Quality Assurance Specialist

Location
Alexandria, VA
Salary
$56,835.22 - $77,884.04 Annually
Posted
Oct 17, 2019
Closes
Nov 07, 2019
Ref
2020-00145
Hours
Full Time
Quality Assurance Specialist

The City of Alexandria is located in northern Virginia and is bordered by the District of Columbia (Potomac River), Arlington and Fairfax counties. With a population of approximately 150,000 and a land area of 15.75 square miles, Alexandria is the seventh largest city in the Commonwealth of Virginia. Alexandria has a charming waterfront and is a unique and historic place to live and work. About one-quarter square miles in the city have been designated as a national or local historic district. We proudly embrace our rich history and seize the endless opportunities that lie ahead. If you are interested in working for the vibrant City of Alexandria, we invite qualified candidates to apply for our Quality Assurance Specialist position.

An Overview
The Quality Assurance Specialist performs Quality Improvement activities in compliance with federal, state, and CSB regulations related to documentation of client services, including extensive review of records; Maintains updated regulatory guidelines for the Department; Supports Department-wide management of client; Performs data collection activities for program evaluation purposes.

What You Should Bring
The ideal candidate should have knowledge of services provided for developmental disability, mental illness and substance use clients; knowledge of applicable State and Federal regulations; experience with accreditation standards for behavioral health programs; and strong computer skills, including ability to use Microsoft Office and other applications.; ability to use databases to gather and synthesize information for writing of summary reports.

The Opportunity
  • Monitors/maintains the ACSB and selected DCHS Policies and Procedures and policy review process, Co- chairs Policy and Procedure Committee, as well as at regular intervals, notifies staff of policy changes;
  • Maintains regulatory guidelines and requirements for the ACSB, keeping updated manuals and/or databases for CSB Licensure, CARF, and Medicaid and other third-party payers;
  • Interprets regulatory rules and works with reimbursement and clinical staff to provide training and consultation regarding compliance;
  • Reviews case file documentation maintained by the ACSB staff members to determine the level of compliance with Department and external funding requirements, including, but not limited to, Medicaid, Medicaid Waiver, ACSB Licensure, Anthem/Healthkeepers, INTotal Health, Medicare, Social Services, CARF, and HIPAA;
  • Conducts special audits as determined by QA Director and leadership team;
  • Conducts Human Rights and Incident Report Training as part of New Employee Orientation;
  • Maintains QA record review data and reports to senior leadership on results and trends regarding staff compliance with documentation requirements via an annual record review analysis;
  • Provides training and support to staff in the use of the electronic clinical record system;
  • Monitors/updates review indicators/review checklists and disseminates information about records review outcomes to supervisors with recommendations for correction/improvement within a specified time frame.Conducts meetings with supervisors to discuss review results and ways to improve documentation;
  • Prepares on an annual basis the Incident Report Analysis for the CSB from data obtained and interpreted via the Incident Reporting Database;
  • Attends Safety Committee as needed, monitors implementation of all safety and emergency drills, and collects and maintains data from drills;
  • Serves on various Departmental and State committees, as assigned;
  • Performs related duties as assigned.

About the Department
The Center for Administrative Services (OAS) comprises Finance, Quality Assurance, Information Technology and Program Evaluation. Like the larger Department, DCHS, of which we are part, we are ethical stewards of the resources entrusted to us and are accountable for our actions. We communicate consistently, honestly and openly and demonstrate integrity in all aspects of our work.

Minimum & Additional Requirements

Four-Year College Degree in sociology, psychology, social work, human services, or a related area; At least three (3) years of experience working directly in an administrative capacity with adults, youth and children with mental illnesses, intellectual disabilities or persons at risk of these disabilities; or any equivalent combination that provides the required knowledge, skills and abilities.

Preferred Qualifications

Master's degree in Social Work (MSW), Master's degree in Public Administration (MPA) or a Master's degree in Public Health (MPH); At least three (3) years of experience working directly with adults, youth and children with mental illnesses, substance use, intellectual disabilities or persons at risk of these disabilities; At least two (2) years of experience working in quality improvement with electronic health records, conducting record reviews and completing summary reports; At least two (2) years of working experience involving HIPPA regulations and Risk Management.

Notes

This position requires the successful completion of pre-employment background checks including but not limited to: Criminal Records Check; VA State Child Abuse/Neglect Registry; Medicare/Medicaid Fraud Database; education/certifications; and driver's license.

Schedule: Monday through Friday, 8:00AM - 4:30PM

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