Quality Management Associate

3 weeks ago

Oakland, United States Alternative Family Services Full time

**Quality Management Associate - Oakland**

Are you detail-oriented, organized and want to make a positive impact in the community? Alternative Family Services (AFS) is looking for an entry level Quality Management/Medical Records Associate to help oversee all compliance and quality improvement aspects for our Telepsychiatry Program. In this position, you'll play a vital role in overseeing compliance and quality improvement aspects for our Telepsychiatry Program. Additionally, you will assist QM Leadership to identify system problems, identify initial and long-term solutions, and be adaptable and ready to assist Program staff with changes. Join our team and utilize your expertise as a Quality Management Associate/Medical Records Associate to positively impact our community

**About Alternative Family Services**

Alternative Family Services is a Foster Family, Adoption and Mental Health Agency that has been serving abused and neglected children in our community since 1973. Our mission is to support vulnerable children and families in need of stability, safety, and well-being in communities. We provide a wide range of foster, adoption, mental health and transition-aged youth services in English and Spanish. We have eight locations throughout the Bay Area and 200 employees. We celebrate diversity, equal opportunity, and excellence. AFS offers an excellent benefits package, see below

**Responsibilities**
- Monitor Alameda County and The Gathering Place (TGP) Programs
- Monitor and maintain all aspects of clients’ medical record (electronic and hard copy) charts including the creation of hard-copy files, identify missing documents, and appropriate communication and coordination with clinical supervisors and staff to obtain missing documents
- Complete monthly staff attestation
- Register new clients in AFS and County MIS; open/close/update treatment episodes in AFS and County MIS; enter service data into County MIS; file all client-related materials in a timely fashion
- Enter billing data into County MIS; reconcile data entry by comparing AFS and County MIS reports for accuracy
- Support structured file review activities (Clinical Quality Review Team [CQRT], Program Utilization Review Quality Committee [PURQC] and 60 Day Review) including gathering and preparing charts, reviewing charts for the presence/absence of documents, review findings and entering data of findings into Electronic Record
- Create, distribute, monitor, and follow-up on Quality Management reports regarding presence/absence of key chart documents [assessments and treatment plans, annual Client and Services Information [CSI] updates, Payer Financial Information [PFI], etc.) in compliance with County, State and Federal regulations
- Provide technical assistance and support to clinical supervisors and staff as needed to maintain charts by specified deadlines
- Ensure compliance with The Health Insurance Portability and Accountability Act (HIPAA) requirements
- Obtain and track clinical staff identification numbers (National Provider ID number; County-specific billing ID)
- Work effectively with County Billing Systems
- Data entry, data cleaning and monitoring
- Assist with compiling, inputting, and reviewing data
- Assist with reporting of children’s health and social services’ outcomes data
- Assist in identifying system problems and development issues, and assist in identifying data/evidenced-based solutions, procedures, and policies to improve practice and systems at AFS.
- Use different databases and software (Microsoft Office programs, Electronic Health Records, and County specific Database) to clean, compile and integrate datasets
- Consult and collaborate with program staff to ensure program compliance
- Make copies and files as needed, screen incoming calls for staff, assist office staff with office maintenance and phone and office coverage
- Assume other duties as assigned by supervisor pending program needs
- Travel to AFS and County offices for trainings and meetings as needed

**Qualifications**
- Undergraduate degree in a relevant area (e.g., social sciences, computer sciences, psychology, social work, pre-Med, pre-Pharmacy, etc.) or a high school diploma with a minimum of two years related experience and/or training in Quality Management activities (EPSDT documentation guidelines, quality assurance reviews, medical records maintenance, etc.) and/or Quality Improvement activities (data management/analysis/reporting)
- Intermediate to advanced skills in Windows OS, MS Excel, Outlook, and PowerPoint.
- Possess ability to work quickly while maintaining focus and concentration to complete tasks with mínimal errors.
- Able to work independently
- Ability to coordinate projects as necessary
- Able to manage time effectively and seek supervision when problems are encountered.
- Interpersonal skills including openness to feedback, non-defensiveness communication, and supportive approach to team dynamic
- Able to listen and orally

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