Clinical Quality Assurance Reviewer Adult

Directions for Living•Clearwater, FL

7d•$87,500 - $87,500•Onsite

About The Position

Do you envision working for a dynamic, mission-driven organization which supports the community while fostering an employee culture of appreciation and fun? If your answer is yes, then an employment opportunity at Directions for Living may be a great fit for you! We offer an excellent salary and benefits package to include employer paid health insurance premiums for all full-time employees, PTO and paid company holidays, 403b retirement, EAP, and year-round employee wellness and appreciation initiatives. POSITION SUMMARY: This is a professional clinical position providing clinical quality reviews for the Adult Outpatient (AOP) Services Division. AOP provides individual, couples', and family counseling for those affected by trauma, mental illness, or substance misuse, using evidence-based practices and research-supported interventions to restore and improve the quality of life for each individual served. In addition, AOP also provides adult behavioral health case management to assist adults with serious and persistent mental illness in gaining access to needed medical, social, educational, vocational, and other necessary services. All AOP programming utilizes a solution-focused, client or family centered approach and evidenced based or research supported practices to assist adults and families in problem solving skills, behavior strategies, and anger management skills, among other therapeutic interventions. The Clinical Quality Assurance Reviewer of AOP will be dedicated to ensuring clinical quality assurance in the Directions for Living (DFL) AOP services, including determining medical necessity and monitoring healthcare documents to ensure compliance and quality. This includes completing, or a mix of completing and approving, all bio-psychosocial assessments, treatment planning, and other documentation and assessments as required. The Clinical Quality Assurance Reviewer of AOP is responsible for ensuring clinical assessments and plans comply with documentation standards and all regulatory requirements. The Clinical Quality Assurance Reviewer of AOP will be a Clinical subject matter expert ensuring that all client assessments and plans focus on appropriate interventions, utilizing natural supports and ensuring that all services emphasize individualized treatment planning that is strength based. The Clinical Quality Assurance Reviewer of AOP will understand the overall quality management system at DFL and will seek to not only promote compliance, but strive for quality in all clinical assessments and planning. The Clinical Quality Assurance Reviewer of AOP will identify opportunities for continuing clinical education, support and growth of AOP team members. The Clinical Quality Assurance Reviewer of AOP must have excellent communication and organizational skills and be able to work collaboratively with other DFL team members. This is a clinic-based position. This position reports to the Clinical Director. Directions for Living is an essential services provider. All Directions for Living employees must be willing and able to provide vital support and essential services to the people that we serve in the event of an emergency, pandemic or other disaster situation.

Requirements

Must hold a Master's Degree Social Work or related area of study from an accredited university.
Florida licensure as a LMFT, LMHC or LCSW required, and must be maintained throughout employment at the Team Member's expense.
A minimum of two years of experience working with at-risk populations to include families experiencing substance misuse, domestic violence, mental health, and emotionally disturbed children.
Excellent communication and organizational skills

Nice To Haves

Previous child welfare experience is preferred.

Responsibilities

Ensuring clinical quality assurance in the Directions for Living (DFL) AOP services, including determining medical necessity and monitoring healthcare documents to ensure compliance and quality.
Completing, or a mix of completing and approving, all bio-psychosocial assessments, treatment planning, and other documentation and assessments as required.
Ensuring clinical assessments and plans comply with documentation standards and all regulatory requirements.
Ensuring that all client assessments and plans focus on appropriate interventions, utilizing natural supports and ensuring that all services emphasize individualized treatment planning that is strength based.
Identifying opportunities for continuing clinical education, support and growth of AOP team members.
Work collaboratively with other DFL team members.