Quality Management Policy Manager- CMHHIP

Full Job Description

This position is open to current Colorado residents only.
Please note: This recruitment may be used to fill multiple vacancies.

About this Unit:

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

Please Note:

You are required to work at your assigned work location during your scheduled work times.

Mon-Fri 8am-5pm

About this Position:

This position is the Policy and Procedure expert, and provides advice for policy development or revision based upon research and analysis of regulatory standards, best practice evidence or other guidance.

The position acts as the lead facilitator of the policy and procedure review process, and assigns policies to one of four reference committees prior to approval by the Policy and Procedure committee.

This position possesses a comprehensive knowledge of, and effectively applies principals related to the operation of CMHHIP. Duties in this position include:

Policy Development and Documentation:

• reviews and analyzes current policies, develops more effective implementation strategies for regulatory compliance, and communicates these changes to CMHHIP Leadership

• leads policy related research efforts to match known guidance, and regulatory requirements to formulate policy, and recommends changes

• supports initiatives related to policy that contribute to positive change, and improves patient outcomes. Communicates complex ideas in a manner to increase receiver’s understanding

• monitors various source agencies for updates and prepares reports that outline the implications for changes to legislation, rules and regulatory guidance, or other changes that will impact CMHHIP operations

• utilizes knowledge of legal considerations to minimize potential exposure to risk related to policy development and implementation

• provides retrospective analyses related to implemented policy changes to determine effectiveness, and to determine if the desired outcomes have been achieved, and reports findings to CMHHIP leadership

• consults with various stakeholders to promote collaboration, and obtain feedback for proposed policy changes

• participates in various committee meetings as advisor and policy expert

• collaborates with leadership to ensure that position description duties align with policy

• uses knowledge of theories, concepts and principles related to policy along with good judgement to adapt existing guidelines in order to apply them to CMHHIP operational circumstances while ensuring regulatory compliance

Policy Compilation, Tracking, and Dissemination:

• acts as the hospital’s coordinator of the Policy and Procedure (P&P) process and the liaison between the P&P Committee, Chief Executive Officer, Executive Committee, Executive Committee of the Medical Staff, Nursing Executive Committee and staff hospital-wide

• ensures all protocols and procedures align with policy

• identifies and designs forms to comply with hospital policy standards and outside agency regulations

• independently monitors and maintains the current policy system for hospital-wide staff to access and assure conformity and current compliance

• plans and develops work processes, maintains electronic systems and procedures to update hospital-wide, department, discipline-specific policies and all interrelated policies and forms to comply with standards of regulatory agencies

• prepares information for hospital-wide dissemination on all policy and medical record form updates and provides technical guidance and direction to enhance education to all staff concerning current policy and procedure

• performs as a collaborative work leader over the policy coordinator, ensuring all policy related work is completed in advance of deadlines

Committee Participation/Leadership:

• organizes, schedules, leads and facilitates all Reference Committee meetings monthly

• independently makes assignments and deadlines to reference committee staff to meet compliance standards for policy

• schedules and facilitates monthly Policy and Procedure Committee meetings after reference committees have reviewed policies assigned to them by this position

• communicates significant policy changes via various media; email, hospital-wide computer based training, or other means, to effectively and efficiently disseminate important policy or procedural information

Other Duties as Assigned:

• maintains updated knowledge of standards: 27-65 Statute, CMS, BHA, JC, and Health Department

• assists in onsite survey activities and/or provides assistance to the Director of QM with completion of the Joint Commission's Focused Standards Assessment (FSA) which is submitted to TJC in non-survey years

• assists with data entry for standards compliance as needed

• perform assigned tasks and duties within the scope of practice for this position

Qualifications

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 equal to six (6) years

Preferred Qualifications:

• advanced understanding of policy analysis principles and research methods.

• strong written and verbal communication skills.

• ability to organize tasks, manage time effectively, and follow structured processes.

• ability to speak effectively to groups.

• attention to detail, accuracy, and consistency in work output.

• proficiency in standard office software and document management tools.

• education in Public Policy, Public Administration, Political Science, or Government

• relevant years of state service

Conditions of Employment:

• Training, meetings, and other travel may be required
• Continued employment is contingent upon successful completion of the DYS Pre-service Training Academy, Field Training Program (FTO) and mandatory annual training in all subject areas.
• Full Background – CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure requirements), Drug Screen, PREA (Division of Youth Services),Trails check (direct contact with children), CAPS (direct contact with adults – Mental Health Institutes, Regional Centers, Veterans Community Living Centers)
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must:

  • Disclose that information on the application.

  • Explain why the prior termination or resignation should not disqualify you from the current position.

  • Provide your employee number from your 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.

• 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 CMHHIP 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 hospital-adopted physical interventions and CPR; lift arms above head and kick as high as own waist
• stabilize another person to accomplish a controlled take down
• 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
• 2-step TB (tuberculosis) screening is required of all new employees upon hire
• annual influenza vaccination, other vaccinations as required by the State and facility.
  

CDHS Selection Process Explanation

Employment 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 in the application form. 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 reviewing and rating of all the information you submit. The comparative analysis step may also include your results from standardized testing.

Your Work Experience/Job Duties

Document your work experience/job duties to the extent to which you possess the skills, education, experience, minimum qualifications, and preferred qualifications.

If listed, answer all supplemental questions as your answers to these questions will be evaluated during this phase. Provide at least 4-8 sentences for each supplemental question.

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 Rights

You 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), or

  • Postmarked in US Mail to(1525 Sherman Street, 4th Floor, Denver CO 80203, or

  • Hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or

  • Faxed (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 (Youtube Video, Runtime 3:59, Closed Captions Available)

The Assessment Process

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.

ADA 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.

EEO Statement

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.

Additional Support For Your Application

Toll Free Applicant Technical Support

If you experience technical difficulty with the NEOGOV system (e.g.

uploading or attaching documents to your online application) call NEOGOV technical support at 855-524-5627 Mon-Fri between 6 am and 6 pm (Pacific Time).

Helpful hints: if you are having difficulty uploading or attaching documents to your application 1) ensure your documents are PDF or Microsoft Word files and 2) close the document before you attempt to upload (attach) it.