Behavioral Health Auditor

Position Overview

Are you looking for an opportunity to provide a new way to value compliance as you work with behavioral health agencies in strengthening their programs and defining areas of improvement within the system of care? Great Rivers Behavioral Health Agency (BHA) is excited to announce the Quality Manager position where you will have the ability to join a dynamic team as we model the way towards integrated healthcare. The QM Manager is responsible for clinical compliance that includes quality assurance and improvement activities, conducting periodic and annual audits, developing, revising, and monitoring the quality improvement work plans, conducting evaluations developing and conducting training in quality management, and creating reports to communicate results and new plans to others. All Team Members are eligible for competitive benefits, while working for an organization that promotes learning and development opportunities, flexible scheduling, and a supportive work/life balance.

CIHS Overview

The goal of the Community Integrated Health Services (CIHS) Program is to provide services is to assist individuals in obtaining the support, skills, and services necessary to improve their level of functioning within the Great Rivers five counties: Cowlitz, Lewis, Grays Harbor, Pacific, and Wahkiakum County to decrease the need for hospitalization. The services are delivered in a variety of settings including and not limited to in the home, community based settings, or office depending on the needs of the individual. CIHS Team Members must demonstrate a commitment to the provision of compassionate, recovery and patient-centered care supportive of the patient’s own goals and motivation toward positive health outcomes.

Summary of the Essential Duties and Responsibilities

• Develops the CIHS Quality Management Plan and the annual Quality Improvement Plan and conducts the annual QM program evaluation.
• Works with the CIHS Director to ensure that internal and external program services meet standards of quality care and are in compliance with federal, state, and county regulations.
• Assist with the monitoring process to enhance the CIHS programs ability to proactively manage and mitigate relevant compliance risk areas.
• Ensures that quality standards and processes are integrated into CIHS functions across the organization.
• Ensures that there is an effective system in place and in operation for tracking incidents, complaints and ensures the timeliness and appropriateness of decisions.
• Ensures Identified areas of risk or concern, receive appropriate follow-up and investigation.
• Redacts clinical documentation for purpose of records releases to outside agencies.
• Works with HR to maintain records of employee’s mandatory and specialized training. Ensures that staff are in compliance with maintaining their credentials.
• Assumes lead reasonability for updating CIHS policies, processes, and procedures relative to QM and develops drafts of new or revised materials as needed.
• Identifies and resolves quality of care concerns internally or externally with providers that arise during routine performance of their responsibilities.
• Performs other duties and projects as assigned by the CIHS Director.

Minimum Qualifications

• Master’s degree in counseling, social services or related field.
• Five (5) years of clinical experience in behavioral health, health or social services, or closely related field, in private or public operations. Experience must include quality assurance and improvement programs.
• Proficient in computer use/applications commonly used in this field/trade/position including Microsoft Office software.
• Possess and maintain a valid driver’s license. Pass and maintain a clear background record as required for healthcare organization under state and federal contracts.

Preferred Qualifications

• Professional licensure as a LMHC/A, LMFT/A, or LICSW/A.

Job Type: Full-time

Salary: $55,000.00 to $75,000.00 /year

Experience:

• Quality Assurance: 5 years (Required)

Education:

• Master’s (Required)

License:

• LMHC/A, LMFT/A, or LICSW/A (Preferred)