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Quality Management Specialist / Occurrence Reporter (HEALTH PROFESSIONAL III)

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Quality Management Specialist / Occurrence Reporter (HEALTH PROFESSIONAL III)

Salary

$5,288.00 - $6,347.00 Monthly

Location

Denver, CO

Job Type

Full Time

Job Number

IIC 00787 05/23/2025

Department

Colorado Department of Human Services

Division

OBH - CMHIFL

Opening Date

05/23/2025

Closing Date

6/15/2025 11:59 PM Mountain

FLSA

Determined by Position

Type of Announcement

This position is open only to Colorado state residents.

Primary Physical Work Address

3520 W Oxford Ave, Denver, CO 80236, USA

FLSA Status

Exempt; position is not eligible for overtime compensation.

Department Contact Information

[email protected]

How To Apply

Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.

+ Description

+ Benefits

+ Questions

Department Information

Please note: This recruitment may be used to fill multiple vacancies.

Most State of Colorado employees are eligible for a great benefit package! Please see the Supplemental Information section below for details! (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits)

Colorado Department of Human Services (CDHS) connects people to assistance, resources and support for living independently in our state. We are the people who help people. Colorado has a state-supervised and county-administered human services system. Our mission is collaborating with our partners, our mission is to design and deliver high-quality human and health services that improve the safety, independence, and well-being of the people of Colorado. Our vision is that the people of Colorado are safe, healthy, and prepared to achieve their greatest aspirations. Through our core values listed below, CDHS staff is committed to:

+ Make decisions with, and act in the best interests of, the people we serve, because Colorado's success depends on their well-being.

+ Share information, seek input, and explain our actions because we value accountability and transparency.

+ Manage our resources efficiently because we value responsible stewardship.

+ Promote a positive work environment to support and develop employees, because their performance is essential to Colorado’s success.

+ Meaningfully engage our partners and the people we serve because we must work together to achieve the best outcomes.

+ Commit to continuous learning because Coloradans deserve effective solutions today and forward-looking innovation for tomorrow.

Description of Job

The Occurrence Reporter coordinates organization-wide efforts to ensure that performance management and quality improvement initiatives are developed, managed, implemented, and maintained utilizing data-driven, Lean-focused techniques in concert with the CMHHIFL Strategic Plan. Hospital-wide, the Occurrence Reporter helps to foster a performance-based culture that continually evolves and improves.

CMHHIFL Incident Tracking, Monitoring, and Reporting:

Responsible for hospital-wide critical incident tracking, monitoring and reporting programs utilizing the hospital’s RL Datix incident reporting system.

+ Investigates and evaluates incidents of a critical nature, analyzing the severity and ensuring hospital mission and safety of patients, staff, and the public. If reportable, reviews and appraises incidents to appropriate facilities, most importantly the Colorado Department of Public Health and Environment (CDPHE).

+ Analyzes and interprets aggregate data, identifies and detects adverse trends, and assures compliance with applicable statutes.

+ Develops recommendations for administrative changes of the policies and procedures based on identified adverse trends. Cooperates with Information Management in review/determination of data for inclusion in C-stat data when applicable.

+ Develops and prepares critical incident reports and provides requested information to the Hospital, the Department of Human Services (CDHS), the Department of Public Health and Environment (CDPHE), and the Office of Civil and Forensic Mental Health. Maintains an accurate critical incident database. Works in conjunction with Information Management for needed data inclusion for CDHS Quality reports.

+ Provides and reports monthly data to the Quality Council on incident trends and ongoing performance improvement projects.

Quality Assurance

Initiates performance improvement projects based on incident trends and areas identified for improvement utilizing the Plan, Do, Study, Act or Lean models.

+ Assists in the implementation of the Quality Management process that leads to positive and measurable impacts of CMHHIFL’s strategic Quality Assurance and Performance Improvement Plan.

+ Coordinates performance management and quality improvement projects throughout the hospital.

+ Designs, develops, and implements organization PI initiatives, thereby positively impacting patient care across all disciplines.

+ Assists other disciplines with writing and revising hospital policies and serves as a quality management representative on policy-writing workgroups and committees. Ensures hospital policies align with regulatory standards.

Data Analysis, Collection, and Dashboards

Analyzes data and develops reports for dissemination to the Colorado Mental Health Hospital in Fort Logan Executive Committee, Quality Council, OCFMH executive leadership, and other stakeholders.

+ Identifies trends and implements strategic performance improvement projects as a result of identified gap areas.

+ Collaborates with the RL Datix team, quality department and hospital subject matter experts on the design of the information technology infrastructure required to support a statewide performance and quality improvement system.

+ Ensures needed data is collected on a timely basis, regular reports on progress are distributed, and makes recommendations for further improvements based on the data.

+ Provides monthly data analysis with regard to hospital incidents, performance improvement projects, and standing committees aimed at meeting regulatory standards.

+ Tracks data to improve operational and clinical performance and promote accountability and transparency.

+ Collaborates regularly with the leadership groups of the hospital, including MEC, Nurse Managers, medical staff, and line staff as it relates to incidents, plans of action and reporting of occurrences to assist hospital in following regulatory standards

+ Develops and manages dashboard to determine program viability, identify areas for improvement, make changes, and reallocate resources if necessary

Regulatory Compliance

Serve as a resource hospital-wide for standards, regulations, compliance trends, and propose initiatives by providing training, consultation, conceptual framework and structure to hospital staff.

+ Work with hospital management and staff to determine the level of compliance with regulatory standards and rules and develop plans for compliance.

+ Work with the Joint Commission and other accrediting and regulatory bodies to report and correct problems. Monitor various publications, websites, and other media for current standard changes and issues.

+ Determines and implements the tracer process, including system and individual tracers.

+ During survey years, leads and develops preparatory activities including training and auditing of treatment units for compliance with standards.

+ Develops and submits Evidence of Standard Compliance documentation to The Joint Commission

+ Works with hospital management and staff to determine the level of compliance with regulatory standards and rules and develops plans for compliance.

+ Works with the Joint Commission and other accrediting and regulatory bodies to report and correct problems.

+ During survey years, leads and develops preparatory activities including training and auditing of treatment units for compliance with standards.

+ Develops and submits Evidence of Standard Compliance documentation to The Joint Commission.

Collaboration and Training

Participates in Quality Management Department meetings.

+ Provides consultation and guidance to hospital staff with regard to quality work and patient safety.

+ Collaborates with external entities with regard to on-going performance improvement on behalf of CMHHIFL. May require travel within the State to meetings with regulatory partners or other CDHS partners.

+ Collaborates with staff development to revise existing training materials and create new ones, developing training based on quality issues found as part of tracers, and incident management.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Class Code & Classification Description:

C7C3XXHEALTH PROFESSIONAL III (https://drive.google.com/file/d/0B4enHpLSVk4eZHJHQUdJblU4U1E/view?usp=sharing&resourcekey=0-DeQJyG0XsviUUkTsbNl0gw)

MINIMUM QUALIFICATIONS:

Experience Only:

Six (6) years of relevant experience in an occupation related to the work assigned to this position

OR

Education and Experience:

A combination of related education and/or relevant experience in an occupation related to the work assigned to this position equal to six (6) years

Preferred Qualifications:

+ Bachelor's degree or higher in the clinical field of Counseling, Psychology, Nursing, or Social Work.

+ Five or more (5+) years of experience working in a clinical or hospital setting.

+ Behavioral health experience

+ Experience investigating occurrences

+ Prior utilization management experience

+ Experience in writing professional reports

+ Prior experience interacting with regulatory entities

+ Previous experience in quality improvement measures

+ Data collection and analysis

+ Experience with Google Suite Applications

Conditions of Employment:

+ Full background check and reference check required

+ Former State employees who were disciplinarily terminated or resigned in lieu of termination must (1) disclose that information on the application (2) provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position, (3) provide the employee number from the applicant’s prior State employment. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

Residency Requirement: This posting is only open to residents of the State of Colorado at the time of submitting your application.

Appeal Rights: (Updated)

An applicant who has been removed from an employment list or removed from consideration during the selection process may request a review by the State Personnel Director.

As an applicant directly affected by the results of the selection or comparative analysis process, you may file a written appeal with the State Personnel Director.

Review of the completed, signed and submitted appeal will be timely on the basis of written material submitted by you, using the official appeal form signed by you or your representative. This form must be completed and delivered to the State Personnel Board by email at [email protected] within ten (10) calendar days from your receipt of notice or acknowledgement of the Department’s action.

For further information on the Board Rules, you can refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules .

Supplemental Information

How to Apply (https://cdhs.colorado.gov/information-for-job-applicants#how-to-apply) Need help with your application? Click here.

The Assessment Process (https://cdhs.colorado.gov/information-for-job-applicants#assessment-process)

For additional recruiting questions, please contact [email protected]

About Us:

If your goal is to build a career that makes a difference, consider joining the dedicated people of the Colorado Department of Human Services (https://www.colorado.gov/cdhs) (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. In addition to a great location and rewarding and meaningful work, we offer:

+ Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan www.copera.org plus 401(k) and 457 plans

+ Medical and dental health plans

+ Employer supplemented Health Savings Account

+ Paid life insurance

+ Short- and long-term disability coverage

+ 11 paid holidays per year plus vacation and sick leave

+ BenefitHub state employee discount program

+ Employee Wellness program (https://coloradostateofhealth.com/)

+ Excellent work-life programs, such as flexible schedules, training and more

+ Remote work arrangements for eligible positions

*Some positions may qualify for the Public Service Loan Forgiveness Program. For more

information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs .

Our Values:

We believe in a people-first approach: To serve the people of Colorado, we develop a culture and work environment that creates an energized, inspired, and healthy team capable of giving their best to Coloradans .

Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.

We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.

Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.

We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.

Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.

We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.

ADA Accommodations: CDHS is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADA Coordinator, Nancy Schmelzer, at [email protected] or call 1-800-929-0791.

~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~ (https://cdhs.colorado.gov/information-for-job-applicants#eoe)

The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits

Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.

01

Describe your experience working with psychiatric patients. Which work history entries listed above include this kind of experience?

02

Describe your knowledge of MANE allegations.

03

Describe your experience communicating with accrediting agencies. Which work history entries listed above include this kind of experience?

04

Please summarize your experience related to occurrence reporting overall. Which work history entries above includes occurrence reporting?

05

Please summarize your experience related to quality assurance and performance improvement. Which entries in your work history above includes this kind of experience?

06

The bottom of this job announcement provides links to additional information on how to apply, the assessment process, toll free applicant technical support, and about how the State of Colorado is an equal opportunity employer. Please acknowledge below that you have read the information provided in these links.

+ This information is available to me and I have read this information.

+ I am unable to access the links with this information on the job posting. (If you select this option, please contact the recruiter, whose information is listed on this announcement, so that they can send this information directly to you.)

07

If you are a current or former State of Colorado employee, please list your employee number (starts with 997…). Failure to provide this requested information may render your application incomplete, and you may no longer be considered for the position.

08

Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application. In the space below, please provide an explanation as to why the prior termination or resignation should NOT disqualify your application from the current position.

09

If you are a former or current state employee, please identify what state agency you work(ed) with and how many years of relevant state service you have related to the position you are applying for. (Ensure this is listed on your application under work experience).

Required Question

Employer

State of Colorado

Address

See the full announcement by clicking

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Website

https://careers.colorado.gov/

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