What are the responsibilities and job description for the Senior Quality Specialist position at CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK INC?
Job Details
Level: Experienced
Job Location: CFBHN Corporate Office - Tampa, FL
Position Type: Full Time
Education Level: Graduate Degree
Salary Range: $60,000.00 - $66,000.00
Travel Percentage: Road Warrior
Job Shift: Day
Job Category: Nonprofit - Social Services
Description
Senior Quality Specialist
Essential Job Functions
- Participates in the process of monitoring Network Service Providers (NSPs) to assess contract/financial compliance, validate service documentation and billing, and best practice. Ensures compliance with contractual requirements, CARF accreditation standards, HIPAA laws, and Florida state statutes that govern behavioral health services and CFBHN operations.
- Serves as primary point of contact for an assigned caseload of subcontracted organizations. Responds to questions and maintains contact with NSPs throughout the CQI monitoring process.
- Completes monitoring reports to summarize results and findings. Conducts Action Plan follow-ups as required and within required timeframes.
- Reviews and interprets data, as necessary, to assist in identifying trends and issues in need of NSP attention.
- Provides training and technical assistance to subcontracted providers, as required, to bring them into compliance with CQI requirements.
- Communicates monitoring results to other CFBHN departments. Ensures that information in CFBHN data systems is accurate, and edited or backed out, as necessary.
- Mentors and provide training to new CQI team members.
- Represents the CQI department on the Critical Incident Review Committee. Conducts case file reviews as assigned by CQI Manager. Writes reports to identify observations and/or other issues in need of NSP attention or correction.
- Maintains knowledge of Substance Abuse, Mental Health, and Block Grant programs coordinated by CFBHN.
- Participates in CQI Department meetings, to include CQI Oversight, Board and Network CQI Committees.
- Working with the CQI team, develops, updates and revises tools utilized as part of the monitoring process.
- Leads and/or participates in additional projects as assigned.
Qualifications
Required Education/Experience
- Master’s degree in behavioral health field with four years of experience in providing quality oversight for the provision of behavioral health services, or an equivalent combination of education and experience.
- Current FL behavioral health license or risk management license/certification, preferred
We offer:
- Health & dental (100% paid for employee)
- Vision benefits (deeply discounted pricing)
- Hybrid role - Predominately work from home
- Life Insurance ($10,000 policy, 100% paid)
- 401k (after 90 days)
- Profit sharing (after six months)
- AD&D policy (100% employer paid)
- Telehealth at no cost
- AFLAC available
- 12 paid vacation days, 12 paid sick days
- Two paid personal days and one paid volunteer day
- Nine paid holidays
- Employee assistance program
- And more great benefits!
Send your resume now!
Salary : $60,000 - $66,000
