Clinical Quality Assurance Manager
Clinical Quality Assurance Manager
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$ 80000 - 85000
1 Vacancy
Job Description
Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms. Too many children with ASD are untreated or undertreated and Centria is committed to reaching every child in need and their families with interventions based on the principles of Applied Behavior Analysis that meet and exceed best practices. Our Optimal Outcomes Model(TM) looks at the wholechild engages families in aspirational treatment planning and leverages teambased care to allow BCBAs to focus on clinical issues and support Centrias dedication to quality family satisfaction and developmental outcomes. Founded in 2009 Centria now operates in 13 states and is working hard to develop approaches to sustain quality while reaching tens of thousands of children across the country; we use datadriven analytics and sophisticated software platforms to constantly evaluate our quality and performance and develop new approaches to supporting our clients and their families on their journey.
Position Summary
The Clinical Quality Assurance Manager plays a crucial role in Centrias efforts to ensure proper implementation of all clinical quality standards. This role will be responsible for reviewing clinical documents to evaluate their adherence to Centrias quality standards and summarizing the findings for internal stakeholders. Working closely with the Director of Clinical Quality they will also provide guidance and support to the Clinical Quality Assurance Specialists mentor new team members during their orientation to the team and coreviewing records for interobserver agreement.
Success Measures
This position will be eligible for a bonus based on outcomes that support improved clinical quality across the organization. Success measures include adherence to Centria policies exemplary of tasks and meeting or exceeding personal qualitative and quantitative key performance indicator (KPI) metrics such as ensuring proper use of Centria clinical quality review rubrics program requirements and a positive experience for internal and external stakeholders.
Duties and Responsibilities
- Support Quality Assurance Department Clinical Review Activities
- Process requests; obtain documents and compile information for clinical review requests.
- Report on and provide routine feedback in a quantitative format on adherence to Centria clinical quality standards as measured by the clinical reviews.
- Log details of the review request in a trackable format to allow realtime viewing of progress.
- Store and catalog all review materials for future review if required.
- Work across multiple internal systems to ensure clinical reviews are comprehensive and accurate.
- Coordinate with clinical staff and other departments to obtain required documentation.
- Collaborate with other departments to ensure appropriate escalations collaboration and stakeholder inclusion.
- Provide feedback to inform potential areas of improvement.
- Monitor adherence to clinical quality elements of payor Corrective Action Plans and assist clinical and operational leaders with preparation for future clinical reviews.
- Remain up to date and trained on all necessary information systems to ensure the full breadth of a process can be examined.
- Compile and generate various reports related to clinical quality standards as required by the Clinical Excellence Department (CED) including staffing lists utilization reports inactivity reports status updates etc.
- Gather information and conduct analysis to ensure compliance with and smooth reviews by third party credentialing organizations (e.g. JCAHO BHCOE).
- Clinical Quality Assurance Specialist Support
- Assist with other clinical quality measures such as client satisfaction surveys.
- Participate in the implementation of new clinical quality initiatives and processes.
- Assist with ad hoc reports as needed.
- Support teammates in onboarding and ongoing mentorships.
- Conduct coreviews to ensure interobserver agreement using Centria rubrics.
Rate
$80000 $85000 per year
Qualifications
Education
- Bachelors degree
- Masters degree preferred
- BCBA or BCaBA certification
Work Experience
- Knowledge of ABA clinical and documentation best practices preferred
- Knowledge of ABA terminology and clinical concepts preferred
- Proven record of success in working in a highly detailoriented environment
Equipment and Technology Requirements
- Basic computer skills
- Working knowledge of laptop/desktop PC
- Proficiency in Microsoft Suite
- Proficiency in G Suite
Other Competency Requirements
- Ability to follow written instructions
- Ability to use computers and computer/software programs
- Ability to communicate expressively and receptively
Knowledge and Skills
- Excellent communication skills both written and verbal;
- Datadriven with an aptitude for interpreting results and firm adherence to process;
- Comprehensive understanding of payor requirements and proficiency in navigating CareConnect;
- Track record of success in clinical review or payor clinical review responses;
- Knowledge of ABA clinical best practices including PFA/SBT;
- Strong understanding of Centria operational processes with the ability to work collaboratively with other departments in collecting documentation;
- Knowledge of computer systems related to clinical and operational functions;
- Knowledge of clinical review and compliance process;
- Knowledge of medical terminology and clinical concepts;
- Ability to organize prioritize and handle multiple tasks adhere to established deadlines and produce work that consistently meets or exceeds team benchmarks;
- Proven adaptability with a willingness to work both collaboratively and individually to achieve desired businessoutcomes;
- Demonstrated strong work ethic with attention to detail accuracy and quality;
- Established track record of generating errorfree work.
Working Conditions
- Centrias office hours are Monday through Friday from 8:30 AM 6:00 PM.
- Additional time or occasional shift in schedule may be required to complete the above work or meet company objectives.
Physical Demands
While performing the duties of this job physical requirements such as bending reaching lifting pushing or pulling up to 30 pounds may be required. This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin gender sexual orientation age marital status Veteran status or disability status. This job description is not intended to be an exhaustive list of qualifications skills efforts duties responsibilities or working conditions associated with the position. Centria reserves the right to amend this job description at any time with or without written notice.
Required Experience:
Manager
Employment Type
Full-Time
