Clinical Quality Improvement Specialist

Location: Middletown, NY

Salary: $65,000 annually

Hours: Monday-Friday, Hybrid Schedule

Percent of Travel: up to 50%

$1,500 Sign-On Bonus

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

OVERVIEW OF PRIMARY RESPONSIBILITES:

This flexible, hybrid position will work within the Quality Assurance Department completing QA and UR chart audits. The audits include Quality Improvement, Regulatory, Safety and Compliance documentation. These activities support all operations including incident reviews, investigations, audits, surveys, process improvement activities, training and risk management. Leads and supports Quality Improvement projects as needed. 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 Quality Assurance 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.
• Conducts incident investigations in alignment with OMH/OASAS and NYS Justice Center requirements.
• May conduct compliance investigations in alignment with all state and federal rules and regulations.
• Assists with Incident Review Committee, Compliance, and Audit Committee meeting preparation and facilitation.
• Facilitates program 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 Assurance and Compliance 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.

EDUCATION AND EXPERIENCE:

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

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:  OMH, OASAS, NYS Justice Center.

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