Behavioral Health - Quality Assurance Analyst (42855)

America's Community Council; Detroit (MI); On-site; USD 65,000 - 85,000; Full time

Job summary

America's Community Council in Detroit is seeking a Behavioral Health Quality Assurance Analyst to evaluate and improve the delivery of behavioral health services. You will monitor documentation, ensure regulatory compliance, and lead quality improvement initiatives across programs.

The role requires a Master’s degree in a related field, a professional license, and experience in behavioral health QA. Strong data skills and familiarity with CARF/Medicaid standards are preferred.

Qualifications

• Master's degree in psychology, social work, counseling, public health, or a related field.
• Professional license required.
• Minimum two years of experience in quality assurance or performance improvement in behavioral health.
• Comprehensive understanding of managed care and quality procedures.
• Excellent analytical skills with ability to collect, interpret, and present data.
• Certification in quality management (e.g., CPHQ) is a plus.

Responsibilities

• Facilitate implementation and maintenance of organizational Quality Improvement activities.
• Facilitate development and implementation of clinical record documentation monitoring systems for compliance.
• Generate reports on clinician documentation performance.
• Conduct Quality Assurance meetings and review/report processes.
• Provide direct supervision to clinical staff at various locations as needed.
• Collect Quality and Utilization related data.
• Provide technical assistance on documentation, requests, maintenance, and security.
• Monitor and report risks to patient and staff safety; investigate incidents.
• Provide training and support on QA principles, processes, and tools.
• Coordinate audit/prep and respond to accreditation/licensing reviews.
• Conduct Quality Improvement seminars and in-service training.
• Develop and maintain data to assist in grant writing.
• Advise on interpretation of CARF standards, Medicaid, and state regs and coordinate accreditation activities.
• Assist programs in integrating Evidenced Based Practices and assess new interventions for effectiveness.
• Provide orientation and ongoing QA training to staff about external standards for documentation.

Skills

Quality assurance

Data analysis

Clinical documentation

Regulatory compliance

Quality improvement

Education

Master's degree in psychology, social work, counseling, public health, or a related field

Job description

Job Details: Job Location: BH-Mental Health - Detroit - Detroit, MI 48203, Position Type: Full Time, Education Level: 4 Year Degree, Job Shift: Day, Job Category: Nonprofit - Social Services, The Behavioral Health Quality Assurance Analyst, will play a vital role in ensuring the quality and effectiveness of behavioral health services within an organization. The Analyst will be responsible for evaluating, monitoring, and improving the delivery of behavioral health care services to ensure they meet regulatory standards, organizational policies, and best practices. The Analyst will involve analyze data, implement quality improvement initiatives, and collaborate with interdisciplinary teams to enhance the overall quality of care provided to clients.

• Facilitate the implementation and maintenance of organizational Quality Improvement activities related to programs and services currently being offered.
• Facilitate development and implementation of clinical record documentation monitoring systems to ensure compliance with current policies and procedures as well as funding sources and third-party payer documentation requirements.
• Generate individual and aggregate reports on clinician documentation performance.
• Conduct Quality Assurance meetings and facilitate review and reporting processes.
• Provide direct supervision to clinical staff at the various locations as needed.
• Collect Quality and Utilization related data.
• Provides technical assistance regarding all aspects of clinical record documentation, requests, maintenance, storage and security.
• Monitors and reports any risk management in areas of patient and staff safety; liability issues, clinical risks such as suicidal and violent behavior; health and safety issues or trends, and investigates incident reports.
• Training and Education: Provide training, education, and support to staff members on quality assurance principles, processes, and tools.
• Coordinates audit and review preparation and responds to audit accreditation, licensing reviews by developing and recommending plans of correction.
• Conduct Quality Improvement Seminars and in-service training to assist in Professional Growth and Development.
• Develops and maintains data and agency quality information to assist in grant writing.
• Serves as an advisor for the interpretation of CARF standards, Medicaid, and state mental health code, rules, and regulations and coordinates activities for the accreditation process.
• Assists programs in the integration of Evidenced Based Practices and provides ongoing assessment of effectiveness of new interventions.
• Provides orientation and ongoing training to staff about Quality issues and to assure staff understanding of external standards for documentation.

Qualifications:

• Master's degree in psychology, social work, counseling, public health, or a related field, professional license required.
• Minimum of two years of experience in quality assurance, performance improvement, or a related role in the behavioral health field.
• Minimum five years related mental health experience preferred.
• Comprehensive understanding of managed care and knowledge of county Quality Improvement procedures.
• Detail-oriented with strong organizational and problem-solving abilities.
• Strong knowledge of behavioral health care delivery systems, regulatory requirements and accreditation standards.
• Excellent analytical skills with the ability to collect, interpret, and present data effectively.
• Proficiency in using computer applications and software for data analysis and documentation purposes.
• Certification in quality management (e.g., Certified Professional in Healthcare Quality - CPHQ) is a plus.