The regulatory function is vital in making safe and effective healthcare products available worldwide. Individuals who ensure regulatory compliance and prepare submissions, as well as those whose main job function is clinical affairs or quality assurance are all considered regulatory professionals.
One of our most valuable contributions to the profession is the Regulatory Code of Ethics. The Code of Ethics provides regulatory professionals with core values that hold them to the highest standards of professional conduct.
Like all professions, regulatory is based on a shared set of competencies. The Regulatory Competency Framework describes the essential elements of what is required of regulatory professionals at four major career and professional levels.
Join the brightest minds in regulatory at the annual Regulatory Convergence. See the global regulatory community in action. Intensive workshops. Topical sessions. Meet ups with regulators. This is where it all comes together.
In accordance with Colorado's EPEWA Equal Pay Transparency Rules.
A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.
Are you looking for a position where you will play a critical role in improving processes for clinical care teams? If so, we would like to talk with you. We are looking for a Quality Improvement Specialist that will work at North Colorado Medical Center in Loveland, CO and will support our teams in our three hospitals in Northern Colorado. In this position, you will work with our care teams to provide education and training to them. Five years of acute care experience is required for this position. Starting pay rate for this position is $30.84 up to $51.40/hour based on experience and education. If you are interested, please apply today!
Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.
A 378-bed Level II trauma center and acute care facility with over 3000 employees, North Colorado Medical Center is the largest hospital in the region. As a regional medical center, we provide community-based and specialty services for a service area that includes southern Wyoming, western Nebraska, western Kansas and northeastern Colorado. In order to provide the most compassionate and innovative care possible, we bring together state-of-the-art technology and an exceptional team of health care professionals. For the healthcare professional, our Greeley, Colorado location offers access to a wide variety of recreational activities in an inviting, close-knit community.
POSITION SUMMARY This position plans, coordinates, implements and evaluates clinic quality/performance improvements, patient safety programs, and/or coordinates compliance and regulatory programs for preparedness and accreditation requirements. Reviews and audits medical records to ensure that the documentation justifies the data billed on encounters and supports performance indicators required in the system of care. This position uses established methodology in determining omissions, correctness errors and measures of timeliness for encounter submissions and performance indicators set by Arizona Department of Health Services (ADHS) and the Regional Behavioral Health Authority (RHBA). Provides verbal and technical assistance to staff in order to resolve identified errors.
CORE FUNCTIONS 1. Monitors and evaluates the overall quality of behavioral health services provided by Whole Health Clinic and its contracted service providers to ensure compliance with Regional Behavioral Health Authority (RHBA) contracts, state legislation, Arizona Health Care Cost Containment System (AHCCCS), and Arizona Department of Health Services (ADHS) and Division of Behavioral Health Services (DBHS) regulations.
2. Coordinates investigation, analysis, and responds to quality/patient safety issues, events, significant care issues or trends. Leads and/or facilitate root cause analysis, failure modes and effects analysis, and process improvement.
3. Develops and analyzes data for administrative and clinical decision making, as well as regulatory requirements. Coordinates implementation of data collection processes: provide analysis, summary, research and benchmarking. Prepares and present reports for appropriate facility, system, and other external agencies. Provides oversight to projects including data abstracting and data entry as appropriate.
4. Coordinates, prepares and assists with internal and external audits.
5. Investigates critical incidents and prepares reports of findings and provides recommendations for corrective action implementation.
6. Tracks, monitors and implements improvement actions and evaluates success.
7. Supports implementation of quality and patient safety goals, policies, procedures, and activities designed to meet the requirements of regulatory and accrediting agencies.
8. Completes all training required by licensing agency and funding source.
9. Has freedom to determine how best to accomplish functions within established procedures and best practices.The position will require communication and coordination with Banner Risk Management, ADHS, the RBHA, internal and external providers, courts, and other county, state, and governmental agencies. Responsibilities cross all levels of internal and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies.
Requires Bachelor's degree or equivalent in behavioral health, social services or other healthcare related field or equivalent experience.
Requires a proficiency level typically attained with two years of experience in behavioral health, case management, or quality management. Requires ability to perform complex statistical analysis and highly developed problem solving skills. Requires the ability to manage programs and projects. Requires demonstrated excellence in interpersonal and written communication skills.
Knowledge of CPT, ICD-10, HCPC and DSM coding. Employees working at the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
PREFERRED QUALIFICATIONS Knowledge of behavioral health case management principles and practices.
Additional related education and/or experience preferred.
What might draw you to Banner Health? A great health care career, of course—and a great place to live, no matter what stage of life you’re in. With facilities across the West, there is a health care career for everyone, from big city living in the Phoenix area to friendly small towns in the mountains and plains. As one of the largest nonprofit health systems in the country, Banner Health offers both the stability that comes with success and the possibility of exploring new areas of the country. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages:
Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health.
Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible.
The size, success and growth of our system provide you with the stability and options to pursue your desired career path.
Competitive compensation and comprehensive benefits offer you options to complement your unique needs.