What are the responsibilities and job description for the Quality Assurance Analyst (Healthcare) position at Team Georgia Careers?
Pathways Center provides mental health, substance abuse, and intellectual & developmental disability services in the west central Georgia region. Pathways Center's administrative team provides operational support and assistance company-wide, enabling direct support team members to focus on care and service delivery to each client/patient. The individual in this role is a part of the company's administrative team focused on ensuring program and service fidelity, adherence to best practices, and the delivery of high quality services within the Pathways Center organization. The position is based in Newnan, GA; however, the individual in this role travels to all company locations situated throughout the west, central Georgia area and works a rotating schedule to monitor healthcare services provided in Pathways Center’s 24/7 programs.
Under general supervision, the person in this role interprets and applies statistical, financial, and/or operational data to support continuous quality improvements in service delivery. Responsibilities of the Quality Assurance Analyst include but are not limited to the following:
□ Serves as the Subject Matter Expert (SME) for assigned programs and services
□ Evaluates programs for compliance with service guidelines, contracts, regulatory standards, and best practices
□ Assists in the development of quality control measures or internal audit tools to ensure adherence to program compliance standards
□ Serves as the Utilization Manager for assigned programs, monitoring and tracking trends in the treatment/service mix, identifying discrepancies between services ordered and services provided, and identifying under/over-utilized services
□ Works with the clinical teams to identify Evidence-Based practices and integrating EBPs into service delivery
□ Observes/Analyzes time spent to maximize the utilization of human resources toward meeting performance indicators and service outcomes
□ Manages stakeholder satisfaction and feedback programs
□ Assists with stakeholder engagement efforts
□ Leads client/patient record reviews; Prepares reports and recommendations for improvements in clinical documentation
□ Leads continuous quality improvement efforts for assigned programs
□ Partners with Quality Assurance Specialist to communicate program outcomes to clinical teams
□ Provides support to management and feedback for the effectiveness of internal quality improvement cycles
□ Assists with monthly programmatic narratives
□ Exercises various latitudes of independent judgment in researching and reporting areas of inefficiency and providing suggestions for closing performance gaps, including recommendations for system efficiency and integrity
□ Partners with program directors, managers, and site supervisors to effectively manage change and programmatic performance improvement
□ Provides hands-on coaching and development of direct service workers
□ Provides training and technical assistance to internal stakeholders
□ Leads or assists with audits, compliance reviews, and licensing/certification visits
□ Provides training and technical assistance to internal stakeholders
□ Works on a rotating basis to ensure presence in programs that operate on a 24/7 basis
□ Spends approximately 80% of time onsite at service locations and 20% of time in the office
□ Attends ongoing training and professional development activities
□ Participates in focus groups and user groups related to ones area of assignment