Quality Assurance Specialist
2 days ago
The Quality Assurance Specialist plays a crucial role in ensuring the agency's compliance with Los Angeles County Department of Mental Health's (DMH) requirements for Mental Health Treatment. This position is responsible for implementing quality improvements, chart reviews, and tracking/reporting to ensure seamless client care from intake to discharge.
Key Responsibilities- Participate in quality assurance activities, including chart reviews, documentation training, and tracking/monitoring of contract performance.
- Complete administrative reviews of clinical records and provide regular reports on accuracy, admissions dates, discharge dates, and other technicalities.
- Implement departmental Quality Improvement and Utilization Review efforts.
- Assess and analyze deficiencies in clinical records and identify trends.
- Manage scanning process/procedures of documents, ensuring quality control and readability.
- Active oversight of all transfer procedures and client information/disclosures.
- Process monthly Service Verification Calls and Field-Based Service Verification forms.
- Track and process out-of-county Medi-Cal clients and Service Authorization Requests.
- Assist Managers with Contract Compliance, including tracking PEI group attendance and informing managers of non-compliance.
- Attend weekly QA Committee meetings, writing and tracking QA meeting minutes.
- Create weekly/monthly reports to maintain QA Documentation standards.
- Experience with LA County DMH policies and procedures.
- Experience with Integrated System, IBHIS, Medi-Cal eligibility, and billing.
- Knowledge of Electronic Health Records, Microsoft Word, and Excel.
- BA in psychology, social work, or related field, or equivalent experience.
Counseling4Kids provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. We strive to foster a community of respect, teamwork, growth, and fun, offering benefits including fully paid employee medical, dental, and vision, supplemental insurance, and retirement plan matching.
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Quality Assurance Specialist
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