Compliance/QA Specialist I

BEHAVIORAL HEALTH SERVICES INC • Alondra Park, CA

3h • $25 - $30 • Onsite

About The Position

The Compliance/QA Specialist I performs various tasks that support the Compliance & Quality Assurance Department goals, objectives and functions to effectively prevent and detect violation of laws, regulations, policies or requirements.

Requirements

• Strong attention to detail.
• Reliability in attendance and assignments.
• Adherence to tight deadlines and ability to multi-task.
• Ability to critically think through problems and tasks, and conduct research to identify solutions and/or support decisions
• Ability to learn computer software programs (e.g. electronic health record systems, external portals, etc.) in order to perform job duties within 3 months of hire
• Strong display of agengy values: Compassion; Dedication; Integrity; Diversity.
• Basic knowledge of health care and social service systems. Knowledge of behavioral health documentation.
• Self-motivated; ability to work independently and with a team.
• Compliance with applicable federal, state, contract and agency regulations, policies and procedures regarding the privacy, confidentiality and release of patient and business information.
• Adherence to professional and ethical standards of conduct, and health and safety standards.
• Ability to display respect for cultural and lifestyle diversities of clients and staff.
• Minimum 5 years’ experience in behavioral health care field, preferably substance abuse.
• Bachelor’s Degree in a health or human/social service or related field, or equivalent combination of education and experience.
• Experience and proficiency with MS Office Suite, especially WORD and Excel
• Vision, hearing, manual dexterity and eye-hand coordination must be adequate for performance of job duties.
• Able to sit at desk, use keyboard, write and physically perform other job duties. Prolonged periods of sitting at a desk and working on a computer.
• Able to move about the facility.

Responsibilities

• Perform routine and assigned audits, monitoring reviews and data collection using approved audit and monitoring instruments.
• Conduct demographic data entry (CalOMS Admission and Discharge) and/or corrections across behavioral health sites.
• Assist in the collection of charts and/or data for quarterly Drug Medi-Cal Utilization Review and other Utilization Review meetings and participates in meetings as assigned.
• Conduct behavioral health quality assurance chart audits.
• Perform behavioral health billing reconciliation tasks.
• Perform routine compliance activities, such as SBAT monitoring, exclusions screening, etc. in support of department goals.
• Maintain organized physical and electronic files and documentation of activities.
• Attend committee meetings, prepare meeting summaries as assigned.
• Other duties as may be assigned.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Number of Employees: 101-250 employees