What are the responsibilities and job description for the Quality Manager position at The Thresholds?
Job Description
Job Description
The Quality Manager is a member of Thresholds Quality Compliance team. The Quality Manager reviews medical records, determines quality of care plans and conducts utilization reviews to ensure quality and consistency across programs. The Quality Manager may make suggestions, implement correction action plans, and deliver hands‐on training for improvement.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Responsible for in‐depth review and evaluation of operational systems, documentation, and service delivery according to the expectations and regulations of the various funding sources and with the highest professional standards. This may include but is not limited to the standards and documentation requirements as established by : CARF, Medicare, Medicaid, DMH, CILA, DOL, DORS and / or DCFS.
- Identifies areas where Medicare / Medicaid billing could be maximized. This may include proofreading written client information identifying clients’ mental health needs and treatment recommendations. Such direction shall, at minimum, require a face‐to‐face meeting with client.
- Identifies areas for improvement, and, in collaboration with the Program Director, puts corrective actions in place.
- Makes recommendations as to additional training needed for staff. May provide direct hands-on training.
- Responsible for helping Programs create and enhance a therapeutic environment.
- Attends and participates in task force meetings and other agency‐wide committees as assigned.
- Provides clinical direction as to the development and review of members’ Individual Treatment Plans (ITP). This requires face to face meetings with client or guardian to identify goals, objectives, specific mental health services needed, and identification of staff responsible for delivering the services. May need to approve and sign the final ITP.
- Advises direct service staff regarding appropriate responses to members’ needs.
- Develops criteria by which to review the delivery of all departmental services and make recommendations to assure they operate using the values and principles of recovery.
- Ensures that this department functions optimally, in conjunction with other branches or departments of Thresholds.
- Assures that all Thresholds records are organized in a systematic and organized fashion.
- Follows all appropriate safeguards with regard to the confidential files maintained at the Program. Follows all policies and procedures pertaining to all records including but not limited to restricting access to all records per agency policy.
- Provides accurate and timely information to superiors on all topics and issues related to the operation of the agency and the well-being of its staff and members.
- Other duties as assigned.
EDUCATION
EXPERIENCE
SKILLS / CERTIFICATIONS
WHAT SETS THRESHOLDS APART
Commensurate with licensure and experience
Thresholds is a mission-driven agency with a deep commitment to diversity, equity, and inclusion. We foster an environment where all feel valued and respected, a place where every employee can be themselves, thrive, and support the agency’s mission. Click here to learn more.
One of the oldest and largest community mental health organizations in Illinois, we pride ourselves in being a Chicago Tribune Top Workplace and one of Chicago’s 101 Best & Brightest Companies to Work For, several years in a row.
Salary : $52,000 - $61,000
