Quality Assurance Specialist

Ocean State Job Lot; New York (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Quality Assurance Specialist to support a comprehensive quality assurance program for Behavioral Psychiatric programming. This remote role involves ensuring compliance with state regulations, conducting chart reviews, and providing clinical assessments. Candidates must be licensed professionals with experience in quality assurance and strong communication skills.

Qualifications

• Must have experience in OASAS and/or OMH licensed programs.
• Preferably, have at least two years' experience in quality assurance initiatives.

Responsibilities

• Complete monthly chart reviews of Psychiatric Providers.
• Ensure adherence to pre-admission, admission, continued stay, and discharge procedures.
• Conduct compliance reviews of Psychiatric Providers.

Skills

Communication

Organizational Skills

Education

Licensed Qualified Health Professional (PHMNP)

Tools

Microsoft Office

Job description

Job Description: Quality Assurance Specialist

The Quality Assurance Specialist (QAS) supports a comprehensive quality assurance program for Housing Works’ Behavioral Psychiatric programming to ensure compliance with state regulations and funders, as well as to provide quality clinical care primarily through chart reviews. The QAS ensures that programs, services, and facilities meet minimum standards as defined by statutes and regulations, and that managerial oversight exists to ensure effective delivery of services. The role may also involve liaising with state agencies to maintain standards. This is a 100% remote position requiring an active behavioral health license in NY State, with eligibility for internal training for Social Work CEs.

Essential Duties and Responsibilities

1. Complete monthly chart reviews of Psychiatric Providers, varying with program needs.
2. Ensure adherence to pre-admission, admission, continued stay, and discharge procedures.
3. Review and audit admission assessments and clinical documentation for compliance with standards.
4. Assess clinical quality indicators, including diagnosis basis, level of care, and other admission criteria.
5. Document outpatient care protocols according to guidelines.
6. Audit clinical documentation for timeliness and regulatory standards.
7. Provide clinical assessments and training to support program improvement.
8. Conduct compliance reviews of Psychiatric Providers and participate in departmental meetings.
9. Identify documentation challenges and recommend corrective actions.
10. Generate reports and report risks or billing issues promptly.

Secondary Responsibilities

• Perform additional duties and special projects as assigned.
• Participate in advocacy efforts to end homelessness and AIDS crises.
• Engage in relevant training and external learning opportunities.
• Must be a Licensed Qualified Health Professional (PHMNP) with experience in OASAS and/or OMH licensed programs.
• Demonstrate experience in collaborative projects, with strong communication and organizational skills.
• Proficient in Microsoft Office, especially Excel and Word.
• Preferably, have at least two years' experience in quality assurance initiatives.