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Clinical Quality Manager
2 months ago
At BK Healthcare Management, we are seeking a highly skilled Clinical Quality Manager to join our team. As a Clinical Quality Manager, you will play a critical role in ensuring the highest quality of care for individuals with autism and developmental disabilities.
Key Responsibilities:
- Review and provide feedback on initial assessments and reassessments written by BCBAs.
- Assist BCBAs in correcting errors on assessments to ensure insurance approval.
- Collect signatures from parents and BCBAs once the report is complete.
- Update Assessment templates based on changes to insurance regulations.
- Keep track of open authorizations to ensure there are no lapses in coverage and assessments are submitted on time.
- Liaise with the Case Manager if assessments were not submitted within 2 weeks of authorization expiration.
- Assist with insurance calls and peer reviews.
- Meet as needed with the Regional Clinical Manager to report issues that are seen with the assessments.
- Meet weekly with the Chief Clinical Officer (CCO).
- Monthly reports on assessments and updates to insurance guidelines.
Requirements:
- BCBA with a minimum of one year of experience working within the insurance model.
- Strong interpersonal and communication skills.
- Excellent computer skills.
- Detail-oriented.
- Ability to work independently.
- Reliable with deadlines.
- Dedication to ensuring the highest quality of care for individuals with autism and developmental disabilities.
- Operational abilities.
- Critical thinking and analytic skills.
- Ability to identify potential solutions.
- Ability to organize materials and resources.
- Willingness to accept and apply feedback appropriately.
Why Join Us?
- Salary Range: $90,000-$110,000.
- Participate in peer advisory groups.
- Connect with more experienced BCBAs through mentorship program.
- Access to an ongoing training bank for your behavior technicians.
- Rely on quality BCBA support on case.
- Monthly free CEUs on a variety of topics.
- Holiday Pay.
- Benefits include:
- Health insurance paid 95% by the company.
- Dental, Vision, and Life Insurance.
- 401K with a company match.
- PTO days.
