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Clinical Quality Specialist

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Description

Salary: 64,350 Annually

Hours: 40 Hours per hour -Hybrid Schedule

Percent of Travel: 75%

Licensed Master or Clinical Social Worker; or Licensed Mental Health Counselor (LCSW, LMSW, LMHC) required.

OVERVIEW OF PRIMARY RESPONSIBILITES:

This position will work within the Quality Assurance Department completing QA/QC, Quality Improvement, Regulatory, Safety and Compliance activities that support all corporate operations including incident reviews, investigations, audits, surveys, process improvement activities, training and risk management. All work is completed in compliance with all local, state and federal rules and regulations including but not limited to those mandated by NY State, OMH, OASAS, and the NY State Justice Center.

PRIMARY FUNCTIONS:

+ Completes daily QA/QC, Quality Improvement, Regulatory, Safety and Compliance activities that support the Office of Mental Health and the Office of Alcohol and Substance Use services.

+ Conducts chart audits, electronically and paper, and ensures follow through to close audit.

+ Conducts Utilization Reviews, electronically and paper, and ensure follow through.

+ Collaborates with Clinical Quality Lead on QA Monthly Reports and Annual Program Review meetings.

+ Conducts incident investigations in alignment with OMH/OASAS and NYS Justice Center requirements.

+ Conducts compliance investigations in alignment with all state and federal rules and regulations.

+ Assists with Incident Review Committee and Compliance and Audit Committee meeting preparation and facilitation.

+ Facilitates initial and annual trainings as needed or requested by assigned programs/services.

+ Attend and participate in internal and external meetings related to quality, regulatory and compliance, as needed.

+ Performs other quality duties as assigned.

ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT:

+ Establishes and maintains effective communication and relationships with assigned programs/services.

+ Serve on agency-wide committees as assigned.

QUALIFICATIONS AND ATTRIBUTES:

+ Skilled in Microsoft Office products (Word, Excel, PowerPoint).

+ Excellent verbal, written communication and organization skills.

+ Self-motivated and pro-active.

+ Working knowledge of applicable local, state and federal regulations and guidelines (including but not limited to: OPWDD, CMS, OMIG, DOH, NYS Justice Center).

EDUCATION AND EXPERIENCE:

+ Licensed Master or Clinical Social Worker; or Licensed Mental Health Counselor (LCSW, LMSW, LMHC)

+ At least 3 years of Quality Management, Incident Management, Compliance, Investigative and/or Direct Care experience

+ Lean/Lean Six Sigma qualification preferred

+ Moderate to expert skills in Microsoft Office tools (PowerPoint, Excel –including pivot tables, Macros, etc., Word, Access)

PHYSICAL CHARACTERISTICS:

+ Must be capable to sit or stand in front of a computer for long-periods of time.

+ Work alongside co-workers within 3 feet.

EEO Employer

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