FBH Quality Management Analyst

Catholic-Community-Services-and-Catholic-Housing-Services-of-Western-Washington-2; Vancouver (WA); On-site; USD 68,000 - 76,000; Full time

Job summary

Catholic Community Services, Family Behavioral Health seeks a Quality Management Analyst reporting to the Clinical Operations Manager at the Oak View site in Vancouver, WA.

You will support CQI performance management, Medicaid compliance, data reporting, and staff training to improve clinical practice and outcomes. The role emphasizes data integrity and collaboration with clinical programs to meet CQI objectives.

Qualifications

• Ensure data entry integrity and Medicaid coding compliance.
• Review clinical documentation data for accuracy and compliance.
• Conduct site encounter reviews to verify data entry and charting.
• Participate in county, state and federal data integrity audits.

Responsibilities

• Take lead responsibilities with the Clinical Operations Manager to train staff in CQI areas and Medicaid compliance.
• Provide oversight for tracking safety crisis plans and CQI documentation.
• Develop and distribute routine and ad hoc CQI reports to leadership.
• Represent FBH in provider CQI meetings and trainings at the Oak View site.

Skills

CQI

Data analysis

Training

Audit readiness

Job description

Overview

Want to join an amazing Operations Team?

CCSWW's Family Behavioral Health Team Awarded WSU's Employer of the Year!

Quality Management Analyst Opportunity

VANCOUVER, WA

(Oak View site near the Vancouver Mall)

Catholic Community Services, Family Behavioral Health is looking for a Quality Management Analyst reporting to our Clinical Operations Manager.

WHO WE ARE

We are a values-driven organization, providing family oriented behavioral health care for children, youth and families, provided primarily in their own home and community. Our enthusiastic clinical teams provide whatever is needed to help children and youth remain safely in their own home, restoring hope, providing intense mental health services and support, and helping to strengthen the family unity. With sites located in Tukwila, Burien, North Tacoma, University Place, Olympia, Shelton, Bremerton, Aberdeen, Yelm, Vancouver, (Salmon Creek and Oakview) and Portland Oregon, we offer comprehensive, Wrap-around mental health services to a diverse population of families. We employ almost 800 caring and compassionate employees.

WHAT WE VALUE

Compassion Diversity Strength-Based-ApproachSocial-Justice & Our Staff!

WHAT WE OFFER:

• Starting Base Pay Range:$32.76 - $36.44

BENEFITS:

• Medical
• Dental
• Vision Insurance
• Life Insurance (1 times annual salary)
• Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension
• 11 paid holidays; plus 1 personal holiday each year!
• 3 weeks' vacation hours earned during the 1styear
• 12 sick days per year

Under the direction of the Clinical Operations Manager, the CQI Management Analyst is responsible for supporting the assigned FBH Site's CQI performance management and measurement practices, including performance and contract deliverable tracking, implementation and training of BHO/MCO documentation and State/Federal regulatory/oversight deliverables, collaborating with clinical programs to ensure adequate CQI data is available to evaluate clinical practice and outcomes, and working with the Clinical Operations Manager to develop systems and training staff for improved practice and quality improvement activities/initiatives. This position works independently, taking a leadership position along with the Clinical Operations Manager to direct the CQI processes at the Oak View site located in Vancouver, WA County and ensures Medicaid compliance for all CQI requirements. This position will work directly with clinical staff training and tracking compliance with daily CQI requirements and provide Site Leadership with necessary CQI data to evaluate site practice for documentation and CQI compliance.

Responsibilities

JOB SUMMARY

Ensure data entry integrity

• Take lead responsibilities, along with Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations. This includes taking lead responsibilities to train and implement office strategies and providing ongoing training for compliance oversight and prevention of Medicaid Fraud and Abuse.
• Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated Audit and compliance reviews.
• Conduct systematic site encounter reviews to verify accuracy of data entry and charting, ensuring errors are corrected and encounters are documented accurately.
• Participate in county, state and federal data integrity audits and reviews.

Assist the Clinical Operations Manager with essential and required CQI duties

• Provide oversight for tracking of safety crisis plans, ensuring timely and accurate completion of crisis plans and document entry into case file.
• Assist Clinical Operations Manager in training staff in various CQI areas that include Medicaid Fraud and Abuse.
• Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to FBH system leadership.
• As part of the site CQI team, represent FBH at MCO/BHO Provider CQI meetings and trainings.
• Participate in regular CCS administrative team meetings.

Reports

• Develop and distribute reports to leadership, both routine and ad hoc, including staff activity