FBH Quality Management Analyst

Catholic Community Services, Family Behavioral Health is a values-driven organization providing family-oriented behavioral health care for children, youth, and families, primarily in their own home and community. Our enthusiastic clinical teams deliver intense mental health services and support to help children and youth remain safely in their own home, restore hope, and strengthen family unity. With sites across Washington and Oregon, we offer comprehensive, Wrap-around mental health services to a diverse population of families and employ almost 800 caring and compassionate employees.

About the role

Under the direction of the Clinical Operations Manager, the CQI Management Analyst supports the assigned FBH Site’s CQI performance management and measurement practices. Responsibilities include performance and contract deliverable tracking, implementation and training of BHO/MCO documentation and State/Federal regulatory/oversight deliverables, collaborating with clinical programs to ensure adequate CQI data is available to evaluate clinical practice and outcomes, and working with the Clinical Operations Manager to develop systems and train staff for improved practice and quality improvement activities/initiatives.

This position works independently, taking a leadership role along with the Clinical Operations Manager to direct the CQI processes at the Oak View site in Vancouver, WA, ensuring Medicaid compliance for all CQI requirements. The role involves direct collaboration with clinical staff to train and track compliance with daily CQI requirements and provide site leadership with necessary CQI data to evaluate site practice for documentation and compliance.

Responsibilities

• Ensure data entry integrity.
• Take lead responsibilities, along with the Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation complies with Medicaid laws and regulations, including training and implementing office strategies for compliance oversight and prevention of Medicaid Fraud and Abuse.
• Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated audits and compliance reviews.
• Conduct systematic site encounter reviews to verify accuracy of data entry and charting, ensuring errors are corrected and encounters are documented accurately.
• Participate in county, state, and federal data integrity audits and reviews.
• Provide oversight for tracking of safety crisis plans, ensuring timely and accurate completion of crisis plans and document entry into case files.
• Assist the Clinical Operations Manager in training staff in various CQI areas, including Medicaid Fraud and Abuse.
• Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented for reporting to FBH system leadership.
• Represent FBH at MCO/BHO Provider CQI meetings and trainings as part of the site CQI team.
• Participate in regular CCS administrative team meetings.
• Develop and distribute reports to leadership, both routine and ad hoc, including staff activity, consumer encounter outcome, and service reports for clinical oversight and tracking of clinical intensity and service outcomes.
• Ensure consumer information is accurate at all times, tracking consumers by service type at intake and exit using the current data collection system to evaluate site clinical outcomes.
• Work with data and report tracking in EHR to develop and distribute tracking reports to leadership, ensuring accuracy of data and compliance with required timelines for clinical chart documentation.
• Review Carelogic data and outcome reports with clinical staff, providing feedback to Clinical Supervisors on CQI quality.
• Complete the risk summary report for all incident reports submitted by staff to be included in the CQI quarterly reports.
• Maintain the tracking and inputting of the 90-day and discharge Child and Adolescent Needs and Strengths assessment, providing data to the WISe Referral Coordinator.
• Support daily quality improvement functions and processes alongside the Clinical Operations Manager.
• Create, update, and make available to staff BRS, FAST, and Behavioral Health forms in charts.
• Maintain an adequate supply of intake packets and blank clinical charts.
• Maintain a master copy of clinical forms and ensure an adequate supply to all staff.
• Create and maintain electronic versions of clinical forms, including updates as required by BHO/MCO and Federal/State requirements, and train staff in their use.
• Support supervisors and staff with ongoing peer review protocol and process.
• Assist the Clinical Operations Manager and Supervisors to regularly schedule peer reviews and other CQI training courses.
• Support staff in participating in these regularly scheduled events.
• Provide technical support to clinical staff in file organization and oversee the filing of DSS into charts in a timely manner.
• Assist clinical staff in keeping charts up to date with proper filing of DSS and other documents.
• Support clinical staff in following the process of “closing” and filing all charts appropriately in the chart room.
• Keep the chart room organized, assisting staff in checking out charts when necessary.
• Monitor the closing of charts and support staff to complete this process.
• Complete content reviews while the CQI and Clinical Intake Specialist oversees the completion of the clinical chart review.
• Monitor and track timely submission of paperwork for opening cases, submission of data set, assessment, treatment plan, Special Population consults, treatment reviews, case closure, etc.
• Develop and distribute tracking reports to leadership for documents that are required but missing from the closed clinical charts.
• Perform other duties as assigned.

Qualifications

• Bachelor’s Degree in Social Services or related field.
• Knowledge and competency of Behavioral Health CQI processes, Medicaid standards, and clinical requirements for clinical chart documentation.
• One or more years of administrative experience or experience in quality assurance activities.
• Knowledge of contemporary office software including Microsoft products: Word, Excel, Outlook, and Access (or similar).
• Ability to demonstrate accurate, efficient data entry.
• Ability to support, motivate, and assist staff in completion of quality assurance activities.
• Excellent organizational skills with the ability to work in a very busy and diverse environment.
• Excellent interpersonal and organizational skills with the ability to communicate respectfully with families and professionals.
• Excellent written and oral communication skills.
• Reliable transportation, valid driver’s license, and automobile insurance.
• Acceptable driving record per CCS’ driving policy (required to provide current driving abstract).
• Proof of negative TB test within the past 12 months or ability to test within the first six months of employment.
• Must successfully pass required background checks prior to an offer of employment.
• Ability to work both independently and as a member of a team.
• Support and uphold the mission, beliefs, and values of Catholic Community Services and Catholic Housing Services.
• Demonstrates the necessary attitudes, knowledge, and skills to deliver culturally competent services and work effectively in multi-cultural situations.

Preferred Qualifications

• Knowledge of quality improvement theory, principles, and practice approaches.
• Experience working in a private non-profit system.
• Two years or more experience in social services.
• Experience working as a member of a team.
• Ability to work with a diverse spectrum of people.

Benefits

• Medical, dental, and vision insurance.
• Life Insurance (1 times annual salary).
• Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension.
• 11 paid holidays, plus 1 personal holiday each year.
• 3 weeks’ vacation hours earned during the first year.
• 12 sick days per year.

Pay

Starting Base Pay Range: $32.76 - $36.44 per hour.