Quality Improvement Auditor

Description

SUMMARY:

The role of the Quality Improvement Auditor is to assist the Quality Assurance program at Park Place Behavioral Health Care in upholding its key objective of monitoring and improving the quality of care for those individuals served. Under the direction of the Director of Quality Assurance, the Quality Improvement Auditor will assist with this objective by planning and facilitating both scheduled routine audits of clinical documentation, policies, and processes in clinical programs, as well as ad hoc targeted surveys, using audit/survey tools approved by the Quality Improvement Committee and the Director of Quality Assurance. The Quality Improvement Analyst will be responsible for implementing the Annual Program Documentation Quality Survey Plan and for preparing written summaries of the audits/surveys conducted, including analysis of findings.

SUPERVISORY RESPONSIBILITIES:

N/A

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The Duties and Responsibilities reflect the general details considered necessary to describe the principal functions of the job and shall not be construed as a detailed description of all related work assignments that may be inherent to the job.

• Attend scheduled meetings of the Quality Improvement Committee and serve on the Clinical Documentation Improvement sub-committee.
• Collaborate with the Director of Quality Assurance in developing and updating the Annual Program Documentation Quality Survey Plan to strategically identify areas of deficiency in need of auditing.
• Conduct scheduled and ad hoc audits of targeted clinical documentation, policies, and processes for clinical programs in all PPBH facilities.
• Maintain the schedule of program audits/surveys
• Develop a demonstrable knowledge of the targeted goals of clinical documentation quality at PPBH including completeness and accuracy, legal risk mitigation, compliance with accreditation standards and contracts, and demonstration of medical necessity.
• Obtain and maintain an understanding of the program structure at Park Place Behavioral Health Care, and the clinical workflows for each program, as well as policies and procedures related to patient care and Quality Improvement.
• Professionally engage with program managers and staff to coordinate scheduled program audits/surveys.
• Achieve and maintain proficiency using the current EHR (InSync).
• Maintain, organize, and store all audit/survey documentation, adhering to the protocols of the Quality Assurance department.
• Maintain positive and professional rapport with program directors, managers, and staff.
• Perform other duties as directed by the Director of Quality Assurance.

Qualifications

CORE COMPETENCIES:

• Ability to create/maintain a professional and ethical atmosphere
• Must show respect and consideration for individual and audience needs
• Knowledge to demonstrate diversity awareness
• Promotes continuous, collaborative learning
• Ability to encourage participation

• Ability to utilize and navigate an electronic health record and Microsoft office software

QUALIFICATIONS, EDUCATION AND/OR EXPERIENCE:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• To perform this job successfully, the individual must be able to perform each essential duty satisfactorily. The individual should have a High School Diploma, or equivalent, and effective communication skills, both verbal and written. Experience in a clinical work setting, or experience working with medical records, is preferred. The individual should have advanced computer skills, including a working knowledge of Microsoft Outlook, Word, and Excel.
• REASONING ABILITY: Ability to apply commons sense understanding to carry out instructions furnished in written, oral or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

REQUIREMENTS:

• A valid Class E Drivers’ License for positions that require driving personal or Agency vehicle on Agency business.
• Must maintain a minimum Bodily Injury & Property Liability insurance limit of at least $50,000 for positions that require driving personal own vehicle (POV) on Agency business. (Proof Required)
• PPBH is a 24/7 Agency.  All employees must be available as needed when required.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those and employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is usually moderate to loud.

Salary : $50,000