Clinical Quality Analyst
About The Position
Charlie Health is dedicated to transforming behavioral healthcare by connecting individuals with life-saving treatment. We offer personalized, virtual care focused on building connections between clients, clinicians, care teams, loved ones, and communities. Our mission is to expand access to meaningful care and improve outcomes for individuals with complex needs, all from the comfort of their homes. As a rapidly growing organization, we are seeking passionate, forward-thinking professionals to join our team and play a formative role in addressing the mental health crisis. The Clinical Quality Analyst will be responsible for ensuring that medical and clinical processes adhere to company, industry, accreditation, state, and federal guidelines. This role involves performing and managing quality assurance and clinical audits to ensure quality, accuracy, and consistency in medical and clinical functions. The analyst will collaborate with clinical teams to address identified issues, recognize trends, and manage risks. Key responsibilities include reviewing incident reports, supporting serious incident analysis, assisting with survey preparation, and contributing to corrective action plans and new program launches. The position also involves developing and evaluating workflow procedures to ensure documentation compliance, assisting in the development and maintenance of system policies and procedures, knowledge base, and process and system improvements.
Requirements
- 2+ years of experience in healthcare auditing
- Bachelors or master’s degree in behavioral health or similar field preferred
- Healthcare or behavioral health operations experience preferred
- Strong knowledge of state and federal statutes regarding patient confidentiality laws
- Knowledge of ASAM criteria
- Knowledge of mental health recovery model and LOC guidelines
- Knowledge of behavioral health guidelines or assessments, treatment plans, and LOC
- Knowledge of The Joint Commission Behavioral Health Standards
- Ability to work with sensitive and/or confidential information
- Proficient in Microsoft Office, especially Word & Excel
- Basic understanding of applicable laws, regulations, industry standards, and related compliance issues, particularly regarding The Joint Commission and State accreditation
- Exhibits a comprehensive understanding of healthcare regulatory and compliance (HIPAA)
- Ability to function independently with minimal supervision
- Ability to collaborate effectively with clinical and cross-functional teams
Responsibilities
- Audit assigned medical and clinical records daily and meet established productivity expectations
- Apply audit criteria consistently and accurately
- Complete monitoring reports that summarize audit results, findings, and trends
- Provide education and feedback based on audit findings and identified opportunities for improvement
- Lead and/or participate in the implementation of quality improvement processes
- Provide direct support to clinical teams implementing quality improvement initiatives
- Assist in developing cross-company documentation procedures that support clinical compliance
- Collaborate with administration and other departments to develop effective interdepartmental procedures
- Notify the Quality and Safety Manager of matters related to the integrity of the medical record
- Maintain a high level of confidentiality related to audit reviews and findings
- Submit medical records as requested and within required timeframes
- Provide accurate reporting on compliance and quality initiatives
- Provide accurate reports to the Director of Quality, Safety, and Compliance Operations upon request
- Participate in state, Medicaid, payer, and accreditation survey-preparedness initiatives
- Assist with incident reporting, review, tracking, and investigation procedures, including serious incident analysis
- Support corrective action plans and complete required follow-up within established timeframes
- Support Quality and Safety readiness activities for new state or program launches
- Participate in special projects
- Perform other duties related to the position as assigned
Benefits
- Comprehensive benefits for all full-time, exempt employees
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
