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Clinical Quality

4 months ago

Wallingford, United States Aware Recovery Care Full time
Job DescriptionJob DescriptionAre you interested in joining a dynamic company that delivers successful in home treatment to clients with substance use disorder? If you are a caring, compassionate and capable, we are looking for someone who can connect with people who need support and meets or exceeds the following expectations, we want to hear from you

Aware Recovery Care (ARC) offers a holistic approach to treatment and changes the way clients receive care throughout the country. ARC is a year-long, home based, addiction treatment program that works collaboratively with a multidisciplinary team to assist clients in their first year of recovery.

Position Summary:
The Quality & Compliance Specialist is responsible for serving as an administrator of the organization’s incident reporting system, conducting root cause analyses, case reviews, and designated internal investigations, as well as supporting clinical documentation improvement efforts through ongoing monitoring. This position also supports regulatory licensure, quality, and compliance efforts, in addition to participation and support of a variety of organizational committees and projects, while keeping a focus on quality, safety, and compliance. 

Position Highlights:
  • This is a hybrid/ remote position out of Wallingford, CT
  • This role is a full-time role with a salary range of 65k-80k
Benefits Highlights
Coverage: Health, vision and dental through Anthem Blue Cross Blue Shield, FSA, HSA that comes with an employer match, along with STD, LTD, life insurance, EAP, and more.
Balance: Competitive Paid Time Off (PTO) plan , 10 paid Holidays, 2 paid floating Holidays of your choice, and 7 Days of Sick Time
Development: Certification/continuing education eligibility, leadership development and 1 paid day off a year to go towards personal professional development.
Retirement: 401(k) retirement plan
Culture: Dedication to diversity, equity and inclusion, and a growing working environment.


Aware Recovery Care is an Equal Opportunity EmployerResponsibilitiesDuties and Responsibilities: 
  • Serve as an administrator of the organization’s Incident Reporting system. 
  • Become a proficient user of the incident reporting system, including staying current on available trainings and resources provided by the vendor; 
  • Provide support for the incident reporting system to end-users in collaboration with Information Technology team members; 
  • Stay apprised of incident reporting system enhancements and available updates; 
  • Maintain workflows and procedures for the incident reporting system in collaboration with other administrators; 
  • Collaborate with Learning and Development team members to develop and ensure accurate training resources are available to the organization; 
  • Participate in incident report system improvement efforts; 
  • Provide data from the incident reporting system upon request; 
  • Support maintenance of incident reporting user-groups and assignees; 
  • Review and triage incident reports for the organization; and 
  • Escalate key incidents to designated leadership. 
 
  • Conduct root cause analyses and case reviews for designated cases. 
  • Respond in a timely manner to root cause analysis work; 
  • Conduct interviews with stakeholders related to key incidents; 
  • Accurately and professionally document interviews, identified opportunities for improvement, relevant electronic health record documentation reviews, timelines, and other case review information into approved templates; 
  • Communicate results of root cause analyses and case reviews with key stakeholders, including an overview of the findings and tracking corrective actions; and 
  • Support monitoring and communication of corrective action timelines. 
 
  • Conduct designated internal investigations regarding client related matters. 
  • Respond in a timely manner to assigned investigations; 
  • Maintain documentation per the internal investigation templates and training materials; 
  • Conduct interviews with stakeholders; 
  • Accurately and professionally document interviews, identified opportunities for improvement, relevant electronic health record documentation reviews, review of other available technology files and mechanisms, timelines, and other investigation related information into approved templates; 
  • Communicate results of internal investigations with key stakeholders, including an overview of the findings and corrective actions; and 
  • Support monitoring and communication of corrective action timelines. 
 
  • Conduct designated clinical chart monitoring to help ensure clinical documentation adherence to Aware Recovery Care policies, procedures, and regulations. 
 
  • Support regulatory licensure for the organization. 
  • Maintain awareness of regulatory requirements; 
  • Participate in audit readiness and corrective action planning; and 
  • Participate in on-site and virtual regulatory reviews. 
 
  • Participate in organizational committees and projects as assigned. 
Required SkillsRequired Qualifications: 
  • Clinical licensure (LCSW, RN, etc.) 
  • Bachelor’s degree 
  • Minimum of 2 years clinical experience 
  • Proficient with technical applications, including experience navigating electronic health records and Microsoft products 
 
Preferred Qualifications: 
  • Auditing/monitoring experience 
  • System administration experience 
  • Experience with conducting root cause analyses 
  • Experience with conducting internal investigations 
  • Experience with working in a Medicaid setting 
  • Knowledge of Substance Use Disorders and addiction treatment 
 
Key Competencies: 
  • Strong organization skills  
  • Ability to easily adapt and multi-task  
  • Strong ability to collaborate and perform in a team-oriented environment 
  • Ability to maintain confidential information  
  • Effective verbal and written communication skills 
  • Strong presentation skills  
  • Strives for excellent standards of quality  
  • Commitment to ongoing learning and growth 
  • Appreciation and respect for principles of diversity, equity, and inclusion. Ability to engage with diverse audiences (age, gender, nationality, race/ethnicity, profession, etc.) 
  • Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines 
  • Demonstrated integrity within a professional environment 
  • Demonstrate the ability to resolve conflicts and handle confrontation with professionalism 
  • Excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization 
  • Highly effective in managing change, multiple priorities, and exercising sound judgment 
  • High degree of dependability and motivation 
  • Demonstrate the ability to analyze quantitative results and offer feedback to improve performance 
  • Ability to multi-task and manage several systems on a daily basis 
  • Ability to work well independently and in collaboration with other staff members to meet reporting deadlines 
  • Demonstrated ability to manage various data collection methodologies, information analyses, and produce clear report presentations 
  • Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook)