Overview
Partners with Behavioral Health leadership to implement and monitor behavioral health quality assurance/quality improvement activities, identifies and monitors key performance indicators/program requirements, analyzes and reports on various data indicators and implements and tracks quality improvement activities. Additionally, this position will develop clinical trainings and educational/training materials, as well as conduct presentations to teams. Coordinates the development of policies/procedures and strategies to ensure compliance with federal and state behavioral health regulatory requirements. Objectively and systematically assesses, monitors, evaluates and promotes the improvement of processes that affect the quality of patient care, ensuring regulatory compliance.
Qualifications
Education Level |
Field of Study |
|
Bachelor's Degree |
Nursing |
Or |
Master's Degree |
Counseling |
Or |
Master's Degree |
Social Work |
Licenses/Certifications |
|
Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) |
Or |
Licensed Clinical Professional Counselor (LCPC) - Illinois Department of Financial and Professional Regulation (IDFPR) |
Or |
Licensed Clinical Social Worker (LCSW) - Illinois Department of Financial and Professional Regulation (IDFPR) |
Work Experience |
Length of Experience |
|
Behavioral health nursing |
3+ years |
Or |
Behavioral health |
3+ years |
|
Quality |
1+ years |
|
Ability to analyze data and create action plans |
2+ years |
Specialized Knowledge and Skills Requirements |
Knowledge of continuous quality improvement theory and statistics, and a strong grasp of the principles and skill set of nursing/behavioral health clinical processes. Strong human relations, influencer, leadership, teamwork, process management, interpersonal, and communication skills. Ability to facilitate diverse groups/teams. Extensive knowledge of licensing body standards and requirements. Ability to analyze, interpret and display data. Excellent organizational skills. Advanced presentation skills. Knowledge of quality improvement tools and techniques. Proficiency in Windows environment, EPIC, MS Word, Excel, and PowerPoint; and ability to readily develop proficiency in any software programs necessary to the position. |
Responsibilities
Essential Functions |
Collect, analyze and effectively present data related to quality and performance management activities |
Maintain a current understanding of the behavioral health rules, regulations, and guidelines from governing bodies and assure compliance with state, federal, and local requirements |
Assist in the development of policies and procedures to ensure appropriate implementation of updated regulatory guidance |
Develop and facilitate behavioral health clinical trainings related to regulatory and clinical requirements |
Develops and maintains collaborative relationships with department executive director, managers, providers, other Carle systems, and external contacts in order to meet program objectives. |
Develops education and monitoring tools for utilization by all departments to attain the continuous, systematic, and organization-wide improvement necessary for patient outcomes as well as compliance with accreditation and regulatory requirements. |
Reviews standards and literature, monitors regulatory websites, and consults with external sources as necessary to remain current with changes in standards and regulations. Works with all departments to develop or revise policies as a result of research, new or existing regulatory requirements. |
Oversee and actively guide utilization review, medication monitoring, treatment plans and peer review in accordance with federal, state, and local government and payor requirements |
Provide guidance to the Executive Director, Behavioral Health, for focused review as it relates to mental health and substance use disorder (SUD) activities |
Develop sustainable performance improvement practices through analysis of data and prioritization of efforts to improve survey readiness and consistency of care delivery using expected best-practices |
Monitor and analyze data to identify trends and areas for improvement in the delivery of care |
Conduct regular audits and reviews to ensure the accuracy and completeness of program documentation |
Department Specific Job Function |
Implement and monitor quality management activities and initiatives, including clinical documentation and program auditing, creation of operational materials including manuals, policies & procedures, data analysis, establishing key performance indicators, identifying system performance improvements and implementing/evaluating improvement activities as warranted. |
Non Essential Job Functions |
Responsible to complete Environmental Risk Assessment for departments |
Assists with preparation and follow up plans of correction for external audits |
Routinely generates and distributes department reports |
Assist with gathering data in various systems available |
About Us
Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Compensation and Benefits
The compensation range for this position is $31.08per hour - $53.46per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
|
Carle Health
$31.08 - $53.46 / hr
Oct 24, 2025