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Quality Assurance Coordinator- Children and Youth Programs

Full Time 30-40 hours/week

Grants Pass, OR, US

Requisition ID: 1581

Benefits include (full-time):

• Family medical, dental, long term disability, 403(b) plan with 6% match, and more.


• Generous paid time off policy. (Annual accrual up to 208 hours - based on FTE status and available to use upon accrual). Plus 11 paid holidays annually.


• Remote work not available in Ohio, North Dakota, California, Hawaii, or Wyoming.

Schedule: Monday-Friday 8AM-5PM (occasional after hours for urgent need)- Could potentially be filled as a remote position

Overview

This position works with Children and Youth Programs.

The Quality Assurance (QA) Coordinator assists Options to maintain a Quality Assurance System, which meets the conditions of the Coordinated Care Organizations (CCOs), State Contracts and Medicaid/Medicare. The QA Coordinator is responsible for facilitating communication between the Quality Assurance Team, the Internal Quality Assurance Committee, Options Management and Staff and/or other parties to coordinate quality management activities including, but not limited to, utilization review, chart compliance audits, employee education activities including peer reviews, fidelity and programmatic consultation and reviews, and contract adherence. This position also provides high level care coordination for hospitalized individuals, including state level hospitalized individuals, to ensure that services are connected upon discharge. The QA Coordinator works collaboratively with Options staff to oversee the CCO QA metrics. This position may include managerial level duties for designated departments or other specified staff.

Responsibilities

Works with the Chief Operations Officer and QA team to maintain a Quality Assurance Committee with Membership in alignment with CFRs, OARS and CCO Agreement standards.

Works with QA team and managers to follows annual compliance plan to ensure completion and that goals are met.

Raises system and compliance issues and follows until a resolution is complete. Maintains appropriate records of QA team activities and decisions.

Ensures that the CCO metrics are achieved. If necessary, provides the necessary mental health service to ensure metrics are met.

This position may be required to complete assessments and treatments plans (Children/Adults), meet clients in the community, and provide care coordination and transition planning for special cases.

Facilitates the development and adoption of standards (goals, objectives and benchmarks).

Coordinates the agency’s preparation efforts for reviews from oversight organizations.

Provides training and guidance to Options staff and subcontractors on Medicaid/Medicare compliance.

Works with electronic health record staff on workflows that meet compliance guidelines.

Provides assistance to fidelity or contracted programs as needed and may fill in to manage departments.

Provides complex care coordination between multiple agencies. Ensures care is established and set prior to hospital discharges.

Responds to occasional clients who present in the waiting room with a crisis.

Facilitates the development of annual QA Work plans, defining and assisting in the definition of the types of data needed to assess performance and identifying sources of data.

Coordinates reviews of agency sub-contractors, provides technical assistance and monitors compliance to contract.

Qualifications

Master’s degree in a behavioral health field or Registered Nurse (BSN required) or Occupational Therapist required.

Knowledge and understanding of the Medicaid system.

Understanding of challenges facing those receiving mental health services.

Must be a QMHP on the Mental Health & Addictions Certification Board of Oregon (MHACBO) registry.

OR

Meet eligibility qualifications to register with MHACBO (please visit www.mhacbo.org for more information)

OR

Must be registered as a licensure intern with the State of Oregon or be licensed in Oregon as an LMFT, LCSW, LPC or clinical Psychologist.

In order to avoid potential conflict of interest, applicants for this position cannot have received services from Options for Southern Oregon within the last 12 months.

Candidates must be able to use e-mail, compose documents, save and locate documents electronically, and learn to use our Electronic Health Record (EHR) system. Proficiency in Word and other MS Office applications preferred.

Must pass state-required background and DMV checks; possess a valid OR driver's license and a satisfactory driving record. Candidate must be able to work independently and flexibly, under general supervision.

Options for Southern Oregon recognizes that in order to best serve the healthcare needs of our communities and fulfill our mission, we must learn, grow, incorporate, and value the principles of diversity, equity, and inclusion in our work and in our lives. We are committed to the continued development of an aware, diverse, and culturally responsive workforce and an organizational culture that is supportive and affirming for all staff and clients. Options acknowledges that incorporating EDI principles in our practices is an ongoing learning process and we are committed to using our voice to effect positive change. We recognize that making an impact on health inequities in our community will take more than just a statement and, to this end, our goals, planning, and actions aim to promote and develop equitable and effective health care services to reflect the needs of our diverse communities.

Options for Southern Oregon provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regards to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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