Quality Assurance Coordinator BH/CM

Mount Rogers Community Services Board; Wytheville (VA); On-site; USD 55,000 - 75,000; Full time

Job summary

Mount Rogers Community Services Board seeks a Quality Assurance Coordinator for Behavioral Health Services/Case Management to oversee documentation quality and regulatory compliance across assigned programs.

The role emphasizes audits, training, and the development of QA measures to ensure person-centered, evidence-based practices, while coordinating with leadership and traveling as needed within the catchment area.

Qualifications

• Bachelor’s Degree in a human service field required.

Responsibilities

• Provide ongoing review/audits of program service records to ensure regulatory compliance; develop SPC to track results and identify deficiencies.
• Train staff on documentation and charting compliance; keep mandatory training up to date; train others in person-centered documentation and evidence-based practices.
• Develop, implement, and monitor QA measures; schedule reviews; provide technical assistance; develop reporting and follow-up documentation.
• Stay current on regulatory guidelines (licensure, Medicaid); attend trainings; inform leadership of changes; provide staff training on guidelines.
• Attend or facilitate meetings; coordinate special projects due to regulation changes; support operational continuity.
• May input serious incidents into CHRIS and conduct reviews as directed; support Director as needed.
• Demonstrate strong written/oral communication, organization, time management; knowledge of SPC, data collection, and regulatory guidelines.

Education

Bachelor’s Degree in a human service field

Job description

The Quality Assurance Coordinator for Behavioral Health Services/Case Management reviews service documentation of assigned programs to ensure quality control measures, clinical quality, and compliance with applicable agency policy and procedures, as well as pertinent regulatory standards, to include but not limited to: the Department of Medical Assistance Services, licensure, human rights, Department of Justice, and other regulatory bodies, to ensure the highest quality standards of person-centered and evidence-based practices to all individuals served by the Agency. Position may be assigned related tasks to assist the Director in promoting seamless operations of Compliance and CQI throughout the Agency.

ESSENTIAL FUNCTIONS:

• Provide ongoing review/audits assigned program service records to ensure compliance with all regulatory guidelines; develop and maintain a statistical process control system, which tracks compliance and deficiencies, identifies patterns, and provides follow up; keep program leadership aware of results and offer recommendations for improvement.
• Participate in training of program services staff in areas of documentation, and charting compliance. Keep mandatory training up to date, and participate in relevant clinical training to enhance ability to train others in person-centered documentation and the documentation of evidence-based practices.
• Develop, implement, and monitor quality assurance measures; schedule reviews, provide technical assistance and develop reporting/follow-up system documentation reflecting regulatory requirements.
• Keeps up-to-date on all regulatory guidelines such as licensure and Medicaid. Attend local, regional, and state training related to medical records, information and outcome management. Keep program leadership aware of any changes and make recommendations for compliance; provide training and orientation to program staff about existing or new regulatory guidelines.
• Attend or facilitate various meetings as assigned by Director; facilitate other meetings as assigned or coordinate special projects as a result of regulation changes.
• May provide entry of serious incidents or human rights issues in the Department of Behavioral Health and Developmental Services (DBHDS) CHRIS reporting system; may provide clinical or investigative reviews of particular incidents or breaches as assigned by the Director.
• Effective written and oral communication skills required
• Organization and time management skills
• Knowledge of statistical process control, data collection, follow up
• Awareness of CSB programs, available services, and service delivery
• Knowledge of regulatory guidelines
• Extensive knowledge of mental health and substance abuse issues
• Knowledge of developmental disabilities
• Knowledge of medical records practices and procedures and audits
• Skills in staff development and training
• Computer experience and skill required.

EXPERIENCE/EDUCATION REQUIRED:

Bachelor’s Degree in a human service field required and experience with a minimum of two-three (2-3) years’ clinical experience working with individuals with Severe Mental Illness, Substance Use Disorder, and/ or Serious Emotional Disturbance, and/or children who are at risk of serious emotional disturbance.

Must be willing to travel within the catchment area.

Must have a valid driver’s license with a good driving record.

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