Who are we? 

At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise, we are one of the original and most established Applied Behavior Analysis (ABA)-based behavioral health services authorities. Today, 360 Behavioral Health is one of the top ABA, enhanced personal assistance and respite providers in the United States. The commitment, dedication, and approach to care that guided our founders when they opened their doors continues to guide all we do today. Our devotion to their philosophy landed us on the list for “The 5 Best ABA Therapy Providers for 2023”, and to us being labeled as a certified “Best Place To Work”!

What would this role do?

The Clinical Compliance Specialists serves to ensure that 360 Behavioral Health’s partners are in compliance with all relevant clinical regulations and standards set by the state and local governments, funders (i.e. Health Plans, School Districts, and Regional Centers), licensing/certifying bodies (i.e. BACB, APA, QABA Board, and BICC), and organizational policies and procedures. The Clinical Compliance Specialist also participates in the development, management, standardization, monitoring, and reporting of organizational quality improvement programs and strategic plans. In addition to performing day-to-day tasks, you will foster a cooperative, collaborative environment where everyone works together toward common goals. As the Clinical Compliance Specialist for the Quality Department with 360 Behavioral Health Management Services, you will primarily work remotely.

Role Responsibilities 

• Reviews procedural integrity of clinical documentation (SOAP notes, Session Notes, Clinical Treatment reports, etc.) and provides performance feedback to clinicians
• Leads internal auditing and review of clinical records, compliance with payor requirements, etc.
• Leads response to external audits, grievances, and other external requests that involve clinical compliance.
• Conducts clinical coaching related to correct action plans or coaching plans.
• Conducts training on clinical compliance related activities.
• Review of payer contracts and updates payor requirement handbook.
• Participates in maintenance of company’s policies and procedures and clinical practice standards
• Participates in maintenance and use of company’s quality assurance and compliance auditing software.
• Reviews and evaluates patients' medical records, applying quality assurance criteria.
• Assists in the development and maintenance of policies and procedures consistent with clinical regulatory, state contract requirements and current industry standards
• Assists in the implementation of audit processes to ensure clinical compliance with federal and state statutes and regulations and program guidance
• Assists in the development, implementation and maintenance of the clinical compliance audit program and risk assessment
• Participates, leads, and is accountable for his/her team’s KPIs.
• Participates, leads, and is accountable for his/her department’s High-Performance Work Team and develops his/her staff’s professional development.
• Presides over improvement programs occasioned by clinical compliance analysis
• Keeps up to date with all related clinical quality legislation and compliance issues
• Compiles and assists in preparing materials for submission to regulatory agencies.
• Complete all duties and/or tasks assigned by leaders and/or the business.

Must Haves 

• MA/MS in Behavior Analysis or related field
• 4-5 yrs experience working in the behavioral health field, preferably autism service industry overseeing and implementing treatment
• Knowledge of managed care agencies, regional centers, and school district requirements and standards
• Knowledge of certification/licensing board standards (i.e. BHCOE, CASP, BACB, QABA Board, and so forth)
• Computer savvy with thorough knowledge of Microsoft Office (Word, Excel, Outlook, PowerPoint).
• Knowledge EHR systems like NPAWorks, Catalyst, HiRasmus, Lumary, etc.
• Self-motivated, responsible, honest, and articulate.
• Excellent organizational, communications and time management skills.
• Customer service focus – with a professional demeanor, understanding of boundaries, and composure.
• Applicant is to always conduct themselves to the highest ethical standard.
• Ability to politely interact with Staff and Administrative personnel across branches, departments, and diverse backgrounds.
• Highly flexible and adaptable to an ever-changing landscape.
• Ability to pass background check / Live Scan required.

Nice to haves 

• BCBA is preferred, but not required

What we offer

• Competitive compensation (we value transparency) {$75,000K-$85,000K} 
• Student loan repayment assistance for eligible roles 
• Bonus program(s) for eligible roles 
• Career development and advancement opportunities 
• Flexible scheduling 
• Great and fun company culture
• Expansive Health, Vision, and Dental plans for our full-time partners
• 401(K) retirement savings program
• Mileage and phone reimbursement 
• And so much more!

360 Behavioral Health is an equal opportunity employer. If anyone is unable to fully access any portion of the 360 Behavioral Health on-line system, we are committed to providing reasonable accommodations. Please contact us at 855-360-4437 for assistance. 

EEO/Minorities/Females/Disabled/Veterans

Our organization is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please send an e-mail to benefits360hr@360bhmail.com to let us know the nature of your request. For more EEO information about applicant rights click here.

 Americans With Disabilities Act  

360 Behavioral Health, does not discriminate on the basis of disability in its services, programs, or activities. Employment: 360 Behavioral Health does not discriminate based on disability in its hiring or employment practices and complies with the ADA title I employment regulations. Effective Communication: 360 Behavioral Health will, upon request, provide auxiliary aids and services leading to effective communication for people with disabilities, including qualified sign language interpreters, assistive listening devices, documents in Braille, and other ways of making communications accessible to people who have speech, hearing, or vision impairments. Modifications to Policies and Procedures: 360 Behavioral Health, will make reasonable modifications to policies and procedures to ensure that people with disabilities have an equal opportunity to enjoy programs, services, and activities. For example, people with service animals are welcomed in 360 Behavioral Health offices, even where pets and other animals are prohibited. Requests: To request an auxiliary aid or service for effective communication, or a modification of policies or procedures contact [ADA Coordinator name and contact information] as soon as possible, preferably 30 days before the activity or event. For inquiries, please contact us at benefits360hr@360bhmail.com