Improvement & Accreditation Coordinator Job Des Plaines area,Illinois USA,Healthcare

Performance Improvement & Accreditation Coordinator

Job Category:
Professional Support

Requisition Number: PIACC
011755

Posted :
September 18, 2026
Full-Time
Hybrid

Locations

Showing 1 location

Des Plaines, IL 60018, USA

Description

Join Our Mission to Transform Lives!

At Rosecrance, we’ve been leading the way in behavioral health services for over a century. Our team empowers individuals and families to overcome substance use and mental health challenges through compassionate care and evidence-based therapies. If you’re ready to make a meaningful impact, we’re ready to welcome you! We are looking for dedicated individuals to join our team and help deliver on our mission of hope and recovery.

Position

Summary

In this role, you will establish and maintain a comprehensive Quality Improvement/Performance Management system and data aggregation framework across all Rosecrance program and affiliates. In addition, this position implements regular performance improvement activities and ensures adherence to agency policies, state and federal regulations, and accreditation standards.

Qualifications

Bachelor’s Degree in behavioral health or business-related field required
Demonstrated experience working with customers or clients, preferably in a healthcare setting
Must possess Nia Tx, Lean Six Sigma or other change management certification
Must be proficient with computers and database management
Demonstrated ability in Microsoft Office Suite, particularly adept in Excel and Word
Proficiency in training, adult learning, or education methodologies
Proven track record in Performance Improvement initiatives or programs
Must have a working knowledge of The Joint Commission, DASA/SUPR, DMH, DHS and/or other regulatory standards
Training and proficiency in statistical information gathering and root cause analysis
Excellent written and verbal communication skills coupled with strong critical thinking abilities

Responsibilities

Work hours prescribed by the Performance Improvement Director and any additional hours deemed necessary for the responsibilities assigned

Assist staff with accessing client portal data, including technical support, and troubleshooting any problems.

Assist staff with electronic health record (EHR) data entry questions, provide constructive feedback and training with staff regarding PI initiatives and to ensure accurate data collection and aggregation.

Administer paper based and/or electronic outcome and survey tools with individual and groups of clients as needed.

Perform data calculations and routine analytical functions relative to performance improvement activities.

Identify, evaluate, and correct errors caused by inappropriate decision making, human behavior, leadership practices or organizational weaknesses that impact safety and/or operational performance.

Incorporate identified organizational weaknesses into training methods and procedures to cultivate a culture of continuous improvement.

Train and mentor personnel at various levels across the organization in the handling of client data.

Collect and analyze company wide client outcomes and staff performance data to provide conclusions and recommendations to senior management to support improved processes.

Assist organization in meeting requirements for Joint Commission and state licensing surveys, including completing mock surveys, tracers, staff training, and other Joint Commission readiness activities.

Maintain up to date knowledge on regulations affecting the organization and serve as a resource to staff.

Assist leadership in reviewing and revising the Policy and Procedure Manual, safety policies, risk management policies and infection control guidelines.

Perform audits as requested by leadership.

Assist in quality assurance and focus medical reviews under…