Organizational Excellence Coordinator

Pay is commensurate with experience beginning at $53,700 annually. Full time, exempt, benefits eligible. Bert Nash offers excellent benefits which include medical, dental, vision, KPERS retirement, life insurance, an Employee Assistance Program (EAP) providing free counseling and resources, and generous PTO.

Caring. Hope. Giving back. Our mission at the Bert Nash Center as the Community Mental Health Center (CMHC) of Douglas County is to advance the health of the community through comprehensive behavioral health services responsive to evolving needs and changing environments. We accomplish this by believing in our team. Each person that works for the Bert Nash Center contributes directly to the success of our clients, organization, and community. Our values of compassion, integrity, equity and hope reflect in everything we do.

Responsibilities:  To ensure quality services are being provided to the community. The Organizational Excellence Coordinator will work with program staff of all levels to support, develop, and improve the quality of services being delivered to clients/patients served.  The person in this position has advanced skills in assessing program data and standards to ensure the outcome and requirements of agency contracts, accreditation, and licensure bodies are met. The person in this position is a strong analytic thinker and problem solver; must be able to analyze the data received to report progress and performance trends, and work collaboratively with staff of all levels to facilitate quality improvement initiatives and plans when needed to ensure best practice.

Responsibility for executing agency wide coordination and administration of utilization reviews and compliance auditing/monitoring activities as well as tracking and mitigating organizational risks and client/patient experience concerns. Plays an integral role in accreditation implementation efforts.  Specific duties will include but not limited to:

  • Provides oversight of quality management plan and of quality measures related to efficiency, effectiveness, accessibility, and satisfaction for agency programs and works closely with the Data Quality Analyst and program leaders to measure, track, report, and share progress in meeting those measures.
  • Champions time-limited Quality Improvement initiatives and work groups aimed at improving organizational performance/process improvement and client/patience experience of care.  Maintains documentation of these efforts and prepares information and recommendation for presentation to agency Quality Management Team who monitors improvement progress.
  • Coordinates client/patient satisfaction feedback processes to include surveys or other methods, summarizes results, and reviews results with agency programs. 
  • Administers all utilization review processes and activities, tracks trend, ensures follow-up/correction required,  makes recommendations to Training Team based on oversights or omissions in clinical documentation, and begins QI initiatives/work groups if needed. 
  • Coordinates Documentation Committee efforts and facilitates monthly meetings.
  • Serves as a policy/procedure/forms subject matter expert and a resource for accessing and utilizing the PowerDMS document repository.
  • Coordinates Sentinel Peer Review process which includes facilitating regular Peer Review meetings, reporting outcomes of review, and tracking trends. 
  • Prepares CMHC licensing applications (licensing) and submits to KDADS.

Qualifications: The Manager of Organizational Excellence position requires but not limited to:

  • A master's degree in a social services field, education, health information management, or healthcare administration.
  • A license in the behavioral health field. 
  • Three to 5 years of experience, preferably with program improvement activities.
  • Ability to accurately interpret standards from policies, contracts, and accrediting bodies for implementation.
  • Excellent writing, reasoning, and analytic skills to interpret data to present in written and oral formats.
  • Flexibility in assigned working hours.
  • General HIPAA knowledge.
  • Computer skills in Excel, Word, and PowerPoint including the ability to develop and understand worksheets and create charts/graphs and presentations.