Quality Assurance/Standards Sup (PI) ( Broughton Hospital)

Agency Dept of Health and Human Services Division Broughton Hospital Job Classification Title Quality Assurance/Standards Supervisor (NS) Position Number 60044772 Grade NC19 About Us The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work Broughton Hospital is currently recruiting for a Quality Assurance/Standards Supervisor – Performance Improvement Supervisor position to work in the hospital’s Quality Risk Management and Compliance (QRMC) department. The Performance Improvement Supervisor oversees the hospital’s Performance Improvement Program and is responsible for organizing, collecting, and aggregating data in a systematic manner consistent with accrediting body specifications to accomplish important hospital functions and ensure the effective utilization of hospital resources. Key responsibilities include but are not limited to: • Monitoring and collecting information through audits and tracers for regulatory compliance efforts and performance improvement opportunities. • Evaluating ongoing compliance with Joint Commission, hospital, and Centers for Medicare and Medicaid Services (CMS) regulations. • Developing programs to ensure staff are educated about regulations, accrediting body standards, and survey activities; and assists other units/departments and committees by providing technical assistance in relation to performance improvement tools and resources. • Routinely carries out functions within the Patient Safety Evaluation System (PSES) which includes reviewing and analyzing events, maintaining Patient Safety Work Product (PSWP) within a secure environment, and entering patient safety event information into the designated Patient Safety Event and Patient Safety Organization (PSO) databases. This position reports directly to the Chief of QRMC and supervises three (3) positions. Knowledge Skills and Abilities/Management Preferences Recruitment Range: $67,122.00 - $117,465.00 Salary Range: $67,122.00 - $ 117,465.00 Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred: Three (3) years of experience working in performance improvement and/or quality assurance programming including collecting, analyzing, and/or aggregating data Experience interpreting, applying, and/or implementing regulatory standards Experience working in a psychiatric hospital or healthcare setting Experience interpreting Joint Commission, CMS, and/or other regulatory standards Previous supervisory experience. This is an anticipated vacancy. This Position Is Exempt And Is EXEMPT From Certain Provisions Of The State Human Resources Act (GS 126) This Position Is Designated As Mandatory And Must Report Or Stay Over During Adverse Weather Events. The normal working schedule for this position is Monday through Friday from 8:00am to 5:00pm; however, flexibility us required for training purposes and to meet the overall needs of the hospital. About Broughton Hospital: Broughton Hospital is one of the three regional psychiatric hospitals with statutory responsibility for operating as part of the Division of State Operated Healthcare Facilities (DSOHF). With the North Carolina Department of Health and Human Services, we provide help and support to North Carolinians, and their families, experiencing mental illness. Our hospital serves the western thirty-seven (37) counties of North Carolina, as part of the state's system of care and treatment for persons with mental illness. Supplemental Contact Information: DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. Positions in the Division of State Operated Healthcare Facilities shall be subject to pre-employment drug testing and criminal record background checks. Also, the use of tobacco products of any kind including vapor products are prohibited from our campuses. All employees are required to adhere to the facility's Vaccination Policy. To be considered for employment, an applicant must be in good standing with the Health Care Personnel Registry and other licensing boards/agencies. Application Process: Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application. • Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application, to support your answers. If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 11:59pm on the night before the closing date. Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for the qualified applicants. The hiring process may take several weeks. Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. For a list of organizations that perform this specialized service, please visit the NACES membership website at . Veteran's and National Guard Preference: Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications. Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application if they are a current member of the NC National Guard in good standing. Applicants who are former member of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application. ADA Accommadations: Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below. Applicants will be communicated via email only for updates on the status of their application. If there are any questions about this posting other than your application status, please contact the Human Resources office at 828-608-4130. Minimum Education and Experience Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Master's degree in psychology, social work, education, health, business administration, marriage and family therapy or related human services field from an appropriately accredited institution and three years of experience in professional level treatment programming for the applicable client population; or Bachelor's degree in one of the fields listed above from an appropriately accredited institution and four years of experience as indicated above; or an equivalent combination of education and experience. EEO Statement T he State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices. Recruiter: Elizabeth Button Buchanan Email: