Quality Clinician

Reporting to the Program Director, the Quality Assurance Clinician is responsible for overseeing the functions of quality assurance, quality improvement, and utilization management. Responsibilities include the monitoring of clinical services to assure minimum quality assurance and continuous quality improvement, the supervision and tracking of the delivery of evidence-based programs at the assigned facility, and adherence to all CARF accreditation requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES Conduct and oversee the implementation of all metrics for each element of the Clinical Model Oversee, document, and help facilitate QR related meetings (QI, QRSUR, Health & Safety). Assign patient records to be audited for QRSUR Responsible for auditing 30% of the QRSUR patient records Train staff on using the auditing tool for peer audits as needed Train staff on chart documentation updates and improvements. Calculate the QRSUR results and review final results with the QRSUR committee Ensure proper CARF documentation for QR meetings are completed and uploaded Regularly review client charts and associated records at periodic intervals to ensure compliance with County and State requirements. Assess whether clients receive the appropriate level, type and amount of services in an appropriate setting; Assure compliance with established record keeping standards; Evaluate the quality of services provided compared to clinical best practice guidelines. In collaboration with the Vice President of Quality Resources, conduct quarterly QR audit Assist and conduct utilization review for the facilities insurance clients on an as-needed basis Develop and monitor clinical and administrative processes to assure the quality of care and regulatory compliance. Working with the Regional Vice President of Quality Resources and Program Director or designee develops a Quality Management Plan and system for quarterly review for the affected program; produces associated reports. Working with the Program Director or designee develops standards of care for program participants; provides oversight to assure compliance with care standards. Lead or participate in workgroups to improve clinical services or processes Plan and provide training on relevant topics to clinicians, consumers, and Phoenix House staff, including current EBP groups required by our contracts or Phoenix House Clinical Leadership. Plan and provide Welligent specific training for staff Assess compliance with record-keeping standards, appropriateness of services provided, and/or determine the need for additional services. Perform a variety of complex and independent activities involved in the collection, analysis, documentation, and interpretation of data related to quality improvement. Evaluate and interpret collected data and prepare written reports and analyses setting forth progress, adverse trends, and appropriate recommendations or conclusions. Generate the following reports: Weekly Welligent Compliance Report Individual Case Load Audit Monthly Welligent Compliance Report Meet regularly with multidisciplinary team members concerning client and program issues; assist in the development or modification of procedures for improvement of services. Develop forms and procedures to track and compile information and apply appropriate data analysis techniques to maintain tracking statistics. Maintain liaison with other provider agencies' Quality Assurance, Utilization Review, and Risk Management offices as well as related administrative departments; represent Phoenix House on various quality audit and review committees. Stay abreast of new developments in the field of Quality Assurance/Improvement as related to mental health, recommend new policies, and revise existing policies/procedures for compliance with all applicable laws and standards. Process records requests Lead or participate in other projects as assigned May assist in the preparation of grant proposals; Analyze and recommend positions on policy/procedural/clinical issues, and proposals Represent Phoenix House at meetings, training events, and conferences Provide technical assistance and consultation to clinicians Ensure compliance with local, state, and federal confidentiality laws and regulations. Attend all required staff training sessions in accordance with Phoenix House and state licensing requirements, completing all training on time Attend and participate in program and all staff meetings Adhere to and promote the Phoenix House Mission, Vision, and Values while acting as a role model for others Other duties as assigned EDUCATION/EXPERIENCE/CREDENTIALS Master's Degree in Social Work, Marriage and Family Therapy or related field AMFT or ACSW with current California Board of Behavioral Sciences (BBS) Registration required. Registration and completion of BBS licensure hours and licensure within 6 months required. LMFT or LCSW with current California Board of Behavioral Sciences (BBS) Registration a plus Must maintain licensure as a condition of employment. Experience in Substance Abuse or Mental Health preferred Experience with SAPC, DMH, Community Care Licensing, and other governing bodies preferred Evidenced-Based Trained/Certified in MAP, TF-CBT, SS Preferred Must maintain a valid California Drivers' License, have proof of automobile insurance and maintain a safe driving record based on Phoenix House policy KNOWLEDGE, SKILLS, AND ABILITIES Demonstrated commitment and adherence to Phoenix House Mission, Vision, and Values: I CARE For-Integrity, Collaboration Appreciation, Respect, Excellence, and Forward-Thinking Proficiency in MS Office systems Ability to utilize an electronic medical record Proficiency with SPAC, DMH, Community Care Licensing, and other governing bodies Establish and maintain effective working relationships with others Communicate effectively with others both orally and in writing Ability to work effectively in a fast-paced changing environment Ability to establish and consistently enforce appropriate boundaries with patients Ability to model positive behavior and demeanor Understanding of addiction, co-occurring models, and treatment modalities Understanding of adult/adolescent development and family systems Excellent time management and organizational skills Ability to be flexible; problem solver, self-directed; customer service-oriented, and collaborative Skills and ability to engage and develop a rapport with patients and families of various backgrounds Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr