Quality Systems Specialist (Behavioral Health)

Alpharus Health; Humble (TX); On-site; USD 34,000 - 40,000; Full time

Benefits offered by this job

Health and Wellness benefits

Financial Wellbeing with retirement

Flexible time off

Professional development

Job summary

Alpharus Health in Humble, TX is seeking a Quality Systems Specialist to coordinate QA activities and improve patient care quality across programs. You will review records, monitor performance, and ensure compliance with regulations and contracts.

The role includes audits, corrective action plans, training for clinical staff, and reporting to management. A bachelor’s degree and healthcare experience are required, with strong communication and analytical skills.

Qualifications

• Bachelor's degree in nursing, health care, health information management, social services or other closely related field is required.
• Two years progressively responsible healthcare or social services experience with related substance abuse counseling is required.
• Strong verbal and written communication skills with the ability to present findings and advise clinical staff.

Responsibilities

• Audit client records and reports to ensure compliance with standards and medical necessity.
• Coordinate corrective action-improvement plans with supervisors and directors.
• Provide quality improvement training and in-service programs for clinical staff.
• Monitor client satisfaction surveys and identify areas for improvement with sites and benchmarks.
• Prepare summary reports and presentations for management planning and evaluation of services.

Skills

Strong communication

Analytical skills

Microsoft Office

EMR proficiency

Education

Bachelor's degree in nursing/healthcare/related field

Tools

Electronic Medical Records

Job description

Who is Alpharus Health?

Alpharus Health is a national nonprofit behavioral health provider dedicated to helping people build healthier lives. For nearly 60 years, we have provided substance use and mental health treatment that helps individuals, families, and communities find healing, hope, and lasting wellbeing. Our mission is simple: We help people build healthier lives. By combining clinical expertise with a person-centered approach, we help people build the skills, resilience, and support systems needed to create meaningful, lasting change.

Why join us?

Consider joining our team, where your impact can be truly meaningful. Our organization focuses on delivering high quality clinical services as a recognized leader in evidence-based treatment proven to get results. By joining our team, you'll be working for an organization that values you and aims to be an employer of choice. You can expect to be part of a vibrant culture that emphasizes teamwork and professional growth. When you join us, you'll discover personal and professional fulfillment by aligning your career with your values.

We are honored to offer behavioral healthcare services in Corrections

Perks of working in correctional healthcare:

• Opportunity to make a positive impact on a marginalized population
• Exposure to diverse patient demographics
• Focus on driving change, tracking progress, and improving care
• Development of skills in a unique healthcare setting

Location: Atascocita-2310 1/2 Atascocita Rd. Humble, TX 77396

About Our Atascocita Location (Harris County):

Alpharus Health's largest facility, Atascocita is a residential correctional center focused solely on substance use treatment for court-ordered clients. With 12 buildings and nearly 500 clients, the facility provides a structured, secure environment without armed guards. Staff work collaboratively in a team of 170, including counselors, probation officers, and support staff. The location is undergoing major renovations to become a state-of-the-art treatment center. We foster a supportive culture with team-building activities, recognition programs, and a strong mission-driven focus on recovery and rehabilitation.

Quality Systems Specialist Summary:

Coordinates quality assurance activities for Alpharus Health programs with the goal of evaluating and improving the quality of patient care.

Quality Systems Specialist Responsibilities:

• Conducts review of client records to monitor and evaluate adequacy and performance measures in accordance with established standards and medical necessity.
• Audits client records and reports to ensure compliance with regulations, contracts, policies and procedures, and standards of care.
• Coordinates with program supervisors and directors to initiate corrective action-improvement plans.
• Provides quality improvement training and in-service programs for all levels of clinical staff.
• Monitors site administration and results of client satisfaction surveys. Review client satisfaction results and trends with sites and help identify areas for improvement including identified benchmarks.
• Facilitates site-level quality improvement meetings to review monthly audit findings and compliance with Gateway identified quality indicators. Records site-level meetings or designate person to record meetings.
• Participates in the site-level meetings to identify, plan and implement areas for improvement.
• Prepares summary reports and presentations of program activities and results for review and use by management in planning and evaluating quality of services, and process improvement. Participates in analyzing data to identify trends, program strengths and weaknesses, and interpret and explain results. Contributes to developing recommendations to enhance services.
• Assists supervisor in evaluating standards of compliance and quality of care.
• Participates as a member of committees or teams concerned with utilization review, quality management, and process improvement; and assists committees and teams in carrying out responsibilities by aggregating and reporting pertinent review and audit findings. Identifies client care problem areas and provides input into resolution of identified problems.
• Keeps current regarding changes in regulations, standards and contracts governing utilization review and quality management, as well as trends and developments in data retrieval and reporting methodologies.
• Manages weekly clinical schedule ensuring updates and modifications are completed as needed.

Quality Systems Specialist Reqirements:

• Bachelor's degree in nursing, health care, health information management, social services or other closely related field.
• Two years progressively more responsible experience in healthcare or social services, with concurrent experience in substance abuse counseling.
• Strong verbal and written communication skills, and high degree of tact and diplomacy, in order to gather and exchange utilization and quality management data, present written and verbal reports of findings, and provide effective advice and guidance to clinical staff in achieving compliance and enhancing quality of services.
• High level analytical skills necessary to collect, analyze and interpret client data, determine significance of information collected, form inferences and/or forecasts from data, and prepare abstracts and summaries of statistical information for reports.
• Proficient in Microsoft Office such as word and excel in order to complete required forms, reports, and analyses.
• Proficient in Electronic Medical Records.

Physical Requirements

• Ability to lift and carry 5 to 20 pounds.
• Proofreading and checking documents for accuracy on a continual basis.
• Ability to use a keyboard and video display terminal to receive, retrieve, and/or audit information and data.
• Ability to respond to telephones, pages and speech.
• Normal or corrected vision in order to read and audit files.

Work Environment

• Works in a corrections environment where there is exposure to potentially disruptive or violent offenders. Potential for harm is limited if established security precautions and procedures are followed.
• May be exposed to inclement weather when traveling to various locations. Some exposure to hazards when driving, but potential for harm is limited if safe vehicle operation procedures are followed.

Compensation (based on experience and credentials):

• The range is between $25.00/hr - $29.00/hr.
• Starting rates are determined based on years of experience, qualifications, and relevant skills.
• Alpharus Health conducts annual performance reviews, with merit increase eligibility determined by employee performance and organizational financial performance.

Benefits at Apharus Health:

Health and Wellness:

• Medical, dental, and vision insurance for employees and dependents
• Employee wellness program promoting health and fitness and offering cash-saving premiums
• Employee assistance programs focused on mental health

Financial Wellbeing:

• 403(b) Retirement Plan with 3% employer match
• Short-term and Long-term Disability and Life and AD&D Insurance paid for by Alpharus
• Flexible Spending Accounts for medical and dependent care
• Public Service Loan Forgiveness (PSLF)

Flexibility and Time Off:

• 18 paid time off days per year - accrual rates increase with years of service
• 9 paid company holidays
• Work-life-balance

Personal Development:

• Training & Development Programs
• Tuition Reimbursement - up to $5,250 per calendar year
• eLearning access to online courses that provide CEU's and job-related training
• Clinical Supervision: Formal and informal guidance

Alpharus Health is an Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets. Please view Equal Employment Opportunity Posters provided by OFCCP here.

Nearest Major Market: Houston

Position Type: Full Time

Work Schedule: Monday - Friday, 8:00AM - 4:30PM

Requisition Number: 34539