Quality Assurance Analyst

Responsibilities

• Conducts timely and complete quality reviews on a representative sample of treatment records for assigned sites.
• Conducts timely scheduled/required utilization reviews for assigned agency sites.
• Reviews incidents on program caseload to determine if follow up is needed from program staff.
• Provides guidance to programs until incidents are ready to be closed in the system.
• Investigates incidents/allegations as needed.
• Makes sure activities and report writing for incident data are monitored and evaluated.
• Attends monthly/other required QA committee meetings.
• Prepares accurate and timely meeting minutes and required monthly and/or quarterly reports.
• Participates in the agency’s Quality Improvement/Utilization Management committee.
• Handles timely aggregation and documentation of record reviews conducted to ensure the quality and appropriateness of services being received for the Client Services Quality Improvement and Utilization Management Committee.

Qualifications

• Bachelor’s Degree in Human Services or related field.
• Minimum of Two (2) years of Quality Assurance experience in the Human Services field (preferred in DHS, OASAS, OMH).
• Willingness and ability to travel to agency sites.
• Knowledgeable in HIPAA & 42 CFR regulations.
• Experience with incident identification, reporting and identification.