Quality Assurance Coordinator

Description

POSITION TITLE: Quality Assurance Coordinator  

PROGRAM/LOCATION: Quality Assurance / Northern Santa Barbara County   

POSITION SUMMARY:

Under supervision of the Quality Assurance Manager, the Quality Assurance Coordinator will: 1) assist in conducting internal audits of client medical records as outlined by the requirements set by  Medi-Cal and Santa Barbara County BWell 2) perform chart audits 3) maintain and track audit data 4) serve as Smart Care electronic health record super user  5) attend all Medi-Cal documentation and performance improvement related meetings and, targeted trainings at SBBWELL and disseminate relevant information to TMHA staff, as needed, with a trauma informed approach.  This position assists QA Manager in efforts to reduce disallowances and settlements from funding sources due to improper or inadequate charting and billing. This position is also responsible for assisting in completing compliance tasks including maintaining Incident Report records, logs and assessments; maintaining Grievance reports, logs and assessments; maintaining the Patients’ Rights Consumer Information Centers (information boards).

HOURS/ SALARY EMPLOYEE PERKS:

Full-time, non-exempt position. 40 hours per week. Anticipated hiring range is $24.00-$25.00. Includes a generous individual benefits package that includes health, dental, vision, life, 403b retirement (with up to a 5% employer match) paid vacation/holiday time, paid sick time and a variety of helpful employee perks as well. (*Full Salary Schedule $24.00-$28.00 per hour). 

EMPLOYEE PERKS:

A few of our helpful employee benefits include membership discounts to various local fitness centers. We offer years of service gift cards to businesses of your choice. We offer gift cards for walking, biking, or carpooling to work as well as 20% discount for shopping at our Growing Grounds Downtown Store/Nursey/ Farm. We host two employee appreciation events for employees and their families yearly. We practice Trauma Informed Care Principles, Guidelines for Collaborative Conversations, and encourage the use of pronouns. We mindfully promote equality, respect and diversity of race, gender, sexual orientation, religion, ethnicity, national origin, and all the fascinating characteristics that make us different! TMHA is also a pet friendly workplace (upon approval)!

MINIMUM REQUIREMENTS:

Bachelor’s Degree in Social Work, Psychology or related Mental Health field. Strong interpersonal skills, collaborative work style and strong oral/written and communication skills.Well defined organizational and time management skills. Ability to work independently and flexibly. Ability to handle intense situations, display good judgment and decision-making skills, and remain calm and clearheaded under pressure. Able to work effectively with a variety of people and personality types regardless of age, ethnicity, race, religion, sexual orientation, gender identity/expression or socio-economic level. Ability to possess and maintain good physical and mental health. Ability to work well within a team and maintain a professional, respectful attitude in the workplace. Ability to be willing to work with supervisor oversight and direction. Attendance is an essential function of this job that requires face-to-face interaction with clients and/or other employees. Ability to mindfully promote equality and respect diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us different. Demonstrate the ability to successfully deliver culturally responsive services. Knowledge of the various dimensions of diversity, including mental health, gender, race and ethnicity. Must use reasonable precautions in the performance of one’s duties and adhere to all applicable safety rules and practices while acting in such a manner as to assure at all times, maximum safety to one’s self, fellow employees, clients, and other persons contacted through TMHA business. Conditions of employment include: Must be at least 18 years of age; possess a valid CA Driver’s License, at least 2 years driving experience and DMV driving record that meets TMHA’s current vehicle insurance requirements.  May be required to utilize reliable personal vehicle and auto insurance. Must comply with a TB assessment (possibly a TB test if needed to confirm a negative tuberculosis result) and receipt of a criminal record clearance through fingerprinting. Must be able to successfully complete First Aid and CPR training.

ORGANIZATION DESCRIPTION:

Transitions – Mental Health Association is a leading non-profit agency committed to providing comprehensive mental health services and support to individuals and families by inspiring hope, growth, recovery and wellness in our communities.  TMHA has decades of experience with teams of compassionate staff. TMHA is a driving force in improving mental health and wellness in our communities and a supportive and inclusive work environment that values diversity and individual contributions. 

MISSION STATEMENT:

Transitions-Mental Health Association is a nonprofit organization dedicated to eliminating stigma and promoting recovery and wellness for people with mental illness through work, housing, community and family support services.  

RESPONSIBILITIES AND DUTIES:

1. Serve as the go-to support for the following Santa Barbara County Programs – Santa Maria ACT, Lompoc FSP 2, Wellness Centers and the Santa Maria Farm.

2. Possess a good knowledge base of Medi-Cal charting and billing requirements as described in the Medi-Cal documentation guidelines.   

3. Attend Santa Barbara County Dept of Behavioral Wellness meetings as necessary to maintain knowledge and disseminate updated information to internal TMHA staff.

4. Support agency electronic health record users for Smart Care and serve as the agency super user for both systems.

5. Assist in tracking incident reports, compliance audits, risk assessments, and audit results.

6. Regularly review documentation written by TMHA staff and provide feedback and training.

7. Conduct internal audits of client records and any other relevant documents by following the requirements and guidelines set forth by the state and county. 

8. Maintain audit tracking records, monitor and track areas for follow up and correction by program staff. 

9. Promote, encourage and maintain trauma-informed practices in all services and activities. 

10. Practices and promotes, both individually and in team meetings, the Collaborative Communication Guidelines

11. Assist in site re-certifications and Patient’s Rights Materials and HIPAA related issues.

12. Work with Quality Assurance Manager to assist with -Medi-Cal site recertification every three years or as needed.

13. All other duties as assigned by Quality Assurance Manager

JOB ENVIRONMENT:

1. While performing the duties of this job, the employee is frequently required to stand, walk, and sit. 

2. Light, physical activity and frequent driving; may include moving or lifting up to 50 lbs.

3. Involves moderate risks that require safety precautions and the risk of exposure to potentially intense situations. 

4. Position requires driving to TMHA sites and county meetings.

HIPAA Security Access

This position has the highest level of access to County Electronic Health Records and the TMHA Server.

Requirements

Minimum Requirements:

1. Bachelor’s Degree in Social Work, Psychology or related Mental Health field.

2. Strong presentation skills.  Ability to plan, organize, and supervise comprehensive computerized accounting and payroll systems. 

3. Strong interpersonal skills, collaborative work style and strong oral/written and communication skills.  

4. Well defined organizational and time management skills. 

5. Ability to work independently and flexibly

6. Ability to handle intense situations, display good judgment and decision-making skills, and remain calm and clearheaded under pressure. 

7. Able to work effectively with a variety of people and personality types regardless of age, ethnicity, race, religion, sexual orientation, gender identity/expression or socio-economic level

8. Ability to possess and maintain good physical and mental health.  

9. Ability to work well within a team and maintain a professional, respectful attitude in the workplace.

10. Ability to be willing to work with supervisor oversight and direction. 

11. Attendance is an essential function of this job that requires face-to-face interaction with clients and/or other employees.

12. Ability to mindfully promote equality and respect diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us different.

13. Demonstrate the ability to successfully deliver culturally responsive services

14. Knowledge of the various dimensions of diversity, including mental health, gender, race and ethnicity. 

15. Must use reasonable precautions in the performance of one’s duties and adhere to all applicable safety rules and practices while acting in such a manner as to assure at all times, maximum safety to one’s self, fellow employees, clients, and other persons contacted through TMHA business. 

16. Conditions of employment include: 

a. Must be at least 18 years of age; possess a valid CA Driver’s License, at least 2 years driving experience and DMV driving record that meets TMHA’s current vehicle insurance requirements.  May be required to utilize reliable personal vehicle and auto insurance.  

b. Must comply with a TB assessment (possibly a TB test if needed to confirm a negative tuberculosis result) and receipt of a criminal record clearance through fingerprinting.  

c. Must be able to successfully complete CPR training.

Physical Demands:

1. Seeing

2. Hearing

3. Speaking

4. Stooping/Bending

5. Moving around office

6. Moving between offices/clients

7. Driving

8. Climbing

9. Lifting/carrying heavy items

10. Computer use

11. Pushing/pulling/dragging items

12. Standing for long periods

13. Working outside

14. Using hands/fingers