Clinical Quality Management Analyst

Want to join an amazing Operations Team

Clinical Quality Management Analyst Opportunity

(Internal title: Quality Management Analyst)

(Also performs Administrative Tasks)

PORTLAND OREGON

Catholic Community Services Family Behavioral Health is looking for a Quality Management Analyst.

WHO WE ARE

We are a values-driven organization providing family oriented behavioral health care for children youth and families provided primarily in their own home and community. Our enthusiastic clinical teams provide whatever is needed to help children and youth remain safely in their own home restoring hope providing intense mental health services and support and helping to strengthen the family unity. With sites located in Tukwila Burien North Tacoma University Place Olympia Shelton Bremerton Aberdeen Yelm Vancouver (Salmon Creek and Oakview) and Portland Oregon we offer comprehensive Wrap-around mental health services to a diverse population of families. We employ almost 800 caring and compassionate employees.

WHAT WE VALUE

Compassion Diversity Strength-Based-ApproachSocial-Justice & Our Staff!

WHAT WE OFFER:

• Starting Base Pay Range: $31.50 - $35.04

BENEFITS:

• Medical
• Dental
• Vision Insurance
• Life Insurance (1 times annual salary)

• Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension
• 11 paid holidays; plus 1 personal holiday each year!
• 3 weeks vacation hours earned during the 1^styear
• 12 sick days per year

Under the direction of the CQI Manager the CQI Management Analyst is responsible for supporting the assigned FBH Sites CQI performance management and measurement practices including performance and contract deliverable tracking implementation and training of BHO/MCO documentation and State/Federal regulatory/oversight deliverables collaborating with clinical programs to ensure adequate CQI data is available to evaluate clinical practice and outcomes and working with the CQI Manager to develop systems and training staff for improved practice and quality improvement activities/initiatives. This position will work directly with clinical staff training and tracking compliance with daily CQI requirements and provide Site Leadership with necessary CQI data to evaluate site practice for documentation and CQI compliance.

JOB SUMMARY
Ensure data entry integrity

• Take lead responsibilities along with CQI Manager to develop train and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations. This includes taking lead responsibilities to train and implement office strategies and providing ongoing training for compliance oversight and prevention of Medicaid Fraud and Abuse.
• Directly review and prepare clinical documentation data assisting site leadership in ensuring data integrity and compliance for mandated Audit and compliance reviews.
• Conduct systematic site encounter reviews to verify accuracy of data entry and charting ensuring errors are corrected and encounters are documented accurately.
• Participate in county state and federal data integrity audits and reviews.

Assist the CQI Manager with essential and required CQI duties

• Provide oversight for tracking of safety crisis plans ensuring timely and accurate completion of crisis plans and document entry into case file.
• Assist CQI Manager in training staff in various CQI areas that include Medicaid Fraud and Abuse.
• Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to FBH system leadership.
• As part of the site CQI team represent FBH at MCO/BHO Provider CQI meetings and trainings.
• Participate in regular CCS administrative team meetings.

Reports

• Develop and distribute reports to leadership both routine and ad hoc including staff activity consumer encounter outcome and service reports. These reports are vital to clinical oversight by clinical supervisors and are used to track clinical intensity and service outcomes.
• Ensure consumer information is accurate at all times tracking consumers by service type at intake and exit using current data collection system so that site clinical outcomes can be evaluated.
• Work with data and report tracking in EHR to develop and distribute tracking reports to leadership both routine and ad hoc ensuring accuracy of data and compliance with required timelines for clinical chart documentation.
• Work in tandem with clinical staff to review Carelogic data and outcome reports and provide feedback to Clinical Supervisors on CQI quality of their staff.
• Complete the risk summary report for all incident reports that are submitted by staff to be turned in with the CQI quarterly reports.
• Maintain the tracking and inputting of the 90 day and discharge Child and Adolescent Needs and Strengths assessment and provide data to the WISe Referral Coordinator.

Along with the CQI Manager support the daily quality improvement functions and processes.

• Create update and make available to staff BRS FAST and Behavioral Health forms in charts.
• Maintain an adequate supply of intake packets and blank clinical charts.
• Maintain master copy of clinical forms and ensure an adequate supply to all staff.
• Create and maintain electronic version of clinical form including updates as required by BHO/MCO and Federal/State requirements and train staff in their use.
• Support the supervisors and staff with ongoing peer review protocol and process.
• Assist the CQI Manager and Supervisors to regularly schedule peer reviews and other CQI training courses.
• Support staff in participating in these regularly scheduled events.
• Provide technical support to Clinical staff in file organization and oversee the filing of DSS into charts in a timely manner.
• Assist Clinical staff in keeping charts up to date with proper filing of DSS and other documents.
• Support Clinical Staff in following the process of closing and filing all charts appropriately in the chart room.
• Keep the chart room organized assisting the staff check out charts when necessary.
• Monitor the closing of charts and support staff to complete this process.
• Complete content reviews while the CQI and Clinical Intake Specialist oversees the completion of the clinical chart review.
• Monitor and track timely submission of paperwork for opening cases submission of data set assessment treatment plan Special Population consults treatment reviews case closure etc.
• Develop and distribute tracking reports to leadership for documents that are required but missing from the closed clinical charts.
• Other duties as assigned.