QI Specialist

Children's Bureau Lancaster , CA 93535

Posted 5 months ago

JOB TITLE: QI Specialist

DEPARTMENT: Mental Health

REPORTS TO : Director of QI & Training

LOCATION : Sunrise Center

SUMMARY OF POSITION:

This role's primary purpose is to work in a dynamic QA/QI department, helping to monitor and provide oversight of the quality of services in the Children's Bureau Mental Health Program. This role serves as a resource for staff to help ensure compliance to service delivery and documentation standards consistent with Children's Bureau's Policies and Procedures.

JOB RESPONSIBILITIES:

  • Supports mental health staff in adhering to company policies and procedures to ensure legal, ethical, and safety standards are maintained.

  • Participates in quality improvement and training efforts to ensure that quality services are being provided for children and families in adherence with Children's Bureau Mental Health Policies and Procedures.

  • Supports training of new hires during probationary period by auditing submitted documentation and providing QA/QI feedback.

  • Coordinates resolution of complaints, grievances, and incident reporting.

  • Conducts reviews of client charts across programs for adherence to regulatory and documentation standards, including outcome measure data collection, and communicates findings in writing to appropriate supervisor for follow-up and resolution.

  • Defines and promotes opportunities for improvement as identified through analysis of trends.

  • Supports program managers with quality improvement and auditing activities.

  • Facilitates Utilization Reviews for the various programs.

  • Facilitates auditing of therapists' charts as part of exit plan when a therapist leaves the agency or transfers to another department.

  • Participates in Quality Improvement meetings both internally and externally to act as liaison between agency and DMH to assist with communication and training of changes.

  • Completes monthly Change of Provider documents and emails to DMH.

  • Monitors and implements compliance to HIPAA privacy laws and ensures compliance with maintaining case files and correspondence in an organized, confidential, and secure manner.

  • Facilitates or processes requests for medical records in accordance with HIPAA privacy laws.

  • Contributes to the development of associated Policy and Procedures.

  • Assists with preparing for State Audit Reviews and LA County DMH Program Reviews.

  • Works closely with appropriate staff to ensure documentation guidelines are met for each of the service categories (mental health, meds support, targeted case management, etc).

  • Communicates significant findings to QI Director, including potential risk and liability issues, and monitors staff implementation of Special Incident Reporting as required by the agency.

  • Other duties as assigned.

JOB QUALIFICATION STANDARDS

Experience

  • Minimum of 3 years of experience in mental health service delivery including psycho-social rehabilitation and child focused interventions.

  • Must have strong computer skills including knowledge and experience with Microsoft office, Word, and Excel.

  • Demonstrated strong communication and interpersonal skills required.

  • Demonstrated expertise with service standards set forth by the State of California regarding Medi-Cal/Short Doyle/EPSDT.

  • Training skills, including curriculum development, and presentation experience is preferred.

  • Familiarity with County IBHIS is preferred.

  • Ability to function as a member of an inter-disciplinary team.

  • Must be able to provide own transportation to complete travel requirement of the job.

Education, Professional Training, Technical Training or Certification

  • Master's degree in related human services field from an accredited four-year college or university is required.

  • ACSW, or AMFT, or Registered Psychologist Intern in active status with State of California BBS or BOP is required; Licensed status is preferred.

  • Must possess a valid driver's license plus ability to provide own transportation to complete travel requirements of the job.

Knowledge/Skills

  • Maintains confidentiality in matters of agency operations, personnel, and clients

  • Maintains positive communication with all agency staff, clients and visitors

  • Exercises good judgment in performance of duties and responsibilities

  • Supports existing agency policies, principles and mission.

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