Colorado State Quality Management Specialist in Denver, Colorado

Quality Management Specialist



Quality Management Specialist


$4,378.00 - $6,409.00 Monthly


Denver, CO

Job Type

Full Time


Colorado Department of Human Services

Job Number

IIC 00787 03/09/2018


3/27/2018 11:59 PM Mountain

  • Description

  • Benefits

  • Questions

Department Information

About Us

If your goal is to build a career that makes a difference, consider joining 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. In addition to a great location and rewarding and meaningful work, we offer:

  • Strong, secure, yet flexible retirement benefits including PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401K and 457 plans

  • Employee wellness programs

  • Medical and dental health plans

  • Paid life insurance

  • Short and long-term disability coverage

  • 10 paid holidays per year plus vacation and sick leave

  • Excellent work-life programs, such as flexible schedules, training opportunities, and more

*Some positions may qualify for the Public Service Loan Forgiveness Program. For more

information, go to

Our Culture & Environment

Our vision is that the people of Colorado will be safe, healthy, and prepared to achieve their greatest aspirations. Through our core values listed below, CDHS staff are committed to:

  • Making decisions with, and acting in the best interests of the people we serve, because Colorado's success depends on their well-being

  • Sharing information, seeking input, and explaining our actions because we value accountability and transparency

  • Managing our resources efficiently because we value stewardship

  • Promoting a positive work environment, and supporting and developing employees, because their performance is essential to Colorado's success

  • Meaningfully engaging our partners and the people we serve because we must work together to achieve the best outcomes

  • Committing to continuous learning because Coloradans deserve effective solutions today and forward-looking innovation for tomorrow

Colorado Mental Health Institute at Fort Logan provides comprehensive psychiatric evaluation and treatment by a multi-disciplinary treatment team. This includes: 24 hour nursing care and assessment; psychiatric intervention and evaluation; medical evaluation and management; psychological evaluation and services; psychosocial services; occupational therapy, recreational therapy, and vocational rehabilitation services.

Patients are admitted from the Denver Metro area and from other regions of the state. Referrals come from the Mental Health Centers, from the courts requesting psychiatric evaluations, as well as transfers from Colorado Mental Health Institute at Pueblo (CMHIP).

Legal statuses of patients include 27-65 civil commitments, M-1, M-3, Short and Long Term certifications. Typically the patients have been diagnosed with a chronic severe mental illness often with various complications: history of significant trauma, Developmental Disability, Traumatic Brain Injury, Substance abuse, and may have legal issues such as, Incompetent to Proceed (ITP); Not Guilty by Reason of Insanity or Impaired Mental Condition (NGRI or NGR-IMC). CMHIFL provides psychiatric services for adult patients and patients over 60 years old on a case by case basis.

Description of Job

The Quality Management Specialist position is part of a specialized department designed to achieve hospital-wide quality improvement goals. The Quality Management Specialist ensures that quality management functions are carried out and findings are used to implement performance improvement projects.

The Quality Management Specialist coordinates organization-wide efforts to ensure that performance management and quality improvement initiatives are developed, managed, implemented and maintained utilizing data-driven analysis to foster a performance-based culture.

Examples of Essential and Important Duties:

  • Coordinate and oversee the hospital-wide critical incident monitoring program

  • Investigate and evaluate critical incidents and report when necessary and appropriate

  • Analyze and interpret data identify and detect adverse trends and assures compliance with applicable statues

  • Cooperate with Information Management in reviewing/determining data for inclusion in C-State reports

  • Recommend changes to policies and procedures to address adverse trends

  • Initiate performance improvement projects based on incident trends and areas identified for improvement utilizing Plan, Do, Study, Act or LEAN models

  • Coordinate performance management and quality improvement projects throughout the hospital

  • College, analyze and present data to various committees

  • Collaborate on the design o the Information Technology infrastructure required to support a statewide performance and quality improvement system

  • Coordinate and oversee the Tracer process

  • Provide monthly data to the Quality Council on incident trends and on-going performance improvement projects

  • Serve as the quality management representative on the On-Going Record Review Committee

  • Initiate, monitor and track performance improvement projects

  • Assist in the implementation of the Quality Management process

  • Audits all documentation related to seclusion and restraint

  • Monitor and track National Patient Safety goals

  • Lead LEAN and rapid improvement events

  • Consult with and assist clinical teams and departments in measuring, analyzing and improving the quality and safety of treatment

  • Establish interdepartmental hospital performance workgroups and facilitate meetings to address and monitor clinical goals and quality initiatives

  • Serve as a resource on hospital-wide standards, regulations, compliance trends and propose initiatives

  • Consult with and train staff on regulatory compliance

  • Work with hospital staff management and staff to determine the level of compliance with regulatory standards and rules and develop plans for compliance, when necessary

  • Work with the Joint Commission and other accrediting and regulatory bodies to report and correct problems

  • Provide consultation and guidance to hospital staff with regarding to quality and patient safety

  • Perform other duties as assigned

    Knowledge, Skills and Abilities:

  • Knowledge of and the ability to utilize LEAN or Plan, Do, Study, Act Models

  • Knowledge of and the ability to utilize process improvement techniques

  • Knowledge of the National Patient Safety program

  • Knowledge of the Seclusion and Restraint Policy

  • Knowledge of the CDPHE rules and regulations for operating mental health institutions

  • Knowledge of The Joint Commission Standards

  • Experience with The Joint Commission Survey process

  • Ability to develop and maintain harmonious working relationships with internal and external customers

  • Ability to effective communicate in writing and orally

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights


Education and Experience:

Bachelor's degree from an accredited institution in Nursing, Social Work, Mental Health, Counseling, Psychology, Public Health, or Public Administration.

At least two (2) years of professional experience in healthcare incident reporting, quality control or continuous/process improvement, continuous/process improvement in the health care environment.


Additional appropriate experience will substitute for the degree requirement on a year-for-year basis.

Additional appropriate education will substitute for the required experience on a year-for-year basis.

Preferred Qualifications:

  • Master's degree from an accredited institution in Nursing, Social Work, Mental Health, Counseling, Psychology, Public Health, Public Administration

  • Prior experience developing and measuring quality improvement initiatives

  • Prior experience leading The Joint Commission survey readiness process

  • Prior experience working in a psychiatric hospital

Conditions of Employment:

  • Background check, including fingerprint, name and drug screen

  • Medical - TB


Applicants are required to attach a cover letter and resume to their application.

Please note that ONLY your State of Colorado job application will be reviewed during the initial screening; if you submit a resume and cover letter, they will be reviewed in later stages of the selection process. Therefore, it is paramount that you clearly describe all of your relevant experience on the application itself. Applications left blank or marked "SEE RESUME" will not be considered.

Your application will be reviewed against the minimum qualifications for the position. If your application demonstrates that you meet the minimum qualifications, you will be invited to the comparative analysis process, which is described below.

Note: Current and former employees (transfers, voluntary demotions and reinstatements) are required to apply and participate in the comparative analysis process.

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.

Comparative Analysis Process

The comparative analysis process for this position may consist of a structured application review, and a structured interview depending on the number of qualified applicants.

Any person with a disability as defined by the Americans with Disabilities Act (ADA) may be provided a reasonable accommodation upon request to enable the person to complete an employment assessment. To receive the accommodation, the person making the request must present medical documentation that describes the impairment which justifies the accommodation. Because it requires several days for CDHS to evaluate the request and prepare for the accommodation, it is essential for the person who believes he/she may need an accommodation to locate or obtain the documentation that he/she intends to submit well in advance of the assessment date. Failure to provide the medical documentation three days in advance of a comparative analysis could make it impossible for CDHS to prepare for and provide the requested accommodation. To request a reasonable accommodation for this assessment, please contact Bridget Clawson Braaten at 303-866-4373 or or the contact listed on this announcement three days before the assessment date.