Under the supervision of the Quality Improvement (QI) Director, Clinical Quality Specialist will play an essential role in the implementation of the agency-wide Continuous Quality Improvement (CQI) Plan, which aims to improve the quality of program services, as well as management and operations performance through the engagement of agency stakeholders and the collection and analysis of data. A key responsibility of the Clinical Quality Specialist will be monitoring compliance with the Department of Mental Health contract, including auditing participant charts and other documentation to ensure consistency, accountability and internal responsibility.
ESSENTIAL JOB DUTIES:
Department of Mental Health (DMH) Contract Compliance
- Serve as agency “expert” on expectations, requirements, etc. per the DMH provider manual.
- Perform ongoing needs assessment to identify staff and intern training needs and develop, implement, and facilitate programs that address these needs.
- Responsible for the maintenance of records, documents, and correspondence related to Los Angeles County Department of Mental Health (DMH).
- Deliver training related to providing high quality documentation of clinical services.
- Perform monthly clinical case record review to manage risk and monitor for quality.
- Complete monthly reports summarizing results of completed case record reviews and risk assessment.
- Represent St. Anne’s in DMH-related meetings, such as Quality Improvement Committee meetings and other meetings relevant to the contract.
- Stay current on DMH policies and bulletins; review and summarize new requirements to determine agency and program implications; deliver training as necessary and appropriate.
- Maintain regular and consistent attendance.
- Maintain confidentiality as required by St. Anne’s, licensing, HIPAA, and other regulatory agencies.
- Participate in the rotation of agency-wide internal Safety and Help Line in collaboration with Quality Assurance staff.
Continuous Quality Improvement (CQI) Support
- Provide support in agency accreditation efforts through the Council on Accreditation, including the development of task plans, gathering documentation, and preparing for the accreditation site visit.
- Promote a culture that values service quality by creating an atmosphere of enthusiasm and energetic commitment.
- Manage the development, implementation and maintenance of data management system(s) for DMH clinical programs as a key administrator.
- Analyze, monitor, and interpret trends or patterns for DMH programs data sets for client- and program-level outcomes. Develop dashboards to demonstrate program performance towards achieving outcomes, and monitor internal and external benchmarks.
- Analyze data and prepare summary level reports identifying new or unusual trends in performance/processes and support findings and recommendations on a regular (monthly/quarterly/annual) basis.
- Track department meetings to review relevant outcomes and partner with program leadership to develop any necessary plans for improvement.
- Participate in agency benchmarking efforts by collecting, submitting, analyzing, and distributing reports.
- Participate in mandatory trainings, in-service, and meetings.
- Assist departments with special projects, as needed.
- Perform other duties as assigned.
- Master Degree in social work or other relevant field required.
- Strong organizational, interpersonal and verbal/written communication skills. Bilingual and bicultural English/Spanish a plus.
- At least two years’ experience working in an office environment, Quality function, or as a clinician with DMH paperwork experience preferred.
- Computer literate with working knowledge of Microsoft Office including Excel, PowerPoint and Publisher.
- Knowledge of DMH electronic health records system and Medi-Cal billing.
- Basic/moderate knowledge of Structured Query Language (SQL) preferred or capacity to learn quickly
- Previous data entry experience.
- Class C driver’s license, automobile, and evidence of automobile liability insurance.
- Ability to receive and implement constructive feedback.
- St. Anne’s values the dignity and worth of every person we serve. Employees are expected to support children’s emotional and social development by encouraging understanding of others and promoting positive self-concepts. All employees must have the ability to treat those served by our agency in a caring and respectful manner, mindful of individual differences and cultural, ethnic, and socioeconomic diversity.
- As providers of social services, St. Anne’s employees work with clients dealing with complex emotional and mental health issues, many of whom are facing significant personal crises on a daily basis. Employees must remain aware of any personal emotions, transference, and/or countertransference that may hinder the ability to remain professional. As such, employees are expected to maintain composure during all interactions and crisis situations, implement a self-care plan, and utilize crisis communication to deescalate client crisis and prevent any serious bodily injury or harm.
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job: While performing the duties of this job, the employee is frequently required to walk, use hands to finger, handle, or feel objects, tools, or controls, and talk or hear. The employee is often required to stand and sit; reach with hands and arms; and stoop, kneel, crouch, or crawl.
- The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
- Employee may occasionally be required to drive a motor vehicle.
- Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.