Quality Assurance Specialist, Behavioral Health

Administrative San Mateo, California


Description

 

Position Title:    Quality Assurance Specialist, Behavioral Health

Department:      P90
Reports to:         Quality Management Supervisor
Classification:   Regular, Full-Time, Non-Exempt
Salary Range:  $30 - $34/Hr + Full Benefits Package

Prepared By:          David Meeds

Prepared Date:     Updated 9/11/23

Approved By:        Drishti Verma

Agency Description:
 
Caminar and our divisions transformed the lives of over 31,000 youth and adults across San MateoSanta ClaraSan FranciscoSolano, Contra Costa, and Butte counties last year through education, behavioral health care, and support. Driven by compassion, science, and our understanding of root causes, we deliver high-quality prevention, treatment, and recovery services to those with complex mental health, substance use, and co-occurring needs. 
We understand that quality behavioral health outcomes occur when a person is supported in all their basic human needs, and we actively partner with our clients and the community to address the social determinants of health that lead to sustained well-being. We are here to empower and support the most vulnerable members of our community to move toward wellness, resilience, and independence.
Caminar values diversity. People of all races, ethnicities, countries of origin, faith, abilities, sexual orientations, gender identities are welcome here. 

 

About Us: Caminar and our divisions transformed the lives of nearly 17,000 youth and adults across Contra Costa, San MateoSanta ClaraSan FranciscoSolano, and Butte counties last year through education, behavioral health care, and support. Driven by compassion, science, and our understanding of root causes, we deliver high-quality prevention, treatment, and recovery services to those with complex mental health, substance use, and co-occurring needs. 

 

Position Summary:

This position must be available to assist the Program management in auditing all documentation for accuracy and efficiency following all program contract requirements and guidelines. Consistency and judgment concerning the documentation will be very important for organizing and providing management reporting.  On occasion this position may be required to provide routine client case management services and to perform supportive administrative tasks.

 

Essential Duties and Responsibilities include the following.  Other duties may be assigned as needed.

  • Runs Credible reports as required by Management
  • Does random checks on specific clinical transactions (individual, case management, crises, etc.) to check for accuracy
  • Checks Client’s Attendance Sheets against Counselors’ entries in Credible
  • Reviews admissions for admin content and accuracy and medical necessity
  • Monitors Services Rendered Documents for accuracy
  • Monitors the accuracy of information entered in Credible
  • Tracks LPHA and MD signatures on documents in Credible
  • Updates IOP/OP Compliance Review Charts
  • Reviews Discharged Charts for admin content
  • Updates spreadsheet(s)
  • Other tasks as they are identified in the DMC-ODS regulations
  • Reports deficiencies to Clinical Supervisors and Administration Supervisors
  • Actively nurture and advance the cooperative, harmonious and teamwork oriented environment Caminar strives to promote within the workplace; Through daily efforts and presentation promote an atmosphere of dignity and respect in line with the organization’s mission, philosophy, policies and procedures. 

 

Supervisory Responsibilities                                                    

No supervisory responsibilities for this position.

 

Competencies: To perform this job successfully, an individual should demonstrate the following competencies:

  • Analytical - Designs work flows and procedures.
  • Design - Generates creative solutions; Uses feedback to modify designs; Demonstrates attention to detail.
  • Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
  • Project Management - Coordinates projects; Communicates changes and progress.                  
  • Interpersonal Skills - Maintains confidentiality.
  • Written Communication - Able to read and interpret written information.
  • Teamwork - Balances team and individual responsibilities; Gives and welcomes feedback.
  • Quality Management - Demonstrates accuracy and thoroughness.
  • Ethics - Works with integrity and ethically.
  • Organizational Support - Follows policies and procedures. Timely completion of administrative tasks.
  • Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position.
  • Quality - Demonstrates accuracy and thoroughness.
  • Quantity - Completes work in timely manner.
  • Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines.
  • Adaptability - Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events.
  • Attendance/Punctuality - Is consistently at work and on time.
  • Dependability - Follows instructions, responds to management direction.
  • Initiative - Asks for and offers help when needed.

 

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Experience – 2-3 years of experience with databases and documentation accuracy.
  • Education – Bachelor’s degree required. CADC and Master’s degree preferred.
  • Language skills – Ability to effectively present information in one-on-one and small group situations to other employees and management of the organization.
  • Computer Skills – To perform this job successfully, an individual should have strong knowledge of Database Software, Spreadsheet software, and Word Processing software.
  • Certificates, Licenses, Registrations – Certificates of training optional.
  • Other Skills and Abilities – Bi-lingual preferred, but not required.

 

Physical, Environmental and Mental Requirements:

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

  • Physical: Occasionally required to push/pull objects up to 50 lbs. and to lift/carry objects up to 25 lbs. frequently required to perform moderately difficult manipulative tasks such as typing, writing, etc. Must be able to walk, stand, and sit for extended periods.
  • Sensory: Frequently required to read documents, written reports, and plans. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with residents and staff, etc. Must be able to speak clearly and understand/be understood using the English language.
  • Cognitive: Frequently required to concentrate on moderate detail with constant interruption. Must be able to attend to a task/function for 20-45 minutes at a time. Frequently required to understand and relate to specific ideas, several at a time. Must be able to remember multiple tasks/assignments given to self and others over a period of several days.
  • Environmental Conditions: Frequent exposure to varied office and mixed (residential/office) environments. Occasional exposure to toxins and poisonous substances, dust, and loud noises.
  • Equipment: Frequently required to use a computer, phone, and fax machine.

 

Special Requirements:

  • Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Caminar practices.
  • This position requires frequent driving. A valid California driver license, reliable personal vehicle, current personal auto insurance as required by law, and an MVR sufficient to obtain and reasonably maintain insurability under agency auto liability policies are all essential job requirements. 
  • Must be able to pass post offer, pre-employment medical and drug tests as required under State Community Care Licensing regulations and/or agency policies.
  • A personal cell phone with reliable service and, if applicable, a data plan to use for business purposes.

 

We've Got You Covered

Medical, Dental, and Vision
Health coverage choices to fit you and your family’s needs. A zero-cost option for employee only and generous contributions to employee and dependent premiums.

Flexible Spending Account
Receive tax savings on out-of-pocket health care costs.

Employee Wellness Program
We’ll reimburse you for a portion of your gym/fitness dues.

Life, Long-term Disability,and AD&D Insurance
Provided at no cost to our full-time employees. Includes an option to purchase additional life coverage for both employees and dependents.
 

Paid Time Off
We offer twelve paid holidays and a generous sick and vacation benefit.

401(K) Retirement Savings Plan
We offer options for both pre-tax and post-tax (Roth) contributions. 
 The plan also offers an employer match on eligible employee deferrals at one year of service.

Commuter Benefits
Commuting to work each day can be expensive. Receive tax savings on your commuting costs!
 

Employee Assistance Program
 For whatever issue you might face, our Life Assistance Program offers free, confidential assistance at no cost to you.


Caminar is a leader in providing innovative client-oriented mental health services.  We are an equal opportunity employer.  Please visit our web site at www.caminar.org