Clinical Quality Manager - BK Healthcare Management

About the Role:
We are seeking a Clinical Quality Manager to ensure the quality of clinical assessments and documentation, provide feedback to BCBAs, and assist with insurance-related tasks. The role works closely with the Chief Clinical Officer, Clinical Quality Managers, Case Managers, and BCBAs.

Key Responsibilities:

• Review and provide feedback on assessments and reassessments.
• Ensure assessments meet insurance requirements and correct errors for approval.
• Manage signatures, templates, and updates based on insurance regulations.
• Monitor open authorizations and assist with insurance calls/peer reviews.
• Report regularly to the Director of Assessments, providing monthly assessment updates.

Qualifications:

• BCBA certification and 1+ year of insurance model experience.
• Strong communication and organizational skills.
• Detail-oriented with proficiency in Gmail, Word, and Excel.
• Ability to work independently, meet deadlines, and maintain high standards.

Skills & Traits:

• Critical thinking and problem-solving skills.
• Self-motivated and able to work without direct supervision.
• Passionate about improving the lives of individuals with autism and developmental disabilities.

Work Environment:

In office preferred, open to remote candidates

How to Apply:
Submit your resume and cover letter today! We look forward to hearing from you.

Join us in providing high-quality care and improving the lives of individuals with autism.