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Compliance and Quality Coordinator, Healthyhorns
Compliance and Quality Coordinator, HealthyhornsUniversity of Texas at Austin • Austin, TX, United States
Compliance and Quality Coordinator, Healthyhorns

Compliance and Quality Coordinator, Healthyhorns

University of Texas at Austin • Austin, TX, United States
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Job Posting Title :

Compliance and Quality Coordinator, Healthyhorns

Hiring Department :

Healthyhorns - University Health Services

Position Open To : All Applicants

Weekly Scheduled Hours :

40

FLSA Status : Exempt

Earliest Start Date :

Immediately

Position Duration : Expected to Continue

Location : UT MAIN CAMPUS

Job Details : General Notes .

Our mission at H ealthyhorns is to enhance the health and well-being of students' bodies, minds and lives in support of their academic and personal goals.

Healthyhorns is the umbrella brand encompassing University Health Services, Counseling and Mental Health Center and Longhorn Wellness Center. Together, the departments work to enhance the health and well-being of students' bodies, minds and lives in support of their academic and personal goals.

University Health Services (UHS) is an accredited on-campus medical facility dedicated to addressing the varied healthcare needs of UT Austin students. UHS provides comprehensive services, including general medical care, public health education and specialty clinics.

Counseling and Mental Health Center (CMHC) is an accredited on-campus mental health facility dedicated to supporting the well-being of UT Austin students. CMHC offers a range of services, including assessment and referral, group and individual counseling, psychiatry and well-being services.

The Longhorn Wellness Center is the health promotion unit servicing University Health Services and Counseling and Mental Health Center. Staff focuses on educating students about priority college health issues by hosting workshops and events, creating new tools, and collaborating with the campus community to enhance overall well-being.

The University of Texas at Austin offers a competitive benefits package that includes but not limited to :

  • 100% employer-paid basic medical coverage
  • Retirement contributions
  • Paid vacation and sick time
  • Paid holidays

Please visit UT Austin's Human Resources (HR) website at https : / / hr.utexas.edu / prospective / benefits to learn more about the total benefits offered.

Purpose

Partners with Healthyhorns staff to coordinate and support compliance and quality improvement activities, and other administrative and / or operational projects as assigned by the Assistant Director for Quality Management.

Responsibilities

  • Regulatory & Policy Compliance
  • Executes day-to-day compliance and risk monitoring activities across clinical and administrative workflows, including spot checks and targeted reviews to verify adherence to policies and procedures.

  • Updates policy and procedure based on the guidance and instruction of stakeholders; tracks the progress of policies in workflow and provides support to assure timely review and approval in collaboration with the Healthyhorns Policy & Procedure Coordinator.
  • Collects and analyzes compliance data; ensures documentation meets regulatory, policy, and accreditation standards.
  • In collaboration with the Healthyhorns Clinical Staff Educator / Infection Prevention & Safety Coordinator, support documentation of staff training and compliance, including tracking completion and maintaining training records.
  • Tracks patient complaints and compliance gaps; documents findings, escalates issues per protocol, identifies areas for opportunity and supports corrective actions.
  • Quality Improvement
  • Assists with management and coordination of quality improvement (QI) studies and projects from planning through sustainment.

    Writes study reports and synthesizes finds for stakeholders.

  • Leads gap analysis exercises to identify root causes and prioritize improvement opportunities.
  • Track corrective action plans, follow up with owners on timelines and deliverables.
  • Coordinates remeasurement cycles to assess post-corrective action implementation performance and sustainment.
  • Monitors and tracks communication to staff on QI studies and other educational activities.
  • Assists data collection, performance measurement, and reporting for clinical quality, safety, and patient experience indicators.
  • Supports peer review activities and generate summary reports that synthesize trends, recommendations, and follow-up actions.
  • Assists in preparing for AAAHC accreditation and survey readiness.
  • Serves as a resource for continuous quality improvement frameworks, best practices and tools.
  • Other Project Management Functions
  • Plans, develops, implements, and evaluates other projects as assigned by Assistant Director for Quality Management in coordination with other administrators and staff in Healthyhorns.

  • Partners with the Clinical Staff Educator / Infection Prevention & Safety Coordinator to advance risk management and compliance through a team-based, collaborative approach.
  • Exhibits behaviors consistent with the items listed below :
  • Uses the Customer Service Standards as the benchmark for all interactions with patients and other customers.

  • Treats others with dignity and respect, regardless of individual differences.
  • Knows, understands and abides by :
  • Healthyhorns Patient Rights and Responsibilities statement

  • Healthyhorns Principles of Professional Conduct
  • Healthyhorns and department-specific Policies and Procedures
  • Respects patient privacy and maintains confidentiality, disclosing protected health information only as it relates to the plan of care for that patient.
  • Supports and participates in quality improvement efforts, including adjusting performance and practice in accordance with quality improvement initiatives and findings.
  • Required Qualifications

  • Bachelor's degree in Healthcare Administration, Public Health, Nursing or a related field (or equivalent work experience).
  • Strong understanding of quality improvement principles and frameworks, including practical use of methods such as PDSA and root cause analysis.
  • Ability to utilize assessment, evaluation, and data analytics to deliver insights to leadership.
  • Demonstrated stakeholder management and collaboration skills-able to confidently engage clinicians, staff, and leadership; facilitate consensus to move initiatives forward in multi-stakeholder environments.
  • Strong presentation skills, with the ability to effectively communicate information to diverse audiences in both individual and group settings.
  • Excellent written / oral communication and interpersonal skills.
  • Proficiency in Microsoft Office Suite, particularly Excel.
  • Demonstrated ability to successfully work with a varied community and provide services from a non-judgmental perspective.
  • Relevant education and experience may be substituted as appropriate.
  • Preferred Qualifications

  • Master's degree in Healthcare Administration, Public Health, Nursing or a related field (or equivalent work experience).
  • Experience facilitating QI education, coaching, and leading cross-functional improvement initiatives.
  • Working knowledge of basic healthcare privacy concepts and healthcare compliance standards.
  • Proven experience in managing projects that are long term in nature, involve multiple stakeholders, and / or are related to the healthcare environment.
  • CPHQ and / or other high reliability recognized certifications.
  • 2-3 years of work experience in a healthcare setting.
  • Salary Range

    $57,000

    Working Conditions

  • May work around standard office conditions
  • May work around biohazards
  • Repetitive use of a keyboard at a workstation
  • Use of manual dexterity
  • Lifting and moving
  • Exposure to chemicals and commercial items typically found in offices, medical clinics, and building repairs / maintenance.
  • Work Shift

  • 8 AM - 5PM, Monday - Friday
  • May fluctuate based on business needs
  • Schedule to be discussed during interview
  • Required Materials

  • Resume / CV
  • 3 work references with their contact information; at least one reference should be from a supervisor
  • Letter of interest
  • Important for applicants who are NOT current university employees or contingent workers : You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure thatALLRequired Materials have been uploaded. Once your job application has been submitted, you cannot make changes.

    Important for Current university employees and contingent workers : As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left-hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled into your application. The application is one-page and you will be prompted to upload your resume. In addition, you must respond to the application questionspresented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.

    Employment Eligibility :

    Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion / transfer eligible may apply for positions without supervisor approval.

    Retirement Plan Eligibility :

    The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.

    Background Checks :

    A criminal history background check will be required for finalist(s) under consideration for this position.

    Equal Opportunity Employer :

    The University of Texas at Austin, as an equal opportunity / affirmative action employer ,complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.

    Pay Transparency :

    The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

    Employment Eligibility Verification :

    If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university.

    E-Verify :

    The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university's company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following :

  • E-Verify Poster (English and Spanish) [PDF]
  • Right to Work Poster (English) [PDF]
  • Right to Work Poster (Spanish) [PDF]
  • Compliance :

    Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031 .

    The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.

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