Quality Management Analyst (Behavior Health Field)

We are looking for you! Do you want to be a part of the team that transforms lives? Cumberland Heights is more than a campus on 177 acres, it’s a community. Our mission is providing the highest quality care possible for persons and families who are at risk for or who are suffering from the disease of chemical dependency. Treatment encompasses the physical, mental, emotional, and spiritual dimensions of recovery by offering a safe, loving and healing environment, combining professional excellence and the principles of the Twelve Steps.

Cumberland Heights Foundation offers a comprehensive benefits program, which includes:

• Medical, Dental and Vision effective 1st day of month following 28 days of employment
• Employer Contribution for Health Saving Account or Health Reimbursement Account
• 401K with Company match up to 5% after 90 days of employment
• Paid Time Off (PTO) accrual beginning day (1) one and up to 20 days of PTO the first year

POSITION SUMMARY

The Quality Analyst position is responsible for assigned operations in Quality Management under the guidance of the department director. Areas of direct involvement include: quality measurement (M), data science (DS), compliance (C), risk management (RM), complaint investigation (CI), and overall process improvement (PI). Additionally, the quality Analyst is charged with the overall maintenance of the organization’s strategic business intelligence/data science plan. The Quality Analyst is responsible for analyzing data regarding key organizational processes (e.g. efficacy of clinical intervention, incident report trends, attrition, continuing care, and key indicators of treatment success/failure).

PRIMARY DUTIES AND RESPONSIBILITIES

1. (M) Maintains and assists in the development of our strategic business intelligence/data science plan.
2. (M) Analyzing data regarding key organizational processes (e.g. monthly reports, efficacy of clinical intervention, incident reporting trends, attrition, continuing care, and key indicators of treatment success/failure).
3. (DS) Maintains all organization-wide quality measurement activities (e.g. sub-organizational goals, program centric evaluation, and third-party scorecard collaborations).
4. (DS) Assists the Dir. of Quality Management, Dir. of Information Technology, and Chief Science Officer in the creation of dynamic reports and visualization tools that provide actionable information to CH staff.
5. (C) Assists the Dir. of Quality Management in maintaining the organization’s continuous compliance with all accrediting bodies (e.g. the Joint Commission, ASAM/CARF, and others as directed).
6. (C) Assists the Dir. of Quality Management in maintaining the organization’s continuous state licensure of all facilities and programs, under the compliance of the Tennessee Department of Mental Health and Substance Abuse Services.
7. (C) Assists with site visits and inspections of organizational facilities by various regulatory bodies as directed.
8. (RM) Reviews incident reports for accuracy and completeness, including tracking of follow up with various department managers and staff.
9. (RM) Reports patterns of risk and/or serious events, along with recommendations, to the Dir. of Quality Management.
10. (CI) Assists with investigations of customer/patient complaints, including ongoing customer contacts as directed.
11. (PI) Assists in the management of process improvement protocols and projects as directed.
12. Ensures that a welcoming, safe and healing environment is maintained for each patient and family throughout the continuum of care.
13. Maintains confidentiality of company and patient information.
14. Performs other duties as assigned.

SUPERVISORY RESPONSIBILITIES

None

Requirements:

JOB SKILLS & REQUIREMENTS:

• Master’s Degree in Public Health, Healthcare Administration or related field preferred
• Two (2) years of experience required with healthcare QUALITY MANAGEMENT preferred
• Experience in behavioral health and addiction medicine preferred
• Knowledge of QI methodologies to include LEAN and Six Sigma preferred
• Microsoft applications: Word, Access, Visio, Excel, PowerPoint and Outlook expertise required; Power BI and/or Tableau experience preferred
• Problem-solve, analyze, and interpret information.
• Adapt to changing circumstances and departmental or patient needs in a fast-paced environment.
• Ability to deescalate a person in crisis in a calm and supportive manner; work calmly and professionally in stressful situations and ally with people in crisis.
• Excellent customer service, written, and oral communication skills with the ability to effectively speak, read and write in English.
• Ability to interact with patients and co-workers in a collaborative and courteous manner while providing guidance, instruction, and training.
• If recovering, one year of verifiable abstinence required with five years preferred.

WORK ENVIRONMENT

• Position is in an office setting that involves everyday risks or discomforts requiring normal safety precautions.
• Position requires frequent contact with people in crisis, including those who are emotionally volatile and may require additional safety precautions.
• Position is subject to occasion evening and weekend work and occasional travel between facilities.
• Ability to lift and/or push pull up to 25lbs; move around campus on uneven and rural terrain.
• Ability to speak, hear, see, sit, walk, stand, reach and use fine/gross motor skills