FBH Quality Management Analyst

About the role

Catholic Community Services, Family Behavioral Health is seeking a Quality Management Analyst to support the assigned FBH Site’s CQI performance management and measurement practices. The position works independently, leading the CQI processes at the Tukwila office in South King County and ensuring Medicaid compliance for all CQI requirements.

Responsibilities

• Take lead responsibilities, along with the Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations.
• Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated Audit 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.
• Assist the Clinical Operations Manager with essential and required CQI duties.
• Provide oversight for tracking of safety crisis plans, ensuring timely and accurate completion of crisis plans and document entry into case file.
• Assist Clinical Operations Manager in training staff in various CQI areas that include Medicaid Fraud and Abuse.
• Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to FBH system leadership.
• Represent FBH at MCO/BHO Provider CQI meetings and trainings.
• 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.
• Ensure consumer information is accurate at all times, tracking consumers by service type at intake and exit using current data collection system so that site clinical outcomes can be evaluated.
• Work with data and report tracking in EHR to develop and distribute tracking reports to leadership, both routine and ad hoc, ensuring accuracy of data and compliance with required timelines for clinical chart documentation.
• Complete the risk summary report for all incident reports that are submitted by staff to be turned in with the CQI quarterly reports.
• Maintain the tracking and inputting of the 90 day and discharge Child and Adolescent Needs and Strengths assessment and provide data to the WISe Referral Coordinator.
• 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 master copy of clinical forms and ensure an adequate supply to all staff.
• Create and maintain electronic version of clinical form, including updates as required by BHO/MCO and Federal/State requirements and train staff in their use.
• Support the supervisors and staff with ongoing peer review protocol and process.
• 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.
• Keep the chart room organized, assisting the staff check 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.
• 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)
• Able to demonstrate accurate efficient data entry
• Able to support, motivate and assist staff in completion of quality assurance activities
• Excellent organizational skills with the ability to work in a very busy/diverse environment
• Excellent interpersonal and organizational skills with the ability to communicate respectfully with families and professionals
• Excellent written and oral communication skills
• Must have reliable transportation, valid driver’s license, and automobile insurance
• Must have an acceptable driving record per CCS’ driving policy, (required to provide current driving abstract)
• Proof of negative TB test within past 12 months or ability or test within first six months of employment
• Applicant 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

Benefits

Starting Base Pay Range: $32.76 - $36.44
Benefits: Medical, Dental, 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 1st year, 12 sick days per year