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Richardson

    Behavioral Health Quality Management Specialist - Richardson, United States - Innovative Systems Group

    Innovative Systems Group
    Innovative Systems Group Richardson, United States

    2 weeks ago

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    Description

    We are currently searching for Licensed Clinicians in Behavioral Health only (No RN's or LPN's)

    This is a part-time role, around 20–25 hours per week.

    This position allows you to work remotely.

    Contract: to be discussed

    BASIC FUNCTION:

    This role involves overseeing various aspects of specific clinical quality improvement projects, auditing for quality, and quality reporting. You will collaborate with healthcare professionals, individuals, and additional resources to assess, plan, implement, and monitor services required to achieve project objectives and uphold high-quality outcomes. Duties also include coordinating quality reviews, audits, and projects in line with accreditation and regulatory standards.

    ESSENTIAL FUNCTIONS:

    • Conduct on-site or electronic medical record reviews to evaluate care delivery in alignment with practice guidelines or regulations.
    • Facilitate and monitor assigned quality improvement projects, engaging with network physicians, providers, and members to enhance quality and cost-effectiveness.
    • Collect, analyze, and communicate data, and provide recommendations for quality improvement projects.
    • Coordinate support functions for clinical quality improvement projects.
    • Analyze statistical reports to assess project effectiveness and identify enhancement opportunities.
    • Collaborate with team members to maximize efficiencies and control administrative costs.
    • Document interventions for quality improvement reports and accreditation reviews.
    • Present project outcomes to workgroups and committees.

    3. Serve as a liaison with Behavioral Health providers, practitioners, and state entities regarding quality improvement initiatives.

    4. Contribute to developing, implementing, and evaluating population-based programs.

    5. Coordinate action plan activities for program success.

    6. Prepare accurate reports and program documents.

    7. Engage with external agencies and organizations.

    8. Attend quality improvement and managed care meetings.

    9. Stay updated on clinical and regulatory standards.

    10. Monitor care quality and compliance.

    11. Support divisional goals.

    12. Practice within licensure and accreditation standards.

    13. Communicate effectively with stakeholders.

    14. Adhere to corporate policies and confidentiality.

    15. Report on areas of responsibility for management.

    JOB REQUIREMENTS:

    • Masters-level Behavioral Health Professional with independent practice license in good standing.
    • 3 years of clinical experience.
    • 2 years of Utilization Management, Case Management, or quality improvement experience.
    • Experience in presenting to members or providers.
    • Familiarity with behavioral health or managed care products.
    • Valid driver's license and ability to travel.
    • Strong communication and data analysis skills.
    • Proficiency in Word and Excel.

    PREFERRED JOB REQUIREMENTS:

    • Experience in quality improvement or project management.
    • Background in Behavioral Health.
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