Quality Assurance Specialist

1 week ago

Glendale, Arizona, United States Counseling4Kids Full time
Job Title:
Quality Assurance Specialist

Job Summary:
The Quality Assurance Specialist assists the Agency in maintaining compliance with the Los Angeles County Department of Mental Health's (DMH), local County and State requirements for Mental Health Treatment. This role is instrumental in implementing quality improvements, chart reviews, tracking and reporting to ensure that all components from the acceptance of a client case to their discharge occur.

Key Responsibilities:
Uphold the mission and core values of Counseling4Kids.
Participate in the on-boarding and orienting of direct care providers administrative tasks.
Participate in quality assurance activities including chart reviews, documentation training, tracking/monitoring of contract performance, and providing formal trainings to licensed clinicians under the guidance/direction of the Director of Quality Assurance.
Complete administrative reviews of clinical records and provide regular reports on the accuracy of admissions dates, discharge dates, face sheets, financial forms, regularity of chart notations, and any other technicalities reviewed by the Department of Mental Health.
Implementation of departmental Quality Improvement and Utilization Review efforts.
Assess and analyze deficiencies in clinical records and identify trends in deficiencies.
Manage scanning process/procedures of documents. Ensure quality control of scanned clinical records through active review of scanned documents for quality, readability, legibility and accuracy.
Active oversight of all transfer procedures (same-office and inter-office transfer) of clients.
Process all requests for Client Information and Disclosures.
Make monthly Service Verification Calls to clients/caregivers to verify field-based services. Process Field Based Service Verification forms for the purpose of oversight and monitoring of field-based service delivery.
Process and track all out-of-county Medi-Cal clients as well as completing the Service Authorization Requests.

Requirements:
Experience with of the LA County DMH policies and procedures
Experience with the 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 one of the following equivalents:
AA degree in related field and minimum 2 years relevant work experience
4 years related work experience in a mental health agency - Bilingual English/Spanish preferred

About Us:
Counseling4Kids provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Counseling4Kids complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Counseling4Kids expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Counseling4Kids' employees to perform their job duties may result in discipline up to and including discharge.

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