Quality Assurance Clinician
Reporting to the Program Director, the Quality Assurance Clinician is
responsible for overseeing the functions of quality assurance, quality
improvement, and utilization management.
Responsibilities include the monitoring of clinical services to assure
minimum quality assurance and continuous quality improvement, the supervision
and tracking of the delivery of evidence-based programs at the assigned
facility, and adherence to all CARF accreditation requirements.
Starting at $54,080.yr. DOE
ESSENTIAL DUTIES AND
and oversee the implementation of all metrics for each element of the Clinical
document, and help facilitate QR related meetings (QI, QRSUR, Health &
patient records to be audited for QRSUR
for auditing 30% of the QRSUR patient records
staff on using the auditing tool for peer audits as needed
staff on chart documentation updates and improvements.
the QRSUR results and review final results with the QRSUR committee
proper CARF documentation for QR meetings are completed and uploaded
Reviews client charts and associated records at periodic intervals to ensure
compliance with County and State requirements.
whether clients receive the appropriate level, type and amount of services in
an appropriate setting;
compliance with established record keeping standards;
the quality of services provided compared to clinical best practice guidelines.
collaboration with the Vice President of Quality Resources, Conducts Quarterly
and conduct utilization review for the facilities insurance clients on an
and monitors clinical and administrative processes to assure the quality of
care and regulatory compliance.
with the Regional Vice President of Quality Resources and Program Director or
designee develops a Quality Management Plan and system for quarterly review for
the affected program; produces associated reports.
with the Program Director or designee develops "standards of care" for program
participants; provides oversight to assure compliance with "care" standards.
or participates in workgroups to improve clinical services or processes
and provides training on relevant topics to clinicians, consumers, and Phoenix
House staff, including current EBP groups required by our contracts or Phoenix
House Clinical Leadership.
and provides Welligent specific training for staff
compliance with record-keeping standards, appropriateness of services provided,
and/or determines the need for additional services.
a variety of complex and independent activities involved in the collection,
analysis, documentation, and interpretation of data related to quality
and interpret collected data and prepare written reports and analyses setting
forth progress, adverse trends, and appropriate recommendations or conclusions.
the following reports:
Welligent Compliance Report
Case Load Audit
Welligent Compliance Report
regularly with multi-disciplinary team members concerning client and program
issues; assists in the development or modification of procedures for
improvement of services.
forms and procedures to track and compile information and apply appropriate
data analysis techniques to maintain tracking statistics.
liaison with other provider agencies' Quality Assurance, Utilization Review,
and Risk Management offices as well as related administrative departments;
represent Phoenix House on various quality audit and review committees.
abreast of new developments in the field of Quality Assurance/Improvement as
related to mental health, recommend new policies, and revise existing
policies/procedures for compliance with all applicable laws and standards.
or participates in other projects as assigned
assists in the preparation of grant proposals;
and recommends positions on policy/procedural/clinical issues, and proposals
regarding case/issue specific clinical questions
Phoenix House at meetings, training events, and conferences
technical assistance and consultation to clinicians
compliance with local, state, and federal confidentiality laws and regulations.
all required staff training sessions in accordance with Phoenix House and state
licensing requirements, completes all training on time
and participates in program and all staff meetings
to and promotes the Phoenix House Mission, Vision, and Values while acting as a
role model for others
Degree in Social Work, Marriage and Family Therapy or related field
or ACSW with current California Board of Behavioral Sciences (BBS) Registration
or LCSW with current California Board of Behavioral Sciences (BBS) Registration
maintain licensure as a condition of employment.
in Substance Abuse or Mental Health preferred
with SPAC, DMH, Community Care Licensing, and other governing bodies preferred
Trained/Certified in MAP, TF-CBT, SS Preferred
maintain a valid California Drivers' License, have proof of automobile
insurance and maintain a safe driving record based on Phoenix House policy
KNOWLEDGE, SKILLS, AND
commitment and adherence to Phoenix House Mission, Vision, and Values: I CARE
For- Integrity, Collaboration Appreciation, Respect, Excellence, and
in MS Office systems
to utilize an electronic medical record
with SPAC, DMH, Community Care Licensing, and other governing bodies
and maintain effective working relationships with others
effectively with others both orally and in writing
to work effectively in a fast-paced changing environment
to establish and consistently enforce appropriate boundaries with patients
to model positive behavior and demeanor
of addiction, co-occurring models, and treatment modalities
of adult/adolescent development and family systems
time management and organizational skills
to be flexible; problem solver, self-directed; customer service-oriented, and
and ability to engage and develop a rapport with patients and families of
in Spanish preferred
Job Location: Venice, CA
Job ID: 198