Quality Assurance Coordinator Behavioral Health/Case Management

Job Description

OPEN UNTIL FILLED

JOB SUMMARY:

The Quality Assurance Coordinator for Behavioral Health Services/Case Management reviews service documentation of assigned programs to ensure quality control measures, clinical quality, and compliance with applicable agency policy and procedures, as well as pertinent regulatory standards, to include but not limited to: the Department of Medical Assistance Services, licensure, human rights, Department of Justice, and other regulatory bodies, to ensure the highest quality standards of person-centered and evidence-based practices to all individuals served by the Agency. Position may be assigned related tasks to assist the Director in promoting seamless operations of Compliance and CQI throughout the Agency.

ESSENTIAL FUNCTIONS:

• Provide ongoing review/audits assigned program service records to ensure compliance with all regulatory guidelines; develop and maintain a statistical process control system, which tracks compliance and deficiencies, identifies patterns, and provides follow up; keep program leadership aware of results and offer recommendations for improvement.
• Participate in training of program services staff in areas of documentation, and charting compliance. Keep mandatory training up to date, and participate in relevant clinical training to enhance ability to train others in person-centered documentation and the documentation of evidence-based practices.
• Develop, implement, and monitor quality assurance measures; schedule reviews, provide technical assistance and develop reporting/follow-up system documentation reflecting regulatory requirements.
• Keeps up-to-date on all regulatory guidelines such as licensure and Medicaid. Attend local, regional, and state training related to medical records, information and outcome management. Keep program leadership aware of any changes and make recommendations for compliance; provide training and orientation to program staff about existing or new regulatory guidelines.
• Attend or facilitate various meetings as assigned by Director; facilitate other meetings as assigned or coordinate special projects as a result of regulation changes.
• May provide entry of serious incidents or human rights issues in the Department of Behavioral Health and Developmental Services (DBHDS) CHRIS reporting system; may provide clinical or investigative reviews of particular incidents or breaches as assigned by the Director.

OTHER DUTIES:

• May be assigned special projects such as surveys, program reviews, and development of forms.
• Assist the Director in providing review and consultation regarding the Agency's policies and procedures.
• Act as the Director’s designee as assigned, or in the absence of the Director, as necessary to maintain timely operations and in response to questions or concerns raised about policy, procedure, or licensure or other unannounced site or desk audits.
• Perform other job related duties as assigned by supervisor.

QUALIFICATIONS:

• Effective written and oral communication skills required
• Organization and time management skills

• Knowledge of statistical process control, data collection, follow up
• Awareness of CSB programs, available services, and service delivery
• Knowledge of regulatory guidelines
• Extensive knowledge of mental health and substance abuse issues
• Knowledge of developmental disabilities
• Knowledge of medical records practices and procedures and audits
• Skills in staff development and training
• Computer experience and skill required.

Job Requirements

EXPERIENCE/EDUCATION REQUIRED:

Bachelor’s Degree in a human service field required and experience with a minimum of two-three (2-3) years’ clinical experience working with individuals with Severe Mental Illness, Substance Use Disorder, and/ or Serious Emotional Disturbance, and/or children who are at risk of serious emotional disturbance.

Must be willing to travel within the catchment area.

Must have a valid driver’s license with a good driving record.