Health Professional III- Occurrence Reporter CMHHIP

Full Job Description

Most State of Colorado employees are eligible for a great benefit package! Please see the Supplemental Information section below for details!

The Quality Management Department exists to guide and support CMHHIP’s efforts to meet or exceed customer expectations by maintaining excellence in patient safety and care, and to identify opportunities for improvement through data collection, analysis, interpretation and dissemination of data-based information that enables hospital leadership to utilize resources in an effective and efficient manner and to operate efficiently under legislative and regulatory mandates and clinical and administrative policies and guidelines.

Requirements

About the Position:
This position assists with the implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-3-109. This position reviews and analyzes incident reports, using the standards of practice set by the Colorado Department of Public Health and Environment (CDPHE), and provides follow up for Colorado Mental Health Institute at Pueblo (CMHHIP), Office of Behavioral Health (OBH), and Colorado Department of Human Services (CDHS). Additionally this position investigates and determines which events constitute a critical incident/occurrence and determines which of those must be reported to Executive Management in Denver, CMHHIP leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH and Colorado Department of Public Health and Environment (CDPHE). Additional duties in this position include:

Critical Incident/ Occurrence Investigation and Reporting

• Ongoing development and implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-3-109.
• Collects, analyzes and reports data related to hospital-wide incidents in order to improve patient and staff safety.

After investigating the incident and assessing the data collected, determines which events constitute an occurrence that must be reported through the iNotify database to Executive Management in Denver, CMHHIP/OBH leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH.

Investigates and conducts mini root cause analyses into the incidents to further determine which incidents rise to the level of required reporting to the Colorado Department of Public Health and Environment (CDPHE) or the Joint Commission (TJC) as a Sentinel Event.

• Investigates and develops follow-up reports on any occurrence that meets the criteria, which includes, but is not limited to, visual review of video footage, performing interviews alone with staff and patients, recording interviews, listening to recordings, searching areas of the hospital, entering patient care areas and reviewing documentation.
• Additionally, this position is involved in the completion of Apparent Cause Analysis and Root Cause Analysis for critical incidents investigations.

This position is required to complete emergency physical intervention/restraint training (CTI) and CPR.

Collaborates with and advises Program and Unit Leadership, Department of Public Safety and Department Heads to respond to and investigate serious allegations that may require immediate response of an appointing authority to determine and develop an appropriate action to keep patients safe at all times.

• Formulates recommendations for change or improvement in operating procedures.

Medical Records Audits and Audit Monitoring:

• Completes audits under the direction and in collaboration with the Quality Management QAPI team.
• Collects and summarizes findings by aggregating data per regulatory guidelines.
• Reports findings to the Director of Quality Management, and QAPI Supervisor.
• Assists with completing data input and collaborates on system maintenance for Quality Management spreadsheets and databases for audits, focused audits or focused audits requested by legitimate special interest entities affiliated with CMHHIP and TJC Tracers.
• Assists in determining the best method of data presentation based on the intended audience.
• Uses an established database in which results of all audits are maintained and through which comprehensive reports (including graphs and charts) may be extracted for the Director of Quality Management, Executive Committee or Program and Department Heads.
• Maintains a system for tracking chart delinquencies with a goal of no delinquencies older than 30 days hospital-wide.
• Monitors delinquencies and works with clinical staff to correct them within established timelines.
• Coordinates resolution of delinquencies with Quality Management QAPI team.
• Provides reports on delinquencies to the Director of Quality Management and Quality Management QAPI supervisor.
• As part of the utilization management program, this position may be asked to participate in various aspects of utilization review.
• For example, compose clinical letters in reply to third-party payer denial for reimbursement, and auditing the medical record to determine if there is additional documentation to be included to support medical necessity.

Survey Readiness- Tracers:
Under direction of the Quality Management Director:

• provides back-up support in the Tracer process, which mimics the tracer methodology employed by the Joint Commission when they conduct on-site surveys for themselves and CMS.

Uses knowledge of Joint Commission and CMS Standards to complete intense observation of all areas, to include patient care areas, assessing environment of care, patient-staff interactions, observation of medication administration, seclusion and restraint, programming, plan of care reviews etc.

It also involves detailed audits of medical records on each unit visited to ascertain compliance with Joint Commission/CMS Standards.

Tracers also review ancillary services such as Radiology, Clinics, and Physical Therapy etc.

• This position specifically reviews Ambulatory Care Services, Physical Therapy, Dental Services and Radiology.

Other Duties as Assigned:

• Responsibility to perform assigned tasks and duties within the scope of practice for this position that do not fall within the realm of duty statements A-C to meet the vision and mission of the agency and/or the department.

Qualifications

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

OR

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

Preferred Qualifications:

• Experience in a clinical or hospital setting
• Behavioral health experience
• Clinical degree; (Nursing; any type, Psychology, SW, etc.)
• Any other relevant degree

Conditions of Employment:

FULL BACKGROUND CHECK: This position will have direct contact with vulnerable persons (as defined by C.R.S.27-90-111: "Direct contact" means providing face-to-face care, training, supervision, counseling, consultation, or medication assistance to vulnerable persons, regardless of the level of supervision of the department employee.

"Direct contact" may include positions in which persons have access to or unsupervised time with clients or patients, including but not limited to maintenance personnel, housekeeping staff, kitchen staff, and security personnel.)

CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check.

This position will also provide direct care to vulnerable adults requiring a CAPS check (as defined by C.R.S. 26-3.1-101, position provides services & support care to at-risk/vulnerable adults including case management, clergy, physical or mental health services, safety or welfare services).

May work various shifts

Required to report without delay or interruption to provide essential or emergency services to ensure health, safety, and welfare

2-step TB (tuberculosis) screening is required of all new employees upon hire

This position will be paid biweekly

A pre-employment criminal background check will be conducted as part of the selection process as this position is deemed to have direct contact with vulnerable persons.

Felony convictions, conviction of crimes of moral turpitude, or convictions of misdemeanors related to job duties may disqualify you from being considered for this position.

Should your background check reveal any charges or convictions, it is your responsibility to provide the CDHS Background Unit with an official disposition of any charges

Shall not initiate or engage in sexual, social, personal or financial relationships with patients either during or any time after hospitalization, even if the patient requests or initiates such a relationship All relationships with current or former patients must be disclosed on your application

Successfully pass all modules of the CMHIP New Employee Orientation core curriculum to include English reading comprehension, relevant competency assessments and written/practical exams in Defensive Tactics

Possess the physical ability to successfully complete CTI & CPR

Lift arms above head and kick as high as own waist

Stabilize another person to accomplish a controlled containment to the floor

Withstand impact on own body using an ASP shield

Rotate body 90 degrees with feet planted for using a defensive tactic

Kneel on one or both knees and stand up again with multiple repetitions

Must be able to see and hear in order to observe, address and respond to potential breaches in safety

Seize, hold, control or subdue violent or assaultive persons and defend oneself or others to prevent injury

Demonstrate body agility, strength of all four limbs and the ability to walk and climb stairs consistently

Work in situations involving assaultive behavior, physical control of another person and/or restraint situations

Ability to read and comprehend the English language; effectively and fluently communicates in English, both verbally and in writing

Work in an environment with fluctuating noise and temperature (hot and cold) which may include working outdoors in inclement weather and/or concrete floor/wall work settings

Willing and able to travel.

Annual influenza vaccination

Former employees of the Colorado Department of Human Services (CDHS) who were disciplinary terminated or resigned in lieu of termination must disclose the information on your application and may not be eligible for employment at CDHS

CDHS Selection Process ExplanationEmployment history is calculated on a full-time basis (40/hrs per week). Part-time employment is calculated on a prorated basis to determine qualifications.

Be sure your application specifically addresses your qualifications, experience, work products, and accomplishments as they relate to the position and minimum requirements.

• Preferred Qualifications & Competencies:

• Relevant years of state service experience.

Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job application to determine whether your experience meets the minimum qualifications for the position.

You must complete the official State of Colorado online application. Cover letters and resumes WILL NOT be reviewed during the minimum qualifications screening process.

You must specifically document your work experience and qualifications. Do not use "see resume" or "see attached."You must meet the minimum qualifications to continue in the selection process.

Part-time work experience will be prorated.Comparative Analysis Process – Structured Application Review After minimum qualification screening, the comparative analysis process will involve a review and rating of all the information you submit.

Your Work Experience/Job DutiesDocument your work experience/job duties to the extent to which you possess the skills, education, experience, minimum qualifications, and preferred qualifications.

Supplemental Questions Answer the supplemental questions completely and thoughtfully.

We will rate your answers based on the content of your response and your writing skills (spelling, grammar, and clarity of your writing).Appeal RightsYou may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated.

You will find the appeals process, the official appeal form, and how to deliver it on the State Personnel Board website.You or your representative must sign and submit the official appeal form for review.

You can find the official appeal form here.

You must be deliver the official appeal form to the State Personnel Board:By email (dpa_state.personnelboard@state.co.us), orPostmarked in US Mail to(1525 Sherman Street, 4th Floor, Denver CO 80203, or Hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), orFaxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department’s action.Contact the State Personnel Board for assistance:At (303) 866-3300, or

Refer to the Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules webpage.

Additional Information

How to apply to the State of Colorado

The Assessment Process

For additional recruiting questions, please contact: tricia.jepsen@state.co.us

About Us & Benefits:

If your goal is to build a career that makes a difference, join the dedicated people of the Colorado Department of Human Services (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.

Each of us is committed to contributing to a safe and accessible CDHS. 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 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

• State of Colorado Employee BenefitHub Resource Center

• Employee Wellness program

• 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.

Our Values:

We believe in a people-first approach: We prioritize the needs, well-being, and dignity of the individuals, families and communities we serve.

We commit to respect, fairness and access in every decision, policy and interaction. We engage client voices and experiences in the development and implementation of the services we provide.

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.

ADAA Accommodations:

CDHS is committed to a Colorado for 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.

This includes completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or performing 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 cdhs_ada@state.co.us.

~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~

We are committed to increasing a “Colorado for ALL" of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of all backgrounds and abilities. The State of Colorado believes that a “Colorado for ALL” drives our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.

~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~