Quality Improvement Specialist
St. Louis Forensic Treatment Center – South, 5300 Arsenal St. St. Louis, MO. 63139
This position is a Quality Improvement Specialist focusing on regulatory compliance for children and adult psychiatric hospitals. The children’s hospital is accredited with the Joint Commission hospital and behavioral health manuals and A tags with CMS. The adult hospital is accredited with the Joint Commission through the hospital manual and one certified unit. This position reports to the Quality Management department and communicates with leadership and multi-disciplinary teams to monitor, implement and correct healthcare compliance.
Provide Joint Commission hospital and behavioral health manual, and CMS A tag information to the organization
Organizing monthly mock surveys for three campuses
Working with leaders on action plans from mock surveys, tracers or surveys
Monthly Facility education regarding compliance with Joint Commission and CMS A tags
Weekly walks on the units for all three campuses
Collects data after Joint Commission or CMS surveys
Monthly report on compliance to facility leadership
Expert for hospital and behavioral health TJC chapters and CMS hospital tags
Member of Provision Of Care and Patient Rights for both facilities
Annual review of policies
Bi-annual compliance matrix to leadership
Creates training materials related to standards
Attendance at TJC and CMS training then reports information to QM and leadership
Monitors practice against policy
Attends the Infection Control rounds
Other duties as assigned
Required Eligibility : Bachelor’s degree in safety, public health, environmental health, occupational safety, healthcare field or other related field
Two (2) years’ experience related to workplace safety, environmental science, regulatory compliance, healthcare life safety, or healthcare environment of care.
Two (2) years in healthcare administration/healthcare policy interpretation.
Excellent State of Missouri Benefit Package Including: Affordable Health, Vision, Dental Insurance
Paid Basic Life Insurance (amount equivalent to annual salary)
Cafeteria Plan
Deferred Compensation (State matching opportunities)
MOSERS Retirement (Members are vested after 5 years of full time service)
13 paid holidays per year
10 hours of annual leave accrued per month
10 hours of sick leave accrued per month
WHY DMH? The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining our team, YOU can make a difference in the lives of those impacted by a mental illness or developmental disability, so they have the opportunity to pursue their dreams, live their lives to the fullest, and be a valued member of their communities.