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Quality Management Associate

Alternative Family Services
Oakland, CA Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 3/17/2025
Quality Management Associate - Oakland

Are you detail-oriented, organized and want to make a positive impact in the community? Alternative Family Services (AFS) is looking for an entry level Quality Management/Medical Records Associate to help oversee all compliance and quality improvement aspects for our Telepsychiatry Program. In this position, you'll play a vital role in overseeing compliance and quality improvement aspects for our Telepsychiatry Program. Additionally, you will assist QM Leadership to identify system problems, identify initial and long-term solutions, and be adaptable and ready to assist Program staff with changes. Join our team and utilize your expertise as a Quality Management Associate/Medical Records Associate to positively impact our community!

About Alternative Family Services

Alternative Family Services is a Foster Family, Adoption and Mental Health Agency that has been serving abused and neglected children in our community since 1973. Our mission is to support vulnerable children and families in need of stability, safety, and well-being in communities. We provide a wide range of foster, adoption, mental health and transition-aged youth services in English and Spanish. We have eight locations throughout the Bay Area and 200 employees. We celebrate diversity, equal opportunity, and excellence. AFS offers an excellent benefits package, see below!

Responsibilities
  • Monitor Alameda County and The Gathering Place (TGP) Programs
  • Monitor and maintain all aspects of clients’ medical record (electronic and hard copy) charts including the creation of hard-copy files, identify missing documents, and appropriate communication and coordination with clinical supervisors and staff to obtain missing documents
  • Complete monthly staff attestation
  • Register new clients in AFS and County MIS; open/close/update treatment episodes in AFS and County MIS; enter service data into County MIS; file all client-related materials in a timely fashion
  • Enter billing data into County MIS; reconcile data entry by comparing AFS and County MIS reports for accuracy
  • Support structured file review activities (Clinical Quality Review Team [CQRT], Program Utilization Review Quality Committee [PURQC] and 60 Day Review) including gathering and preparing charts, reviewing charts for the presence/absence of documents, review findings and entering data of findings into Electronic Record
  • Create, distribute, monitor, and follow-up on Quality Management reports regarding presence/absence of key chart documents [assessments and treatment plans, annual Client and Services Information [CSI] updates, Payer Financial Information [PFI], etc.) in compliance with County, State and Federal regulations
  • Provide technical assistance and support to clinical supervisors and staff as needed to maintain charts by specified deadlines
  • Ensure compliance with The Health Insurance Portability and Accountability Act (HIPAA) requirements
  • Obtain and track clinical staff identification numbers (National Provider ID number; County-specific billing ID)
  • Work effectively with County Billing Systems
  • Data entry, data cleaning and monitoring
  • Assist with compiling, inputting, and reviewing data
  • Assist with reporting of children’s health and social services’ outcomes data
  • Assist in identifying system problems and development issues, and assist in identifying data/evidenced-based solutions, procedures, and policies to improve practice and systems at AFS.
  • Use different databases and software (Microsoft Office programs, Electronic Health Records, and County specific Database) to clean, compile and integrate datasets
  • Consult and collaborate with program staff to ensure program compliance
  • Make copies and files as needed, screen incoming calls for staff, assist office staff with office maintenance and phone and office coverage
  • Assume other duties as assigned by supervisor pending program needs
  • Travel to AFS and County offices for trainings and meetings as needed
Qualifications
  • Undergraduate degree in a relevant area (e.g., social sciences, computer sciences, psychology, social work, pre-Med, pre-Pharmacy, etc.) or a high school diploma with a minimum of two years related experience and/or training in Quality Management activities (EPSDT documentation guidelines, quality assurance reviews, medical records maintenance, etc.) and/or Quality Improvement activities (data management/analysis/reporting)
  • Intermediate to advanced skills in Windows OS, MS Excel, Outlook, and PowerPoint.
  • Possess ability to work quickly while maintaining focus and concentration to complete tasks with minimal errors.
  • Able to work independently
  • Ability to coordinate projects as necessary
  • Able to manage time effectively and seek supervision when problems are encountered.
  • Interpersonal skills including openness to feedback, non-defensiveness communication, and supportive approach to team dynamic
  • Able to listen and orally respond to clinical and non-clinical staff questions, needs and problems in an appropriate way.
  • Able to communicate clearly in writing (e.g., e-mails) to clinical and non-clinical staff in an appropriate way.
  • Able to address common inquiries or complaints from customers, regulatory agencies, or other collaborating agencies.
  • California driver’s license and auto insurance showing as an insured driver on the policy.
  • Obtain and maintain fingerprint and government background clearances
  • Able to read and write fluently in English


We Offer
  • Pay range of $24-$28.50/hr
  • A professional, supportive and culturally diverse work environment
  • A full-time position with a flexible schedule
  • IRS standard mileage reimbursement
  • Benefits package which includes:
    • Medical
    • Dental
    • Vision
    • Chiropractic & Acupuncture
    • Flex-spending options
    • Life and disability insurance
    • 403(b) option
    • Over 8 weeks time off annually! (11 vacation days the first year – accruals starting on your 1st day and progress up to 20 days a year! 11 paid holidays including your birthday off & 12 sick days annually!)
    • AFS makes substantial monthly contributions on your behalf to keep out of pocket premiums at an all time low!

We are an Equal Opportunity Employer. We do not discriminate on the basis of Ancestry, Age, Color, Disability, Genetic Information, Gender, Gender Identity, Gender expression, Marital status, Medical condition, Military or veteran status, National origin, Race, Religion, Sex and Sexual orientation.

Salary : $24 - $29

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