- Ensure quality and safe delivery of client care services.
- Evaluate adequacy of quality assurance standards.
- Collect, compile, and analyze statistical quality data to identify areas for improvement.
- Develop, implement, and monitor corrective quality improvement plan and preventive actions.
- Oversee regulatory, accreditation and compliance activities for the Center.
- Monitor risk management activities.
- Oversee incident and adverse event reports and client complaints.
- Ensure that information regarding Federal and State rules and regulations and quality improvement activities is communicated, enforced, and monitored.
- Conducts clinical record compliance reviews ensuring service and billing codes are appropriately matched.
- Conducts compliance reviews specific to regulatory, payor and accreditation requirements, (e.g., DPH, MassHealth, DMH).
- Participates in policy and procedure development.
- Responsible for the coordination and performance of clinical record review, including aggregating the data, identifying issues, and coming up with a corrective plan of action.
- Work collaboratively with the clinical managers to develop the clinical staff education programs.
- Identifies opportunities and improves systems and procedures.
- Document internal audits and other quality assurance activities.
- Investigate non-conformance issues.
- Prepare reports to communicate outcomes of quality activities.
- Identify training needs and organize training interventions to meet quality standards
- Coordinate and support on-site audits conducted by external providers
- Other duties as assigned.
- Bachelors level degree or above.
- Five years of QA experience with Mental Health or Healthcare organization.
- Effective in introducing and managing change.
- Possesses leadership skills, shares credit, and accepts responsibility.
- The ability to read, analyze, and interpret complex documents.
- Excellent written and oral communication skills and excellent interpersonal skills.
- Strong analytical and problem-solving skills
- Enjoys and works effectively in culture of collaboration, ongoing change, commitment to racial equity, diversity, and inclusion.
- sound clinical judgment.
- Digital fluency including experience with electronic medical records and MS Office
- Provides information to the Senior Leadership Team as needed for Board of Director meetings or other professional meetings.
- The ability to work effectively with clinicians and Center staff.
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Quality Assurance Manager - Boston, United States - The Brookline Center for Community Mental Health
3 weeks ago
Description
QUALITY ASSURANCE MANAGER
If youre excited about driving change and passionately believe that all people deserve access to quality behavioral health care, we have an amazing opportunity for you Were looking for people who want to be part of a fast-paced and entrepreneurial team that is transforming a long-respected community mental health center into a client-centered, inclusive organization that acts locally and impacts globally.
POSITION SUMMARY
In overview, the Quality Assurance Manager is responsible, in collaboration with the Director of Clinical and Urgent Care Services & Chief Operations Officer for oversight of regulatory matters and facilitation of the regulatory process - readiness, onsite review, correction action planning, monitoring, and performance improvement.
We are actively interested in ensuring that the Brookline Center for Community Mental Health represents a range of experiences and backgrounds. Qualified candidates with diverse racial, cultural, multilingual, religious, class, and/or gender background and experiences are strongly encouraged to apply.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
EDUCATION and/or EXPERIENCE
QUALIFICATIONS:
About the Brookline Center
The Brookline Center has been known throughout its history for ground-breaking, high quality, accessible mental health care. In response to todays mental health landscape, the Center is re-imagining its core work as the transformation of mental health care through the design, development and dissemination of mental health programs and services at the intersection of systems. While our outpatient clinic cares primarily for children and adults in Brookline and neighboring communities, much of the Centers work extends beyond Brookline and has a statewide, regional, and national impact.
To support and fuel the Brookline Centers growth and evolution, we are expanding our team. If you are interested in shaping the future of mental health and ensuring that care is effective and equitable for all, we would love to meet you.
Learn more about our work and impact at
Benefits
The Brookline Center offers a supportive, mission-focused work environment; professional growth opportunities; competitive salaries; and a comprehensive benefits package that includes medical, dental and vision insurance, flexible spending accounts, pre-tax savings and retirement plans, disability and life insurance, and generous paid time off. *Additional compensation for staff with bilingual/multilingual abilities used in their work at the Center.
Equal Employment Opportunity
The Brookline Center is an equal opportunity employer, committed to workplace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
