Quality Improvement Specialist

Paragon•Centennial, CO

1d•$57,000 - $65,000•Hybrid

About The Position

Paragon Behavioral Health Connections is a comprehensive behavioral health organization dedicated to positively impacting individuals and families through compassionate, client-centered care. Our mission is to deliver personalized care that uplifts clients and builds supportive connections within communities. We offer services through community-based or in-home settings, and digital solutions, meeting clients where they are physically and emotionally to provide the right support at the right time. Serving communities across Colorado, we provide equitable and creative "one-stop" behavioral health services, including in-home mental health and substance use treatment, crisis stabilization, early childhood support, intensive outpatient programs, assertive community treatment, medication management, and wrap-around support. Our vision is to empower individuals and families with complex needs to overcome challenges, build essential skills, and access resources for long-term well-being. Services include step-down care from inpatient hospitalization for youth and adults, comprehensive support for children and families, and specialized treatment for adults with depression, trauma, substance use, and other mental health needs. Our programming encompasses intensive care management, Crisis Stabilization, Assertive Community Treatment (ACT), Child First, integrated co-occurring Intensive Outpatient treatment, individual and family therapy, medication management (including MAT), peer support, supported employment/housing, and holistic recovery services.

Requirements

Bachelor's degree in Human Services, Social Work, Psychology, Counseling, or a related mental health/behavioral health field required.
Prior experience in behavioral health, records management, auditing, or quality/compliance functions preferred at entry.
Working knowledge of HIPAA, protected health information, and confidentiality requirements.
Strong written and oral communication skills.
Proficiency with Google Workspace and ability to learn electronic health record (EHR) systems.
Strong organizational skills with the ability to manage multiple projects and deadlines simultaneously.
High attention to detail and accuracy in documentation and reporting.
Ability to work both independently and collaboratively across teams.
Valid driver's license, proof of automobile insurance, and reliable transportation.
Ability to work on-site as needed
Ability to respond to urgent operational needs

Nice To Haves

Master's degree in a relevant behavioral health field.
Experience in a behavioral health or healthcare quality improvement, compliance, or audit role.
Familiarity with Medicaid and Behavioral Health Administration compliance and requirements for behavioral health providers.
Experience with data visualization or dashboard tools

Responsibilities

Process and respond to medical records requests in compliance with HIPAA, 42 CFR Part 2, and organizational policy, including tracking requests to ensure timely turnaround.
Coordinate and conduct internal audits, including chart audits, clinical documentation reviews, and licensing/contractual compliance checks, under the direction of the Director.
Assist in drafting, revising, and maintaining policies and procedures for the Quality Improvement Team, ensuring alignment with state, federal, and payer requirements.
Monitor, compile, and develop recurring and ad hoc reports on KPIs, clinical outcomes, and audit findings for internal leadership and external auditing entities.
Maintain dashboards and tracking tools to monitor quality metrics and flag trends or areas of concern for the Director's review.
Track quality improvement projects and initiatives, including timelines, action items, and status updates, to support on-time completion of deliverables.
Support preparation of documentation and evidence for licensing, accreditation, and payer audits.
Assist in the critical incident investigation and review process, including documentation and follow-up tracking.
Maintain strict confidentiality of protected health information and sensitive organizational data at all times.
Collaborate with clinical, operational, and administrative staff to gather information needed for audits, reports, and policy updates.
Identify process gaps and recommend improvements to workflows related to records management, auditing, and reporting.
Provide backup support for other Quality Improvement Team functions as needed.
Assist with organizing and preparing materials for quality committee meetings.
Participate in organization-wide workgroups as assigned.
Perform other duties as assigned.