QI Specialist

Description

JOB SCOPE:
Responsible for performing and monitoring activities related to internal Utilization Reviews, including conducting case record reviews, drafting and distributing associated reports, and monitoring corrections when applicable. Additional specific responsibilities include involvement in program audit preparation, staff trainings, incident report submission, conducting special investigations, as well as incident monitoring and trending, and participation in the execution and monitoring of quality improvement activities across all agency programs.

ESSENTIAL FUNCTIONS:

• Conducts internal Utilization Reviews and submit reports to all involved parties.
• Provides feedback to Director of Quality Improvement regarding Utilization Reviews and Quality findings.
• Conducts routine audit preparation visits across all licensed programs. Provides direction to staff with regard to compliance with audit requirements.
• Assists in the management of continuous quality improvement projects.
• Assists in the submission of required reports on incidents to all regulatory agencies.
• Conducts Special Investigation into allegations of staff abuse and neglect, or otherwise directed by Executive Management and Director of Quality Improvement.
• Assists with in-service educational program for direct service staff with regard to regulatory requirements and use of electronic health record.
• Identifies areas of focus for performance improvement activities and provides leadership to program to implement data-driven changes.
• Performs other duties as may be assigned by the Director of Quality Improvement.

Qualifications

EDUCATION AND EXPERIENCE:

• Master’s degree in a mental health-related field required, or LMSW, LCSW, LMHC
• Two years’ experience working in a mental health/social service setting required.

Salary : $55,000 - $65,000