Under the supervision of the Director of Quality Assurance, the Clinical Quality Assurance Specialist will be responsible for the oversight of internal and external contract auditing and documentation. This includes in-depth monitoring of the clinical programs of the agency and general coordination and oversight of non-clinical counseling services, as detailed below. The Clinical Quality Assurance Specialist works effectively with program managers, directors and staff, by sharing ideas in a constructive and positive manner; listening to and objectively considering ideas and suggestions from others; keeping commitments; keeping others informed of work progress, timetables and issues; addressing problems and issues constructively to find mutually acceptable and practical business solutions.
DUTIES AND RESPONSIBILITIES:
The Clinical Quality Assurance Specialist position will be under the direction of the Director of Quality Assurance and will:
- Conduct clinical quality assurance reviews and audits of mental health programs which include; reviewing weekly progress notes, client assessments, client treatment plans and other documentation required by DMH, SAPC-DMC and other Federal, State, County, and City contracted programs.
- Conduct detailed internal inspection of charts and/or EHR (electronic health record) system, ensuring DMH and other Federal, State, County, and City standards, deadlines, and regulations.
- Provide clinical documentation expertise on Federal, State, County, and City contracts.
- Provide weekly, or as needed, staff training on documentation, assessment, clinical considerations; provide all-staff training on a monthly basis or as needed.
- Participate in all required program meetings including LA County Department of Mental Health QIC meetings.
- Identify and monitor possible areas of noncompliance with contract terms and provide consultation with program management and staff regarding improvements to be made.
- Convene routine internal quality assurance review team meetings with program management.
- Assist Director of Quality Assurance with writing corrective action plans or assist program directors in developing corrective action plans.
- Report regularly to Director of Quality Assurance regarding quality of service, compliance with contracts, documentation management.
- Present results or improvement efforts and ongoing performance measures of clinical processes within programs to upper management.
- Conduct clinical case review meetings with program management and staff.
- Collaborate with Clinical Supervisor on Feedback Informed Treatment outcome measures and assist in determining clinical quality of services.
- Monitor the fulfillment of the contracts and be responsible for overall auditing of contracts, including accurate documentation of all service activities, preparation of periodic contract reports, and Unit compliance with all contract requirements in accordance with Federal, State, County, City and agency guidelines.
- Performs other duties as assigned.
