Clinical Quality Management Analyst - Portland - Catholic Community Services

    Catholic Community Services
    Catholic Community Services Portland

    10 hours ago

    $62,000 - $98,000 (USD) per year *
    Description

    Clinical Quality Management Analyst Opportunity

    At Catholic Community Services, Family Behavioral Health we are seeking a Clinical Quality Management Analyst to support our Operations Team. The ideal candidate will have experience in quality assurance activities and be knowledgeable about Medicaid standards and clinical chart documentation.

    The Clinical Quality Management Analyst will work under the direction of the CQI Manager to develop train and implement Medicaid coding compliance strategies ensuring staff documentation is compliant with laws and regulations. This includes taking lead responsibilities for training implementation prevention of Medicaid Fraud Abuse reviewing preparing data assisting site leadership in ensuring data integrity compliance mandated Audit reviews conducting systematic encounter reviews verifying accuracy correcting errors documenting encounters accurately participating in county state federal audits providing oversight tracking safety crisis plans timely accurate completion document entry case file assist CQI Manager training staff various areas including Fraud Abuse providing lead support site CQI meetings ensure tracked documented reported FBH system leadership represent FBH MCO/BHO Provider meetings trainings participate CCS administrative team meetings report development distribution routine ad hoc reports track clinical intensity service outcomes consumer information accurate tracking services intake exit using current collection system evaluate clinical outcomes review Carelogic outcome reports provide feedback Clinical Supervisors develop risk summary incident submitted by staff quarterly reports maintain input 90 day discharge Child Adolescent Needs Strengths assessment WISe Referral Coordinator create update BRS FAST Behavioral forms charts intake packets blank charts master copy maintained electronic version updated required BHO/MCO Federal State requirements regular peer review protocol schedule events support participation filing organization monitor closing documents submitted paperwork opening cases submission set assessment treatment plan consults etc complete content reviews along with internal specialist oversee closure monitored timely submission generated distributed tracking missing closed charts additional duties assigned qualifications sought Bachelor Social Services related field knowledge competency QII processes requirements contemporary software Microsoft products Word Excel Outlook Access ability demonstrate efficient entering supporting motivating completing tasks organizational skills busy diverse environment excellent written oral communication reliable transportation valid license automobile insurance acceptable record background checks prior offer employment proof negative TB test past months ability test within six months.
    * This salary range is an estimation made by beBee
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