Quality Assurance Specialist

Job Description

Job Description

$55,000 – SPARC Services and Programs is seeking a Quality Assurance Specialist to join our team. This is a remote position within the states that we currently serve (must be located in NC, AR, VA).

Responsibilities

Quality Assurance Specialist will support VP of Compliance in all areas of quality and compliance clinically and operationally. Specific responsibilities include:

• Embrace, demonstrate and uphold the SPARC Values
  
• Assist VP Compliance with the development and implementation of SPARC programs and services, specifically regarding policy, procedure, credentialing, accreditation, forms, etc
  
• Support Program Supervisors in areas of compliance and program fidelity
  • Provide consultative support to Program Supervisors
  • Increase staff knowledge of service definitions and other rules and regulations. Demonstrate this through modeling, observation, coordination, support of staff and participation in staff meetings
    
  • Work in collaboration with VP Compliance around meeting the training needs of the staff
    
  • Work in collaboration with VP Compliance around providing updated forms, enhancements in the EHR. and other supportive resources for staff
• Support and ensure the Quality of the Services Provided
  
  • Support enhancement and function of EHR
  • NC HIE Management & Reporting
  • NC Topps Management & Reporting
  • Support VP Compliance in responding to concerns from clients, families, and collaterals
    
  • Facilitate ongoing reviews/audits of client records and other required documentation
    
  • Support quality improvement planning and implementation with Program Supervisors
  • Support Program Supervisors and staff in incorporating SPARC’s values in their personal and professional development
    
• Participate in quality meetings and calls
• Be available for consultation meetings with the SPARC Leadership
  
• Serve as Client Rights and Confidentiality Chair
• Assist in the development and facilitation of required in-service training events
  
• Ensure the provision of quality services to consumers through participation in the agency’s Continuous Quality Improvement (CQI) process, as well as the LME/MCO’s Global Continuous Quality Improvement Committees and other quality committees as assigned/appointed
• Display competence and responsiveness to cultural differences present in both consumer and employee populations
  
• Complete necessary documentation as required by the VP of Compliance
  
• Support creation, revision, and maintenance of the agency policies and procedures
• Participate in ongoing quality improvement in response to CARF reviews and standards changes
• Support CCO and agency in the accreditation review process and keep the agency up to date in accreditation requirements
• Complete internal audits to assess for service definition and best practice compliance
  
• Review data and provide feedback on surveys sent to stakeholders and clients
  
• Review data and provide feedback on quarterly and annual outcomes reports
  
• Participate in external reviews/quality audits, as well as resulting plans of action or plans of correction (regular monthly and quarterly reviews)
• Support coordination of routine regulatory authority site visits such as: Audits by LME/MCO, PASSE, Department of Benefits, DHHS, DBHDS, DHS, Carriers, CMS, LME ongoing monitoring, and build positive relationships with these regulators to ensure proper and timely communication between parties
  
• Review and support implementation of memos from the state agencies, LME/MCOs, PASSEs other
• Support in investigation of consumer complaints and grievances as requested by the VP of Compliance
• Manage serious incident reports, including quarterly reporting to LME/MCO
• Participate in in-service trainings and external trainings as mandated by regulatory agencies
• Continually monitor service definition and other service rules to ensure compliance across service lines
• Support the VP of Compliance in quality review and improvement activities related to the agency’s electronic health record and other IT platforms
• Communicate weekly, monthly, and quarterly compliance needs/concerns to VP of Compliance
• Participate in community and LME/MCO collaboratives as well as other key presentations, webinars, and meetings.
• Other duties as assigned or requested by the CCO and Owner
  

Qualifications

• BA/BS degree with at least two years of experience in direct care, quality assurance, or human resources within community behavioral health
• Qualified Mental Health Professional with at least two years each of direct care and administrative experience (preferred)
• Ability to build rapport and engage effectively with a culturally diverse population
• Knowledge of community resources
• Sound judgment and the ability to make quick decisions in crisis situations
• Strong oral and written communication skills
• Excellent organizational skills and ability to work independently and as part of a team
• Ability to manage projects from conception to completion
• Ability to meet training and documentation deadlines
• Intermediate to advanced proficiency in Microsoft Word and Excel
• Flexibility to work varied hours, carry and respond to a company cell phone daily, and travel as needed
• Understanding of and commitment to confidentiality standards
• Valid driver's license, reliable personal vehicle, and current auto insurance
• Must pass a criminal background check in accordance with service provision standards

Join a diverse, inclusive, and whole-person focused team! We offer a strong culture of inclusion and potential for personal-professional growth. If you are self-motivated, organized, dedicated, and want a value-based company, send us your resume today!

Benefits

• Flexible schedule
• Monthly productivity bonuses
• All Purpose Leave with additional self-care time off
• Medical, Dental, Vision, and Life Insurance
• Comprehensive Employee Assistance Program
• Short-Term and Long-Term Disability
• Whole household telehealth services (including mental health)
• Cell Phone, Mileage & Supervision Reimbursement
• CEU & Training stipend
• Top of the line tech, including company laptop
• 401k

Check out our website to see if we are a good fit for your personal and professional goals. Please review the agency values to learn more about what working at SPARC is like.