The Performance Improvement Coordinator works with Agency management/personnel to oversee and/or conduct assigned program focused reviews specific to compliance with licensing and other regulatory requirements, accreditation and contract requirements within the Agency’s Performance Improvement and Risk Management approved procedures. Responsibilities include, but are not limited to:
Participates with program licensing inspections as required, COA site visits, and other assigned third-party audits, and development of corrective action and quality improvement plans as indicated. Coordinates inspections/audits with managers as assigned.
Conducts/coordinates with managers assigned program site visits, focused reviews and incident investigations.
Coordinates and performs assigned consumer record reviews in the Electronic Health Record (EHR) and quality improvement plans for contract and regulatory compliance.
Monitors critical incident reports as assigned, safety monitoring inspections, and follow up including assigned internal root cause analysis and failure modes effects analysis to address compliance and procedural update recommendations.
Functions as system administrator for Agency’s online learning system.
Works with training staff to monitor compliance and training needs for critical and unusual incidents.
Tracks required data, analyzes and reports on approved performance indicators.
Assists with obtaining data and information as required for Agency improvement activities.
Assists with maintaining up to date approved policies and procedures, Agency forms utilizing approved software/network system to track ongoing updates, reviews, and approval systems.
Proficient use of Microsoft Excel to extract information from Agency databases including Agency risk management databases, online learning system, and electronic medical record.
Participates as Chair and member of assigned committees and teams in Performance Improvement and Safety Committee meetings.
Position is full time and includes the following:
3.2 weeks of Paid Time Off during the first year
Medical, vision, dental and life insurance
9 Agency-paid holidays
403(b) match and employee participation
General-Other: Administrative-Clerical, General-Other: Medical-Health, General-Other: Project-Program Management, Program Management
NO Security Clearance
Master’s Degree required in behavioral health field with 3 plus years’ experience. Experience supervising preferred as well as performance improvement and risk management functions in behavioral health care settings. Licensure as mental health practitioner required. Experience with regulatory requirements, licensing and contract requirements preferred. Knowledge of electronic health records, online learning system and other required system venders as assigned.
To change the behavioral health and social service outcomes for people of all ages from surviving to thriving.
Legacy Treatment Services, a 501c3 nonprofit, was created as a merger between The Drenk Center and The Children’s Home in addition to an affiliation with Community Treatment Solutions.
The Drenk Center, founded in 1954 by Judge Lester A. Drenk, began as a counseling program for Burlington County juveniles and their families. Since 1954, The Drenk Center has seen a steady expansion of services to meet higher levels of consumer needs in outpatient settings.
The Children’s Home was established in 1864 as an orphanage for children of the Civil War. Initially only providing custodial care, The Children’s Home responded to community needs in 1937 and became the first agency to employ a social service caseworker and began therapeutic treatment in a residential setting.
Community Treatment Services (CTS) was created in 1990 as an alternative to residential placement for children and youth. CTS was the first agency designed to serve youth with complex needs in a community setting. The agency went on to expand these services to families and additional multi-faceted needs of children and youth.
Independently, each organization was an expert and preferred provider in the programs and services they delivered. Each agency was known for innovation, responsiveness to the community it served and willingness to do whatever it took to provide top-tier care.
Together, these organizations formed Legacy Treatment Services, a vibrant agency utilizing cutting-edge technology and evidence-based practice in treatment and clinical care. Legacy is committed and positioned to be responsive and meet the increasingly complex needs of vulnerable children, adults and families. We are dedicated to seeking new innovative solutions that help us provide needed services more efficiently while maintaining stable, sustainable growth.
Our programs provide a complement of services for most ages and needs. This continuum of care provides children, adults and families with consistency in care management and aftercare.
Legacy Treatment Services is proud of the successes of our consumers. We appreciate the fact that our interventions are part of a much larger system that consumers must navigate. As such, Legacy is active in numerous efforts to advocate for our clients on federal, state and local levels. We participate in nationwide initiatives designed to ensure accessibility to care, the development of best practices and benchmarks for evaluating quality.
Legacy Treatment Services’ combined history, commitment to excellence and state-of-the-art practices make the most of our vast community partnerships and intellectual resources with exciting opportunities for innovative programs to benefit more people in need.
Our Philosophy of Care
Legacy’s services are provided based on the principles of wellness and recovery. They aim to improve consumers’ overall well-being by assisting them in recognizing and acknowledging their needs and strengths while incorporating them into an individualized service plan. We work to help individuals develop skills and utilize support systems to independently manage their symptoms and improve their quality of life.
We define recovery as the process by which people are able to live, work, learn and participate fully in their communities. Recovery involves recognizing and accepting strengths, limitations and losses, and distinguishing the difference between having a disability and becoming the disability.
Legacy’s treatment and support service delivery system is designed to meet the needs of our consumers by providing an array of evidence-based treatments, safe and supportive environments, and competent professionals and peer specialists who create opportunities that foster wellness for consumers and their families. We believe in empowering individuals to discover hope, to recognize that recovery is possible, and to fully engage as a partner in treatment.