Organization: Options for Southern Oregon
Category: Behavioral Health Professional
Location: Grants Pass, OR
Date Job Posted: November 8, 2021
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Quality Assurance Coordinator
Full Time 30-40 hours/week
Grants Pass, OR, US
Requisition ID: 1174
$2,500 SIGNING BONUS
Schedule: Monday-Friday 8AM-5PM
The Quality Assurance (QA) Coordinator assists Options to maintain a Quality Assurance System, which meets the conditions of the Coordinated Care Organizations (CCOs), State Contracts and Medicaid/Medicare. The QA Coordinator is responsible for facilitating communication between the Quality Assurance Team, the Internal Quality Assurance Committee, Options Management and Staff and/or other parties to coordinate quality management activities including, but not limited to, utilization review, chart compliance audits, employee education activities including peer reviews, and contract adherence. This position also provides high level care coordination for hospitalized individuals, including state level hospitalized individuals, to ensure that services are connected upon discharge. The QA Coordinator works collaboratively with Options staff to oversee the CCO QA metrics. This position may include managerial level duties for designated departments or other specified staff.
Works with the Chief Operations Officer and QA team to maintain a Quality Assurance Committee with Membership in alignment with CFRs, OARS and CCO Agreement standards.
Works with QA team and managers to follows annual compliance plan to ensure completion and that goals are met.
Raises system and compliance issues and follows until a resolution is complete. Maintains appropriate records of QA team activities and decisions.
Ensures that the CCO metrics are achieved. If necessary, provides the necessary mental health service to ensure metrics are met.
Provides complex care coordination between multiple agencies. Ensures care is established and set prior to hospital discharges.
Responds to occasional clients who present in the waiting room with a crisis.
This position may be required to complete assessments and treatments plans (Children/Adults), meet clients in the community, and provide care coordination and transition planning for special cases.
May perform backup PCI functions in accordance with training and agency need.
Facilitates the development and adoption of standards (goals, objectives and benchmarks).
Facilitates the development of annual QA Work plans, defining and assisting in the definition of the types of data needed to assess performance and identifying sources of data.
Coordinates the agency’s preparation efforts for reviews from oversight organizations.
Coordinates reviews of agency sub-contractors, provides technical assistance and monitors compliance to contract.
Provides training and guidance to Options staff and subcontractors on Medicaid/Medicare compliance.
Works with electronic health record staff on workflows that meet compliance guidelines.
Master’s degree in a behavioral health field or Registered Nurse (BSN required) or Occupational Therapist required.
Knowledge and understanding of the Medicaid system.
Understanding of challenges facing those receiving mental health services.
Must be a QMHP on the Mental Health & Addictions Certification Board of Oregon (MHACBO) registry.
Meet eligibility qualifications to register with MHACBO (please visit www.mhacbo.org for more information)
Must be registered as a licensure intern with the State of Oregon or be licensed in Oregon as an LMFT, LCSW, LPC or clinical Psychologist.
Candidates must be able to use e-mail, compose documents, save and locate documents electronically, and learn to use our Electronic Health Record (EHR) system. Possess business experience sufficient to meet the demands of the position, including demonstrated proficiency with a variety of software applications including MS Office, including Excel.
Must pass state-required background and DMV checks. Candidate must be able to work independently and flexibly, under general supervision.
Options for Southern Oregon is subject to the State of Oregon vaccine mandate for healthcare workers. New hires must submit vaccination documentation showing they are fully vaccinated, or be approved for an exception/accommodation, by their hire date.