Behavioral Health Quality & Compliance Specialist

Upstate-Caring-Partners; City of Utica (NY); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Direct Deposit

Flexible Spending Account (FSA)

Life Insurance

Voluntary Benefits

Employee Assistance Program (EAP)

Generous PTO Plans

Tuition Reimbursement

Service Awards

Employee Appreciation Events

Employee Discounts

Job summary

Upstate Caring Partners in Utica, NY seeks a Behavioral Health Specialist to support quality initiatives and patient care in the BH division. You will perform quality reviews, provide feedback to leadership, and collaborate with BH teams to meet program goals.

The role requires a bachelor-level degree (or equivalent licensure) and experience in clinical settings focused on quality and regulatory standards; valid NYS driver's license is needed.

Qualifications

• Bachelor degree required; licensure (LPN/RN) acceptable with relevant experience.
• Clinical setting experience focused on quality and regulatory requirements.
• Valid New York State driver's license.

Responsibilities

• Conducts file and record reviews for quality and compliance.
• Recommend, conducts and facilitates trainings based on QA findings.
• Conducts targeted record reviews when needed.
• Works with program leaders to develop documentation standards meeting regulatory criteria.
• Maintain understanding of current regulations and program policies.
• Review SOPs to identify opportunities and improvements.
• Participates in special Clinical/Quality projects.
• Designs and analyzes training to ensure compliance and quality.
• Assist in regulatory reviews as deemed necessary.
• Ensure services comply with federal, state, insurance and agency regulations.
• Other responsibilities as requested by leadership.

Skills

Attention to detail

Time management

Professionalism

Good judgment

Confidentiality

Discretion

Independent decision-making

Team-oriented

Verbal & written communication

Education

Bachelor level degree required

Licensure such as LPN/RN acceptable with experience

Tools

NYS Driver's license

Job description

Upstate Caring Partners in Utica, NY seeks a Behavioral Health Specialist to support quality initiatives and patient care in the BH division. You will perform quality reviews, provide feedback to leadership, and collaborate with BH teams to meet program goals.

The role requires a bachelor-level degree (or equivalent licensure) and experience in clinical settings focused on quality and regulatory standards; valid NYS driver's license is needed.