Quality Assurance Specialist

The Sparc Network•Charlotte, NC

7d•Remote

About The Position

SPARC Services and Programs is seeking a Quality Assurance Specialist to join our team. This is a remote position within the states that we currently serve (NC, AR, VA). The Quality Assurance Specialist will support the VP of Compliance in all areas of quality and compliance, both clinically and operationally. The role involves assisting with program development, policy implementation, credentialing, accreditation, and ensuring program fidelity. The specialist will provide consultative support to Program Supervisors, enhance staff knowledge of regulations, and collaborate on training needs and EHR enhancements. A key focus is supporting and ensuring the quality of services provided, including EHR functionality, NC HIE Management & Reporting, and NC Topps Management & Reporting. The role also involves responding to client concerns, conducting record audits, supporting quality improvement initiatives, and facilitating training events. The specialist will participate in the agency’s Continuous Quality Improvement (CQI) process, LME/MCO’s Global Continuous Quality Improvement Committees, and other quality committees. Responsibilities include ensuring quality services, displaying cultural competence, completing documentation, supporting policy development, participating in accreditation reviews, conducting internal audits, reviewing data for reports and surveys, and supporting external reviews and regulatory site visits. The role also involves managing serious incident reports, participating in mandated trainings, monitoring service definitions, and supporting quality review activities related to IT platforms. Regular communication with the VP of Compliance regarding compliance needs and participation in community collaboratives are also expected. Other duties may be assigned by the CCO and Owner.

Requirements

BA/BS degree with at least two years of experience in direct care, quality assurance, or human resources within community behavioral health
Ability to build rapport and engage effectively with a culturally diverse population
Knowledge of community resources
Sound judgment and the ability to make quick decisions in crisis situations
Strong oral and written communication skills
Excellent organizational skills and ability to work independently and as part of a team
Ability to manage projects from conception to completion
Ability to meet training and documentation deadlines
Intermediate to advanced proficiency in Microsoft Word and Excel
Flexibility to work varied hours, carry and respond to a company cell phone daily, and travel as needed
Understanding of and commitment to confidentiality standards
Valid driver's license, reliable personal vehicle, and current auto insurance
Must pass a criminal background check in accordance with service provision standards

Nice To Haves

Qualified Mental Health Professional with at least two years each of direct care and administrative experience

Responsibilities

Embrace, demonstrate and uphold the SPARC Values
Assist VP Compliance with the development and implementation of SPARC programs and services, specifically regarding policy, procedure, credentialing, accreditation, forms, etc
Support Program Supervisors in areas of compliance and program fidelity
Provide consultative support to Program Supervisors
Increase staff knowledge of service definitions and other rules and regulations. Demonstrate this through modeling, observation, coordination, support of staff and participation in staff meetings
Work in collaboration with VP Compliance around meeting the training needs of the staff
Work in collaboration with VP Compliance around providing updated forms, enhancements in the EHR. and other supportive resources for staff
Support and ensure the Quality of the Services Provided
Support enhancement and function of EHR
NC HIE Management & Reporting
NC Topps Management & Reporting
Support VP Compliance in responding to concerns from clients, families, and collaterals
Facilitate ongoing reviews/audits of client records and other required documentation
Support quality improvement planning and implementation with Program Supervisors
Support Program Supervisors and staff in incorporating SPARC’s values in their personal and professional development
Participate in quality meetings and calls
Be available for consultation meetings with the SPARC Leadership
Serve as Client Rights and Confidentiality Chair
Assist in the development and facilitation of required in-service training events
Ensure the provision of quality services to consumers through participation in the agency’s Continuous Quality Improvement (CQI) process, as well as the LME/MCO’s Global Continuous Quality Improvement Committees and other quality committees as assigned/appointed
Display competence and responsiveness to cultural differences present in both consumer and employee populations
Complete necessary documentation as required by the VP of Compliance
Support creation, revision, and maintenance of the agency policies and procedures
Participate in ongoing quality improvement in response to CARF reviews and standards changes
Support CCO and agency in the accreditation review process and keep the agency up to date in accreditation requirements
Complete internal audits to assess for service definition and best practice compliance
Review data and provide feedback on surveys sent to stakeholders and clients
Review data and provide feedback on quarterly and annual outcomes reports
Participate in external reviews/quality audits, as well as resulting plans of action or plans of correction (regular monthly and quarterly reviews)
Support coordination of routine regulatory authority site visits such as: Audits by LME/MCO, PASSE, Department of Benefits, DHHS, DBHDS, DHS, Carriers, CMS, LME ongoing monitoring, and build positive relationships with these regulators to ensure proper and timely communication between parties
Review and support implementation of memos from the state agencies, LME/MCOs, PASSEs other
Support in investigation of consumer complaints and grievances as requested by the VP of Compliance
Manage serious incident reports, including quarterly reporting to LME/MCO
Participate in in-service trainings and external trainings as mandated by regulatory agencies
Continually monitor service definition and other service rules to ensure compliance across service lines
Support the VP of Compliance in quality review and improvement activities related to the agency’s electronic health record and other IT platforms
Communicate weekly, monthly, and quarterly compliance needs/concerns to VP of Compliance
Participate in community and LME/MCO collaboratives as well as other key presentations, webinars, and meetings.
Other duties as assigned or requested by the CCO and Owner