Quality Assurance (QA) Specialist (Full Time, Regular) – Central Office Operations

Hours: 36 hours per week; Monday - Thursday 9:00 am to 5:00 pm and Fridays 9:00-1:00pm.

Pay Rate: $40.06 to $42.74 per hour

Program Overview:

Located in the Mission Bay area, The CRF Central Office provides management and support services for all CRF programs and PERT, Inc. Our Central Office consists of the following departments: Business Services, Human Resources, Accounting, Information Technology, Real Estate and Facilities, and Quality Improvement.

The Quality Improvement (QI) team responds to and tracks incidents, complaints, and reporting elements. The QI team also assists with the development and implementation of CRF policies and procedures and process improvements. The QA Specialist is a new position within the QI Department and will focus on company-wide billing and documentation practices. A high level of confidentiality and discretion is required.

Typical Duties of the QA Specialist

• Audit, review and evaluate medical records, clinical documentation and billing records performed by direct service staff to ensure they are complete, accurate, and in compliance with all guidelines and regulations.
• Provide results, reports and feedback to CRF Executive Team, QI and program staff as needed.
• Develop corrective measures and plans to address any problematic documentation and billing.
• Make recommendations for disallowance and billing corrections as needed and oversee the correction process in conjunction with program staff and the County billing unit.
• Provide feedback, education and training to programs and staff regarding accurate and compliant billing and documentation practices.
• Track and monitor the Peer Review and Quarterly Professional Review processes for CRF programs.
• Provide back-up QI consultation to programs regarding crises, safety, criteria for incidents, mandated reporting, and other reporting requirements.
• Continuous monitoring of adherence to CARF, CCL, County, State, Federal and other regulatory standards.
• Perform other QI duties as assigned by the supervisor.

Qualifications/Skills Requirement

• Licensed Psychologist, Social Worker, Professional Clinical Counselor, or Marriage and Family Therapist is required.
• Minimum 2 years of experience working with individuals who have a serious mental illness.
• Demonstrated success and high-quality billing and documentation practices.
• Strong writing skills including attention to detail and editing. Experience writing CRF or County Serious Incident reports is preferred.
• Experience providing clinical consultation and feedback is preferred.
• Ability to respond to communicate and consult effectively with program management.
• Knowledge of CRF and County protocols, and legal and ethical requirements.
• Experience with and knowledge of the Uniform Clinical Records Manual and documentation requirements and standards.
• Intermediate to advanced proficiency in MS Office applications, most importantly Word, Excel and PowerPoint.

Benefits: CRF provides benefits to help you balance your work life and your personal life. For full-time staff (30 hours or more), we offer...

• 19 days of PTO per year
• 12 paid holidays per year
• “Platinum +” medical plans, with minimal employee cost/expenses for you and excellent coverage
• Several dental plan options
• Vision benefits
• Company-paid life insurance and Long-Term Disability
• Tax-Free Flexible Spending for medical/dental/childcare expenses
• Generous retirement plan contributions
• Employee Assistance Plan for you and your family
• Employee discount program, including pet insurance plans
• Paid training and supervision hours are available
• Opportunities for advancement and growth
• We also provide access to student loan repayment/forgiveness programs for graduates.

All new hires are required to show proof of completed vaccination and booster before their first date of work, unless legally exempted.

We are an Equal Opportunity Employer

Job Type: Full-time

Pay: $40.06 - $42.74 per hour

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Vision insurance

Medical specialties:

• Addiction Medicine
• Psychiatry

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends

Application Question(s):

• Are you a licensed mental health professional (LCSW, LPCC, LMFT or Psychologist)?

Education:

• Master's (Required)

Work Location: In person

Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.