimum of 1 year of experience in a direct Quality Improvement role.

 

Preferred Education and Experience

  • A master’s degree and four years’ experience in the field.
  • Experience with state licensure, federal grant management and national accreditation or familiarity with these processes.
  • 3 years documented, progressively responsible experience in the field of child and family services and/or behavioral health care.
  • Experience with funding regulations, standards and requirements.
  • Knowledge of Maryland, Pennsylvania and West Virginia residential care regulatory requirements a plus.
  • Spanish speaking and reading preferred but not required.

 

Additional Eligibility Qualifications

  • Demonstrates knowledge of and familiarity with both Board of Child Care and Office of Refugee Resettlement Policy and Procedures relating to the care and supervision of Unaccompanied Children. This includes knowledge of legal background and authority governing the practice as related to working with Unaccompanied Children.
  • Demonstrates familiarity and understanding of medical compliance and data entry standards.
  • 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.
  • 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 (Asana.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 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.

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To apply, please submit your resume (required) and cover letter (optional) using the application buttons below. 

To view a summary of employee benefits and learn more about our company culture, visit www.boardofchildcare.org/careers.  

The Board of Child Care is an equal opportunity employer committed to excellence through diversity. All eligible candidates, regardless of personal characteristics, are encouraged to apply for vacancies as appropriate.