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Form of workJob Description
Scope of Responsibilities:
The Quality Improvement (QI) Specialist is responsible for agency risk management activities, utilization and compliance review, and management of health information systems to support overall agency goals, licensing, and accreditation. This position supports tasks related to development of reports, data collection and analysis, program evaluation, staff training, and corrective action design.
Core Responsibilities/Essential Functions:
- Participates in audit readiness activities, including Comprehensive Review Team, related to internal/external program performance initiatives, qualitative standards, and contract/accreditation compliance.
- Assists with preparation of reports, corrective action plans, and exit interviews for internal/external audits.
- Participates in review and updates for policy and procedures related to delivery of services.
- Monitors programs and electronic health records (EHR) for performance, contract compliance and quality of services provided.
- Supports maintenance and retention guidelines for EHR and housing-related documentation.
- Reviews health record requests received by persons served, community partners, legal counsel, etc.; prepares and releases information in accordance with confidentiality standards.
- May facilitate staff training related to QI topics- EHR, confidentiality, incident reporting, etc.
- Supports agency credentialing- initial and re-credentialing- applications for facilities, licensed staff and contract practitioners.
- Develops and distributes monthly QI reports to department and program leadership.
- Participates on various internal improvement committees including, but not limited to, Credible (EHR), Comprehensive Review Team and Quality Improvement Committee.
- May participate in service authorization/validation tasks between agency, EHR vendor, third-party payers, and/or persons served.
- Assists with investigations and responses to grievances from persons served.
- Serves as back up to QI Manager in resolving EHR task and troubleshooting tickets.
- Performs related work as required/assigned.
Pre-requisite Requirements:
- Three (3) years of work experience in human services, behavioral health administrative services, Quality Improvement, risk management, professional training, or closely related area.
- Bachelor's Degree may substitute for work experience.
- Valid FL Driver License
Preferred Attributes:
- Bachelor’s degree in a related field.
- Knowledge of state rules/regulations, inc. Medicaid/Medicare, related to documentation.
- Knowledge of Commission on the Accreditation of Rehabilitation Facilities (CARF) Standards
- American Health Information Management Certification (RHIT, RHIA, CHPS, or CPHI).
Required Skills/Abilities:
- Excellent verbal and written communications skills.
- Proficient use of Microsoft Office applications, including Excel, Access, PowerPoint, and Word.
- Ability to maintain strict confidentiality.
- Ability to work effectively with individuals from diverse backgrounds, including persons served and families.
Physical Requirements:
- Must be able to sit, talk, hear, stand, walk, bend and carry items.
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 20 pounds at times with or without assistance.
Supervisory Responsibilities: This position reports directly to the Quality Improvement Manager. This position does not have any direct reports.
Work Environment: This job operates in a professional office environment. Occasional visitation to secured and non-secured locations, where patient service delivery occurs. This role routinely uses standard office equipment.
Position Type/Expected Hours of Work: This is a full time position. Hours of work and days are Monday through Friday, 8:00 a.m. to 6:00 p.m. (range). Some flexibility in hours allowed, with approval.
Travel: This position will be required to travel in between all of ACTS programs including county-to-county. No overnight travel is required.
The omission of specific statements does not preclude management from assigning specific duties not listed herein if such duties are a logical assignment to position.
ACTS is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. ACTS is an EEO/AA DFWP Employer.
ACTS provides and manages a broad array of behavioral health services, including prevention, acute care and stabilization, treatment and support services in the arenas of substance abuse, co-occurring substance abuse and mental illness, child protection, delinquency, criminal justice, housing, economic self-sufficiency, health and wellness.
Join our team if you would like to make a difference in the community by providing administrative support services for an organization that enhances the lives of others.
