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The Quality Assurance Coordinator for Behavioral Health Services/Case Management reviews service documentation of assigned programs to ensure quality control measures, clinical quality, and compliance with applicable agency policy and procedures, as well as pertinent regulatory standards, to include but not limited to: the Department of Medical Assistance Services, licensure, human rights, Department of Justice, and other regulatory bodies, to ensure the highest quality standards of person-centered and evidence-based practices to all individuals served by the Agency. Position may be assigned related tasks to assist the Director in promoting seamless operations of Compliance and CQI throughout the Agency.
Provide ongoing review/audits assigned program service records to ensure compliance with all regulatory guidelines; develop and maintain a statistical process control system, which tracks compliance and deficiencies, identifies patterns, and provides follow up; keep program leadership aware of results and offer recommendations for improvement.
Participate in training of program services staff in areas of documentation, and charting compliance. Keep mandatory training up to date, and participate in relevant clinical training to enhance ability to train others in person-centered documentation and the documentation of evidence-based practices.
Develop, implement, and monitor quality assurance measures; schedule reviews, provide technical assistance and develop reporting/follow-up system documentation reflecting regulatory requirements.
Keeps up-to-date on all regulatory guidelines such as licensure and Medicaid. Attend local, regional, and state training related to medical records, information and outcome management. Keep program leadership aware of any changes and make recommendations for compliance; provide training and orientation to program staff about existing or new regulatory guidelines.
Attend or facilitate various meetings as assigned by Director; facilitate other meetings as assigned or coordinate special projects as a result of regulation changes.
May provide entry of serious incidents or human rights issues in the Department of Behavioral Health and Developmental Services (DBHDS) CHRIS reporting system; may provide clinical or investigative reviews of particular incidents or breaches as assigned by the Director.
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Bachelor’s Degree in a human service field required and experience with a minimum of two-three (2-3) years’ clinical experience working with individuals with Severe Mental Illness, Substance Use Disorder, and/ or Serious Emotional Disturbance, and/or children who are at risk of serious emotional disturbance.
Must be willing to travel within the catchment area.
Must have a valid driver’s license with a good driving record.
Provides behavioral health and developmental services in Southwest Virginia.
Visit company websiteJobs and hiring trendsUSD 37966-64531 bi-weekly / bi weekly
Full-time
Entry · 2+ years experience
Onsite
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