FBH Quality Management Analyst

Ccsww • Tukwila, WA

2d • Onsite

About The Position

CCSWW's Family Behavioral Health Team, awarded WSU's Employer of the Year, is seeking a Quality Management Analyst to join their team in Tukwila, WA. This role reports to the Clinical Operations Manager and involves supporting the assigned FBH Site’s CQI performance management and measurement practices. The analyst will be responsible for performance and contract deliverable tracking, implementing and training on BHO/MCO documentation and State/Federal regulatory/oversight deliverables, collaborating with clinical programs to ensure adequate CQI data is available to evaluate clinical practice and outcomes, and working with the Clinical Operations Manager to develop systems and train staff for improved practice and quality improvement activities/initiatives. This position works independently, taking a leadership position along with the Clinical Operations Manager to direct the CQI processes at the Tukwila office in South King County and ensure Medicaid compliance for all CQI requirements. The role involves directly training and tracking compliance with daily CQI requirements and providing Site Leadership with necessary CQI data to evaluate site practice for documentation and CQI compliance.

Requirements

• Bachelor’s Degree in Social Services or related field
• Knowledge and competency of Behavioral Health CQI processes, Medicaid standards, and clinical requirements for clinical chart documentation.
• One or more years of administrative experience or experience in quality assurance activities.
• Knowledge of contemporary office software including Microsoft products: Word, Excel, Outlook and Access (or similar).
• Ability to demonstrate accurate efficient data entry.
• Ability to support, motivate and assist staff in completion of quality assurance activities.
• Excellent organizational skills with the ability to work in a very busy/diverse environment.
• Excellent interpersonal and organizational skills with the ability to communicate respectfully with families and professionals.
• Excellent written and oral communication skills.
• Must have reliable transportation, valid driver’s license, and automobile insurance.
• Must have an acceptable driving record per CCS’ driving policy, (required to provide current driving abstract).
• Proof of negative TB test within past 12 months or ability or test within first six months of employment.
• Applicant must successfully pass required background checks prior to an offer of employment.
• Ability to work both independently and as a member of a team.
• Support and uphold the mission, beliefs and values of Catholic Community Services and Catholic Housing Services.
• Demonstrates the necessary attitudes, knowledge and skills to deliver culturally competent services and work effectively in multi-cultural situations.

Nice To Haves

• Knowledge of quality improvement theory, principles and practice approaches.
• Experience working in a private non-profit system.
• Two years or more experience in social services.
• Experience working as a member of a team.
• Ability to work with a diverse spectrum of people.

Responsibilities

• Ensure data entry integrity
• Take lead responsibilities, along with Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations.
• Take lead responsibilities to train and implement office strategies and providing ongoing training for compliance oversight and prevention of Medicaid Fraud and Abuse.
• Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated Audit and compliance reviews.
• Conduct systematic site encounter reviews to verify accuracy of data entry and charting, ensuring errors are corrected and encounters are documented accurately.
• Participate in county, state and federal data integrity audits and reviews.
• Assist the Clinical Operations Manager with essential and required CQI duties.
• Provide oversight for tracking of safety crisis plans, ensuring timely and accurate completion of crisis plans and document entry into case file.
• Assist Clinical Operations Manager in training staff in various CQI areas that include Medicaid Fraud and Abuse.
• Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to FBH system leadership.
• As part of the site CQI team, represent FBH at MCO/BHO Provider CQI meetings and trainings.
• Participate in regular CCS administrative team meetings.
• Develop and distribute reports to leadership, both routine and ad hoc, including staff activity, consumer encounter outcome and service reports.
• Ensure consumer information is accurate at all times, tracking consumers by service type at intake and exit using current data collection system so that site clinical outcomes can be evaluated.
• Work with data and report tracking in EHR to develop and distribute tracking reports to leadership, both routine and ad hoc, ensuring accuracy of data and compliance with required timelines for clinical chart documentation.
• Work in tandem with clinical staff to review Carelogic data and outcome reports and provide feedback to Clinical Supervisors on CQI quality of their staff.
• Complete the risk summary report for all incident reports that are submitted by staff to be turned in with the CQI quarterly reports.
• Maintain the tracking and inputting of the 90 day and discharge Child and Adolescent Needs and Strengths assessment and provide data to the WISe Referral Coordinator.
• Support the daily quality improvement functions and processes.
• Create, update and make available to staff BRS, FAST and Behavioral Health forms in charts.
• Maintain an adequate supply of intake packets and blank clinical charts.
• Maintain master copy of clinical forms and ensure an adequate supply to all staff.
• Create and maintain electronic version of clinical form, including updates as required by BHO/MCO and Federal/State requirements and train staff in their use.
• Support the supervisors and staff with ongoing peer review protocol and process.
• Assist the Clinical Operations Manager and Supervisors to regularly schedule peer reviews and other CQI training courses.
• Support staff in participating in these regularly scheduled events.
• Provide technical support to Clinical staff in file organization and oversee the filing of DSS into charts in a timely manner.
• Assist Clinical staff in keeping charts up to date with proper filing of DSS and other documents.
• Support Clinical Staff in following the process of “closing” and filing all charts appropriately in the chart room.
• Keep the chart room organized, assisting the staff check out charts when necessary.
• Monitor the closing of charts and support staff to complete this process.
• Complete content reviews while the CQI and Clinical Intake Specialist oversees the completion of the clinical chart review.
• Monitor and track timely submission of paperwork for opening cases, submission of data set, assessment, treatment plan, Special Population consults, treatment reviews, case closure, etc.
• Develop and distribute tracking reports to leadership for documents that are required but missing from the closed clinical charts.
• Other duties as assigned.

Benefits

• Medical
• Dental
• Vision Insurance
• Life Insurance (1 times annual salary)
• Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension
• 11 paid holidays; plus 1 personal holiday each year!
• 3 weeks’ vacation hours earned during the 1st year
• 12 sick days per year

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level