Quality Systems Specialist (Behavioral Health) - Humble, TX

Gateway Foundation Inc•Houston, TX

1d•$24•Onsite

About The Position

Coordinates quality assurance activities for Gateway programs with the goal of evaluating and improving the quality of patient care.

Requirements

Bachelor’s degree in nursing, health care, health information management, social services or other closely related field.
Two years progressively more responsible experience in healthcare or social services, with concurrent experience in substance abuse counseling.
Strong verbal and written communication skills, and high degree of tact and diplomacy, in order to gather and exchange utilization and quality management data, present written and verbal reports of findings, and provide effective advice and guidance to clinical staff in achieving compliance and enhancing quality of services.
High level analytical skills necessary to collect, analyze and interpret client data, determine significance of information collected, form inferences and/or forecasts from data, and prepare abstracts and summaries of statistical information for reports.
Proficient in Microsoft Office such as word and excel in order to complete required forms, reports, and analyses.
Proficient in Electronic Medical Records.

Responsibilities

Conducts review of client records to monitor and evaluate adequacy and performance measures in accordance with established standards and medical necessity.
Audits client records and reports to ensure compliance with regulations, contracts, policies and procedures, and standards of care.
Coordinates with program supervisors and directors to initiate corrective action-improvement plans.
Provides quality improvement training and in-service programs for all levels of clinical staff.
Monitors site administration and results of client satisfaction surveys. Review client satisfaction results and trends with sites and help identify areas for improvement including identified benchmarks.
Facilitates site-level quality improvement meetings to review monthly audit findings and compliance with Gateway identified quality indicators. Records site-level meetings or designate person to record meetings.
Participates in the site-level meetings to identify, plan and implement areas for improvement.
Prepares summary reports and presentations of program activities and results for review and use by management in planning and evaluating quality of services, and process improvement. Participates in analyzing data to identify trends, program strengths and weaknesses, and interpret and explain results. Contributes to developing recommendations to enhance services.
Assists supervisor in evaluating standards of compliance and quality of care.
Participates as a member of committees or teams concerned with utilization review, quality management, and process improvement; and assists committees and teams in carrying out responsibilities by aggregating and reporting pertinent review and audit findings. Identifies client care problem areas and provides input into resolution of identified problems.
Keeps current regarding changes in regulations, standards and contracts governing utilization review and quality management, as well as trends and developments in data retrieval and reporting methodologies.
Manages weekly clinical schedule ensuring updates and modifications are completed 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 3% employer match
Short-term and Long-term Disability and Life and AD&D Insurance paid for by Gateway
Flexible Spending Accounts for medical and dependent care
Public Service Loan Forgiveness (PSLF)
18 paid time off days per year – accrual rates increase with years of service
9 paid company holidays
Training & Development Programs
Tuition Reimbursement - up to $5,250 per calendar year
eLearning access to online courses that provide CEU’s and job-related training
Clinical Supervision: Formal and informal guidance