Utilization/ Compliance QA/ QI Specialist

Job Description

Job Description

JOB SUMMARY : Program lead on electronic client database systems. Maintains and organizes client and program data ensuring accuracy and completeness. Analyzes and trends data and provides recommendations including training needs for staff and contractors. Collects the program’s Performance Quality Improvement (PQI) data for quarterly reporting on quality. Generates outcome reports on services provided to families served. Reviews and approves client documentation and provides recommendations including training needs to improve program outcomes.

ESSENTIAL FUNCTIONS:

a) Monitor and oversee data input into CHN’s Myevolv client database and maintain and update database information provided by Contractors.

b) Provide back-up coverage for Intake Coordinator & Program Coordinator.

c) Conduct monthly data audits ensuring accuracy and integrity of data input into the database systems.

d) Organizes information for monthly QA meetings.

e) Audit client documentation forwarded in the Myevolv system by Contractors including assessments, progress notes, and service plans ensuring clinical and program guidelines are maintained.

f) Conduct monthly upload reports for funder monitoring data and provides recommendations to team members on results.

g) Facilitate computer-related training needs for all program staff and Contractors.

h) Orders supplies and submits expenditures.

i) Assist in community outreach efforts and building community partners.

j) Attend meetings and committees as assigned representing program and services.

k) Competence in completing and fulfillment of assigned performance responsibilities.

l) Train and support team members in using aspects for database systems that include the development of data standards, procedures, and guidelines.

m) Identify and resolve data related issues – assist team members in analyzing data for the purpose of planning and coordinating research projects.

n) Collects data for research and evaluation for monitoring program outcomes.

o) Develop and implement spreadsheets/data tables by utilizing MS-word, excel, publisher and/or power point to improve functionality of work products.

p) Prepares and generates reports using data maintained in each database as well as present data reports as required.

q) Provide and analyze needed performance-based data reports.

r) Ensure integrity of data, verify information for total data quality and data completeness.

s) Coordinates with other departments within the Children’s Home Network as required

t) Ability to work independently to problem solve.

u) Ability to communicate verbally and in writing.

v) Attends training and conferences as required.

w) Performs other duties as assigned.

x) Participates in organization’s performance and quality improvement activities taking the lead on assigned tasks.

***THESE ESSENTIAL JOB FUNCTIONS ARE NOT TO BE CONSTRUDED AS A COMPLETE STATEMENT OF ALL DUTIES PERFORMED. EMPLOYEES WILL BE REQUIRED TO PERFORM OTHER JOB RELATED MARGINAL DUTIES AS REQUIRED***

Education & Experience:

High School Diploma or equivalent plus Two (2) years experience as Intake or Data Coordinator in related field. An Associates Degree and one (1) years experience as a Data Coordinator, Data Entry Clerk or related field can substitute for 2 years experience. A Bachelor’s degree in related field, plus 1 year Data Coordinator or Data Entry Clerk experience may substitute for the needed experience.

Licenses & Certifications:

• Must possess and maintain a valid Florida driver’s license with no record of criminal
• driving offense of license suspension.
• Must possess means of providing job related transportation and show proof of required

insurance. Must be insurable under CHI’s current auto insurance policy.

• Must be able to work flexible hours, including evenings and weekends.
• Must successfully complete and maintain FDLE clearance, Federal background and
• State criminal background check and sexual predator screening.

COMPETENCIES & PROFESSIONAL DEVELOPMENT:

Annual Training Requirements: The following training topics are required annually: Sexual

Harassment, Blood-born Pathogens, Workplace Accident Prevention and Reporting,

Confidentiality and Privacy Practices, Diversity/Cultural Competency, Child Abuse and Neglect

Mandated Reporter Statutes and Methods, Prevention of Violence in the Workplace, OSHA–

related training, Crisis Prevention, and Program Goals.

Knowledge Skills and Abilities:

• Ability to communicate effectively, verbally and in writing. Ability to establish effective

working relationships with families, coworkers, supervisors, and other individuals.

• Possess effective interpersonal skills.
• Knowledge of agency’s organizational structure, standard operating procedures, and

policies.

• Knowledge of child abuse or neglect reporting procedures and methods.
• Knowledge of quality documentation as required by agency standards, rules, and

regulations.

• Ability to work as a multi-disciplinary team member in a positive productive manner.

Supervision Received:

Weekly individual and team supervision during which time training is provided, individual

concerns are addressed, and individual areas of professional growth are reviewed.