Quality Systems Specialist (Behavioral Health)

Alpharus Health•Houston, TX

6d•$25 - $29•Onsite

About The Position

The Quality Systems Specialist coordinates quality assurance activities for Alpharus Health programs to evaluate and improve the quality of patient care. The position reviews and audits client records, evaluates performance and compliance with established standards, and works with program supervisors and directors on corrective-action and quality-improvement plans. The specialist provides quality-improvement training to clinical staff, reviews client satisfaction survey results and trends, facilitates site-level quality meetings, and supports committees focused on utilization review, quality management, and process improvement. The role also prepares reports and presentations, analyzes data to identify trends and opportunities to enhance services, monitors changes in applicable regulations and standards, and manages the weekly clinical schedule. This position is based at Alpharus Health’s Atascocita residential correctional center in Humble, Texas. The facility serves court-ordered clients receiving substance use treatment and operates in a structured, secure corrections environment.

Requirements

Bachelor’s degree in nursing, health care, health information management, social services, or another closely related field.
Two years of progressively responsible experience in healthcare or social services, including concurrent experience in substance abuse counseling.
Strong verbal and written communication skills and a high degree of tact and diplomacy.
Strong analytical skills to collect, analyze, and interpret client data; assess the significance of information; draw inferences or forecasts; and prepare statistical abstracts and summaries.
Proficiency in Microsoft Office, including Word and Excel.
Proficiency in electronic medical records.

Responsibilities

Review client records to monitor and evaluate adequacy and performance measures in accordance with established standards and medical necessity.
Audit client records and reports for compliance with regulations, contracts, policies and procedures, and standards of care.
Coordinate with program supervisors and directors to initiate corrective-action and improvement plans.
Provide quality-improvement training and in-service programs for clinical staff at all levels.
Monitor administration and results of client satisfaction surveys; review results and trends with sites and help identify improvement areas and benchmarks.
Facilitate site-level quality-improvement meetings to review monthly audit findings and compliance with identified quality indicators, and ensure meeting records are kept.
Participate in site-level meetings to identify, plan, and implement areas for improvement.
Prepare summary reports and presentations on program activities and results for management’s evaluation and planning.
Analyze data to identify trends, program strengths and weaknesses, interpret results, and contribute recommendations to enhance services.
Assist the supervisor in evaluating compliance standards and quality of care.
Participate in utilization-review, quality-management, and process-improvement committees or teams; aggregate and report relevant audit findings, identify client-care problems, and provide input on resolving them.
Stay current on changes in regulations, standards, and contracts governing utilization review and quality management, as well as developments in data retrieval and reporting methods.
Manage the weekly clinical schedule and complete updates and modifications as needed.

Benefits

Medical, dental, and vision insurance for employees and dependents.
Employee wellness program promoting health and fitness and offering cash-saving premiums.
Employee assistance programs focused on mental health.
403(b) retirement plan with a 3% employer match.
Short-term and long-term disability insurance paid for by Alpharus Health.
Life and AD&D insurance paid for by Alpharus Health.
Flexible Spending Accounts for medical and dependent care.
Public Service Loan Forgiveness (PSLF).
18 paid time-off days per year, with accrual rates increasing with years of service.
9 paid company holidays.
Training and development programs.
Tuition reimbursement up to $5,250 per calendar year.
Access to online eLearning courses offering CEUs and job-related training.
Formal and informal clinical supervision.