Quality Assurance Analyst, Behavioral Health

Racine, County of; Wisconsin; On-site; USD 55,000 - 85,000; Full time

Job summary

Racine County Behavioral Health Services is seeking a QA Analyst to validate the quality and fidelity of programs across Crisis Services, CCS, CSP, outpatient mental health, and SUD services.

The role supports development and implementation of changes to improve service effectiveness, ensures documentation for Medicaid/Medicare compliance, and collaborates with BHS staff and leadership to maintain standards.

Qualifications

• Bachelor’s degree in a human services related field is preferred or minimum five (5) years of supervisory experience.
• Successful completion of the WI Caregiver Training Academy within six (6) months of start; or a member in good standing of the WI Caregiver Registry.
• Prompt and regular attendance.

Responsibilities

• Develop and maintain knowledge of all programs within Behavioral Health Services to ensure effective access and care for the community and consumers served.
• Ensure staff are following all required statutes and maintains appropriate training.
• Oversees the processes and procedures used in all programs within Behavioral Health Services including Crisis Services, CCS, CSP, outpatient mental health and SUD services, and more.
• Work with the Assistant HS Administrator – BHS & Aging to maintain consistency of current practice and implement expectations.
• Document all activities to ensure compliance with County, State, and Federal requirements.
• Document all activities to ensure compliance with Medicaid and Medicare requirements.
• Develop and implement necessary changes for process improvement.
• Facilitate the success of BHS programs by reviewing report queries of services provided by BHS workers.
• Identify in a timely manner when BHS staff are not following policies, Medicaid/Medicare requirements, and state statute.
• Communicate effectively with BHS Managers and Supervisors to address statutory and clinical quality issues.
• Assist in the development of QA tools and reports to ensure compliance with program policy and procedures, Medicaid/Medicare requirements, and state statutes.
• Provide trainings to staff on Caregiving Training standards, TCM, and more as needed.
• Assist in various projects and initiatives as assigned by the Assistant HS Administrator.
• Meet regularly with the Assistant HS Administrator to ensure effective communication between the QA Unit and other units within BHS.
• All other duties as assigned, including responding to an emergency event.

Skills

Supervisory experience

Strong communication

Organizational skills

Education

Bachelor’s degree in human services

WI Caregiver Training Academy completion

WI Caregiver Registry member

Job description

Racine County Behavioral Health Services is seeking a QA Analyst to validate the quality and fidelity of programs across Crisis Services, CCS, CSP, outpatient mental health, and SUD services.

The role supports development and implementation of changes to improve service effectiveness, ensures documentation for Medicaid/Medicare compliance, and collaborates with BHS staff and leadership to maintain standards.