Quality assurance specialist
Fulltime, Onsite
Are you looking to make a career change to the healthcare sector? This exciting opportunity as a Behavioral Health Quality Assurance Specialist offers a competitive salary plus an excellent benefits package including medical insurance, dental insurance, vision insurance, paid PTO, etc.
Does this position match your future career goals? Then this Behavioral Health Quality Assurance Specialist offers opportunity could be the right fit for you.
RESPONSIBILITIES :
- The Behavioral Health Quality Assurance Specialist must specialize in conducting chart reviews, internal audits, reporting metrics on incidents, and providing ongoing leadership training to clinical leadership.
- Provide ongoing leadership and trainings to Clinical leadership (Clinical directors, Assistant clinical directors, behavioral health supervisors, senior counselors and as well as behavioral health staff members) to ensure compliance with all regulatory standards.
- Monitor, coordinate and track incidents, staff training, licensing and accreditation standards for behavioral health counselors and prepare quarterly analysis.
- Must respond to requests for records from state agencies for the purpose of quality monitoring and auditing.
- Monitor the timeliness of documentation and paperwork through weekly QA reminders to behavioral health staff and managers.
- The Behavioral Health Quality Assurance Specialist must provide ongoing support to behavioral health staff regarding quality related issues.
- Prepares charts for external auditors in collaboration with Borough Deputy Directors
- Analyze Key Performance Indicators and recommend process improvements.
- The Behavioral Health Quality Assurance must review committees in absence of Compliance officer, document and maintain IRC minutes, and follow-up on behalf of the committee monthly.
- Must conduct internal audits to certify that patient behavior health records meet corporate, payee, contract requirements, and state Medicaid requirements.
- Identify gaps, missing information, and areas of weakness in behavioral health records compliance to correct deficiencies.
QUALIFICATIONS :
- MUST have an LMSW, to be considered.
- The Behavioral Health Quality Assurance Specialist must have a bachelor’s or master’s degree in human services Related Field, Psychology, Business, or Organization Development.
- Must have strong knowledge of state Medicaid and Medicare requirements for patient record compliance and stay apprised of any changes or updates to policies and procedures.
- Must have a minimum of 5 years of demonstrated experience managing quality assurance responsibilities and maintaining functional oversight.
- Must have behavioral health experience preferably Nurses, Nurse Practitioners and similar medical professionals with Quality Assurance Background
- Must have knowledge of accreditation standards as well as all state and federal statutes and regulations related to behavioral health services provided.
- Knowledge of internal and external policies and programs to anticipate executive management’s reactions.
- The Behavioral Health Quality Assurance Specialist must understand state Medicaid and Medicare requirements for patient record compliance and stay apprised of any changes or updates to policies and procedures.
- Excellent written and spoken communication skills.
- Specialized training in employment law, compensation, organizational planning, organization development, employee relations, safety, training, and preventive labor relations, preferred.
BENEFITS :
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Direct Hire
- Paid time off
Salary : $70K-$80K
Ask for : Amrita Mukherjee
Job Id : 22812
Ajulia Executive Search is a New Jersey based Executive Search Firm specializing in retained searches in multiple sectors, including Manufacturing, Finance, IT, Legal, and Pharmaceutical.
We have a nationwide client base and offer services in temporary and direct hire placements.
Monster
Related Jobs
Quality assurance specialist
Director quality assurance
Chief Quality Officer- Assurance
Quality Assurance Manager