Quality Management Analyst (Clinical Quality Analyst) - Catholic Community Services

Overview Quality Management Analyst(Clinical Quality Analyst) Tukwila, WA CCS, Family Behavioral Health is looking for a Quality Management Analyst to work directly with our clinical staff assisting with documentation of clinical records, training and tracking compliance with daily CQI requirements, provide accurate CQI data to site leadership, and general administrative duties. WHO WE ARE: We are a values-driven organization, providing family-oriented behavioral health care for children, youth and families, primarily in their own home and community. Our enthusiastic clinical teams provide whatever is needed to help children and youth remain safely in their own home with their family, restoring hope, providing intense behavioral health services and supports, and helping to strengthen the family unity. Family Behavioral Health employs almost 700 energetic and compassionate employees from our offices across Washington and in Portland, OR. WHAT WE VALUE: Compassion Diversity Strength-Based-Approach Social-Justice & Our Staff! WHAT WE OFFER: + Starting Base Pay Range: $29.55-$33.24 Per Hour BENEFITS: + 12 paid holidays; plus 1 personal holiday each year! + 3 weeks vacation per year + 12 sick-days per year + Medical + Dental + Vision Insurance + Life Insurance + Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension + Relocation assistance Training and Supervision: + Training and supervision provided, by CQI Manager and CQI System team members Responsibilities J OB SUMMARY: + Under the direction of the CQI Manager, the CQI Management Analyst is responsible for supporting the assigned FBH Site's CQI performance management and measurement practices, including performance and contract deliverable tracking, implementation and training of BHO/MCO documentation and State/Federal regulatory/oversight deliverables, collaborating with clinical programs to ensure adequate CQI data is available to evaluate clinical practice and outcomes, and working with the CQI Manager to develop systems and training staff for improved practice and quality improvement activities/initiatives. This position works independently, taking a leadership position along with the CQI Manger to direct the CQI processes in South King County and ensure Medicaid compliance for all CQI requirements. This position will work directly with clinical staff training and tracking compliance with daily CQI requirements and provide Site Leadership with necessary CQI data to evaluate site practice for documentation and CQI compliance. Ensure data entry integrity + Take lead responsibilities, along with CQI Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations. This includes taking lead responsibilities to train and implement office strategies and provide ongoing training for compliance oversight and prevention of Medicaid Fraud and Abuse. + Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated Audit and compliance reviews. + Conduct systematic site encounter reviews to verify accuracy of data entry and charting, ensuring errors are corrected and encounters are documented accurately. + Participate in county, state and federal data integrity audits and reviews. Assist the CQI Manager with essential and required CQI duties + Provide oversight for tracking of safety crisis plans, ensuring timely and accurate completion of crisis plans and document entry into case file. + Assist CQI Manager in training staff in various CQI areas that include Medicaid Fraud and Abuse. + Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to FBH system leadership. . + As part of the site CQI team, represent FBH at MCO/BHO Provider CQI meetings and trainings. + Participate in regular CCS administrative team meetings. Reports + Develop and distribute reports to leadership, both routine and adhoc, including staff activity, consumer encounter outcome and service reports. These reports are vital to clinical oversight by clinical supervisors and are used to track clinical intensity and service outcomes. + Ensure consumer information is accurate at all times, tracking consumers by service type at intake and exit using current data collection system so that site clinical outcomes can be evaluated. + Work with data and report tracking in EHR to develop and distribute tracking reports to leadership, both routine and adhoc, ensuring accuracy of data and compliance with required timelines for clinical chart documentation. + Work in tandem with clinical staff to review PsychConsult data and outcome reports and provide feedback to Clinical Supervisors on CQI quality of their staff. + Complete the risk summary report for all incident reports that are submitted by staff to be turned in with the CQI quarterly reports. + Maintain the tracking and inputting of the 90 day and discharge Child and Adolescent Needs and Strengths assessment and provide data to the WISe Referral Coordinator. Along with the CQI Manager, support the daily quality improvement functions and processes. + Create, update and make available to staff BRS, FAST and Behavioral Health forms in charts. + Maintain an adequate supply of intake packets and blank clinical charts. + Maintain master copy of clinical forms and ensure an adequate supply to all staff. + Create and maintain electronic version of clinical form, including updates as required by BHO/MCO and Federal/State requirements and train staff in their use. + Support the supervisors and staff with ongoing peer review protocol and process. + Assist the CQI Manager and Supervisors to regularly schedule peer reviews and other CQI trainings. + Support staff in participating in these regularly scheduled events. + Provide technical support to Clinical staff in file organization and oversee the filing of DSS into charts in a timely manner. + Assist Clinical staff in keeping charts up to date with proper filing of DSS and other documents. + Support Clinical Staff in following the process of "closing" and filing all charts appropriately in the chart room. + Keep the chart room organized assisting the staff check out charts when necessary. + Monitor the closing of charts and support staff to complete this process. + Complete content reviews while the CQI and Clinical Intake Specialist oversees the completion of the clinical chart review. + Monitor and track timely submission of paperwork for opening cases, submission of data set, assessment, treatment plan, Special Population consults, treatment reviews, case closure, etc. + Develop and distribute tracking reports to leadership for documents that are required but missing from the closed clinical charts. Other duties as assigned Qualifications WHAT WE ARE SEEKING IN A CANDIDATE + Bachelor's Degree in Social Services or related field + Knowledge and competency of Behavioral Health CQI processes, Medicaid standards, and clinical requirements for clinical chart documentation. + One or more years of administrative/office operations experience, or experience in quality assurance activities. + Strong knowledge of contemporary office software including Microsoft products: Word, Excel, Outlook and Access (or similar). + Ability to demonstrate accurate and efficient data entry. + Ability to support, motivate and assist staff in completion of quality assurance activities. + Excellent organization skills with the ability to work in a very busy/diverse environment. + Excellent interpersonal and organizational skills with the ability to communicate respectfully with families and professionals. + Excellent written and oral communication skills. + Must have reliable transportation, valid driver's license, and automobile insurance. + Must have an acceptable driving record per CCS' driving policy, (required to provide current driving abstract). + Proof of negative TB test within past 12 months or ability or test within first six months of employment. + Applicant must successfully pass required background checks prior to an offer of employment. + Ability to work both independently and as a member of a team. + Support and uphold the mission, beliefs and values of Catholic Community Services and Catholic Housing Services. PREFERRED QUALIFICATIONS + Knowledge of quality improvement theory, principles and practice approaches. + Experience working in a private non-profit system. + Two years or more experience in social services. + Experience working as a member of a team. + Ability to work with a diverse spectrum of people. If you are on our careers page and you are interested in being considered for this opening: please click on the blue link above, on this page, located on the upper right hand corner that says: "Apply for this job online" and upload your resume and answer a few questions for consideration. If you are not on our careers page: please copy and paste the following URL into your browser: https://fbh-ccsww.icims.com/jobs/intro to view our opportunities. Search for your jobs of interest and click on the blue link on the careers page, located on the upper right-hand corner that says: "Apply for this job online" and upload your resume and answer a few questions for consideration. For additional questions, contact Karla Lacktorin , Regional Clinical Recruiter, at karlal@ccsww.org Note to Internal Candidates: HR reviews internal compensation and determines any increase based on their experience and also agency internal equity factors. Catholic Community Services and Catholic Housing Services is an Equal Opportunity Employer. Please let us know if you need special accommodations to apply or interview for this position. Job LocationsUS-WA-Tukwila Posted Date4 days ago(5/14/2024 4:03 PM) Job ID 2024-7696 # of Openings 1 Category Administrative/Clerical Min USD $29.55/Hr.