Quality Management Coordinator
- Subsidized medical, dental, and vision insurance
- Health savings account
- Short and long-term disability insurance
- Life insurance
- Paid sick, vacation, and holiday time
- 401K retirement plan with match
- Tuition and CME reimbursement up to 100%
- Employee assistance program to support your mental health and wellness
- Ongoing professional development
- Serves as the first contact for all auditing activities from oversight agencies (i.e., CARF, DEA, State, etc.)
- Facilitates meetings for audit preparation and the creation of short-term corrective action plans
- Assists Quality and Safety Manager with preparations and ongoing updates for CARF program and administrative standards and CARF surveys for all locations
- Completes site visit reports and works collaboratively with other Quality Management staff to address issues discovered in the facility
- Remains aware and informed of all oversight agency and regulations and knows where to find regulations and requirements for all oversight and behavioral health license requirements for all CMS locations
- Attends external meetings, such as oversight agencies or payers, as assigned by Quality and Safety Manager
- Provides training to operations for compliance or quality management as needed
- Maintains the critical incident reporting database and safety report submissions
- Fulfills external agency deliverable requirements according to contract or regulation
- Maintains and completes Methasoft edit requests to ensure clinical documentation aligns with CMS billing practices within a 7-day cycle.
- Conducts quality review on completed Methasoft edit requests to ensure compliance requirements are met.
- Conducts quality record reviews to ensure compliance with DEA, CARF, state, and federal performance standards
- Documents chart reviews in Quality Management Portal and monitors portal for adverse trends
- Provides training to operations for compliance or quality management as needed
- Fulfills external agency deliverable requirements according to contract or regulation
- Performs other duties and works on special projects that are consistent with the general duties of the position
- Bachelor’s degree in behavioral health or science related field or combination of full-time work experience and education totaling at least four years
- Intermediate computer knowledge
- Problem solving, conflict resolution, and strong customer service skills
- Passion, humility, integrity, positive attitude, mission-driven, and self-directed
- Excellent organization skills, accuracy, and attention to detail
- Ability to communicate clearly and effectively between all organizational level and with outside providers
- Uses good judgment and maintains effective boundaries when sharing information about company with staff, other providers, and members of the community
- Adheres to and enforces company policies and procedures
- Knowledge of CARF standards, DEA, CSAT, and state systems is preferred, but not required
- Intermediate understanding of statistical and data analysis
- Ability to use a phone, computer, printer, and copier is required
- Frequent use of Microsoft Office products, including Outlook, Word, Excel, and PowerPoint
- Ability to use the internet and various web browser software is required
- Requires sitting, standing, and bending associated with a [clinic/office] environment
- Some lifting may be required
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