Quality Assurance Specialist
Job Details
Experienced
Undisclosed
Full Time
4 Year Degree
$65.00 - $68.00 Salary/year
Undisclosed
Any
Undisclosed

POSITION TITLE:             Quality Assurance Specialist

DEPARTMENT:                  Quality Assurance Department

REPORTS TO:                     Quality Assurance Supervisor

FLSA:                                    1.0 FTE, Exempt, Non-Union   

COMPENSATION:              $65,000.00 (non-licensed)/ $68,000.00 (licensed)  

 

We are currently seeking one qualified candidate for the Quality Assurance Specialist position, one for each of these specialties: children/family services, adult services, and substance abuse services. The Quality Assurance Specialist is an Exempt position that reports to the Quality Assurance Director, and works closely with Program Directors.

 

POSITION OVERVIEW:

The Quality Assurance Specialist supports the strategic goals of the Quality Assurance Department with a focus on documentation training and chart review for compliance with all required practices.

Endeavors to maintain a high level of staff performance and staff training in the following areas: client and service documentation, quality care, HIPAA, and contract compliance.

 

DUTIES AND RESPONSIBILITIES:

  • Provides clinical documentation training and support on best practices in alignment with agency policy and procedures, laws, and other related regulations applicable to behavioral health practice in the organization.
  • Provides feedback and training to staff regarding areas of challenge with regards to clinical documentation.
  • Conducts Utilization Reviews, chart audits; ensures that revenue-generating activities are properly reported; provides Program Directors/Supervisors with recommendations to improve processes.
  • Supports Quality Assurance Supervisor in enforcing and updating agency policies and procedures to ensure best practices and quality care.
  • Supports Quality Assurance Supervisor in their capacity as the agency’s HIPAA Privacy Officer. May include revising HIPAA policies and/or providing staff training and consultation on HIPAA-related matters
  • Conducts database training on best practices regarding documentation policies and procedures.
  • Assists Program Supervisors/Directors with data collection and other activities related to reporting and program outcomes.
  • Supports activities related to agency accreditation.
  • Oversees client records system, including archiving and records requests processes.
  • Effectively utilizes communications systems to coordinate with multiple stakeholders – e.g., clinicians, supervisors, other staff – to meet the aims of the Quality Assurance Department.
  • Performs other duties as assigned.

QUALIFICATIONS:

  • Licensure as LCSW, LMFT, PsyD, or PhD preferred.
  • Active registration with BBS/BOP as ASW, AMFT, PsyD, or PhD required.
  • Experience with Medi-Cal documentation (Specialty Mental Health and/or Drug Medi-Cal Organized Delivery System), data reporting, and customer service. Audit and confidential file experience required.
  • Advanced computer skills/proficiencies: Microsoft Office Suite (including Outlook, Excel, Word, and PowerPoint), Google Drive Suite (including Docs and Sheets) and Adobe required, as well as previous electronic health record/database experience (ideally Clinician’s Gateway) and experience with or ability to use the Slack communications platform.
  • Exceptional skills related to attention to detail, personal organization, and interpersonal interactions.
  • Language skills that include the ability to read, analyze, and interpret complex compliance and regulation guidelines.
  • Excellent verbal and written communication skills.
  • Ability to create and maintain positive, productive working relationships.
  • Ability to work independently and as a member of a team, manage multiple projects simultaneously, track details, and big picture, work proactively and handle/maintain confidential records and issues appropriately.
  • Valid Driver’s license, auto insurance, and access to use of an automobile.

 

TEAM COMMITMENT:

  • Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others; and acts as a resource to team members and clients where appropriate.
  • Handles difficult or conflict situations constructively and seeks appropriate assistance.
  • Takes accountability for own actions and accepts constructive criticism.
  • Attends all mandatory meetings and staff meetings as required, and actively participates in other departmental professional development including providing training and consultation.
  • Participates in the assessment of current and future department learning needs and assist in the development of learning plans.
  • Observes and keeps self-informed of activities in the department and makes recommendations for change.
  • Develops and maintains cooperative and courteous relationships with fellow employees, supervisor, managers in other departments, senior management and executive staff, and community stakeholders.
  • Tactfully and effectively handles requests, suggestions and complaints from other departments and persons in order to maintain good will within the agency.  

 

 

Working Conditions and Job Setting

  • Driving and access to a car is required
  • Periodic lifting up to 25 pounds is required
  • Position involves extensive computer use and sitting

 

Other Compensation:

  • Full-time, Non-Exempt Position
  • Excellent benefits package including medical/dental/vision benefits, vacation, sick, and holiday leave, life insurance, and 403(b) retirement plan.
  • Work life balance
  • Great working hours
  • Supportive/Collaborative work environment
  • Mileage reimbursement
  • Opportunities for Growth and Professional Development
  • Holiday and employee celebrations
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