Under the supervision of the Senior Quality administrator, the Quality Improvement Coordinator is responsible for performing comprehensive analyses of clinical documentation, review of key administrative and compliance requirements, as well as informs the leadership team of audit findings, and potential deficiencies, and assisting in the development of corrective action plans to evaluate procedures and services performed as required by OASAS, OMH and any other regulatory agency for behavioral health programs. In addition, this role is responsible for ensuring the quality of documentation, and performance trends with a high degree of accuracy and quality, maintaining current knowledge of healthcare regulatory guidelines that impact reimbursement and quality outcomes, and communicating with up-line management of identified trends and areas of risk to provide recommendations for improvement in the patient experience and clinical outcomes.

The salary rate for the Quality Improvement Coordinator is $60,000 - $63,000 annually based on relevant experience.

KEY ESSENTIAL FUNCTIONS:

• Concurrent reviews of OASAS and OMH medical records to validate completeness, compliance, and consistency with clinical documentation in accordance with federal and state regulations.
• Champion Evidence-Based Practices by leading behavioral health electronic record reviews, PDSA’s and performance improvement projects.
• Provides constructive recommendations to management as determined by audit findings.
• Ensure audits are complete, accurate, and documented timely.
• Facilitate monthly continuous Quality Improvement (CQI) meetings with programs.
• Monitor and analyze behavioral health documentation (monthly program-specific chart audits).
• Document quality assurance audit reports/summaries.
• Modify business processes to measure patient outcomes and satisfaction as driven by the Patient satisfaction survey (Perception of Care survey).
• Develop and monitor systems to ensure compliance with (Health Insurance Portability and Accountability Act).
• Research state regulations and compliance guidelines.
• Establish compliance tracking systems with timeliness as mandated by applicable legislative and accrediting organizations, including trend identification and root cause analysis.
• Provides routine/scheduled and ad hoc audit reports, including trend identification and root cause analysis (treatment plan and progress note reviews/problem identification).
• Provides coaching and feedback to staff as part of quality assurance training.

EDUCATION AND REQUIREMENTS:

• Associates degree in Social Work, Psychology, Public Health, Registered Health Information Administration or related field required ( Bachelors Degree in Social Work, Psychology, Public Health, Registered Health Information Administration, or related field preferred)
• Minimum of 1 year experience working in a mental health, Primary care, or substance abuse setting required
• Knowledge of OMH, OASAS, and Health Homes concepts and processes required
• 2 years experience in project coordination, audit readiness, and/or care management preferred
• Track record of success in audits, chart reviews, and incident management preferred
• Strong interpersonal and verbal communication skills, ability to engage staff at all levels
• Collaborative team player
• Ability to work with a strong team of professionals in a culturally diverse environment
• Ability to multitask and to work and function under pressure.
• Proficient knowledge of medical terminology, ICD-10, and CPT codes
• Knowledge of Medicaid and other federal/state compliance guidelines

About Us: Acacia Network, the leading Latino integration care nonprofit in the nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, and great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health, housing, and community-building services, work we have been doing since 1969. By hiring talented individuals like you, we've been able to expand quickly, with offices in Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland, and Puerto Rico.

*Acacia Network is an equal opportunity employer*

Job Type: Full-time

Pay: $60,000.00 - $63,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Associate (Required)

Experience:

• Compliance management: 1 year (Required)
• project coordination, audit readiness and/or care management: 2 years (Required)
• working in a mental health, Primary care or substance abuse: 1 year (Required)
• of OMH, OASAS and Health Homes concepts and processes: 1 year (Required)

Work Location: In person