Clinical Quality Analyst; FBH Quality Management Analyst

Clinical Quality Analyst (FBH Quality Management Analyst)

Are you wanting to join an amazing Operations Team doing Clinical Quality Management Analyst and Administrative Tasks as our new Family Behavioral Health Quality Management Analyst?

Tukwila, WA

Catholic Community Services, Family Behavioral Health is looking for a Quality Management Analyst reporting to our Clinical Operations Manager in the Tukwila location.

We are a values-driven organization, providing family-oriented behavioral health care for children, youth and families, primarily in their own homes and communities. Our enthusiastic clinical teams provide whatever is needed to help children and youth remain safely in their own homes, restoring hope, providing intense mental health services and support, and helping to strengthen the family unity.

With sites located in Tukwila, Burien, North Tacoma, University Place, Olympia, Shelton, Bremerton, Aberdeen, Yelm, Vancouver (Salmon Creek and Oakview) and Portland, Oregon, we offer comprehensive, wrap-around mental health services to a diverse population of families. We employ almost 800 caring and compassionate employees.

Compassion, Diversity, Strength-Based Approach, Social Justice & Our Staff!

• Starting Base Pay Range: $30.58 - $34.02

• Medical
• Dental
• Vision Insurance
• Life Insurance (1× annual salary)
• Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension
• 11 paid holidays; plus 1 personal holiday each year!
• 3 weeks’ vacation hours earned during the 1st year
• 12 sick days per year

• Take lead responsibilities, along with Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations. This includes training and implementing office strategies and providing ongoing training for compliance oversight and prevention of Medicaid Fraud and Abuse.
• Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated Audit and compliance reviews.
• Conduct systematic site encounter reviews to verify accuracy of data entry and charting, ensuring errors are corrected and encounters are documented accurately.
• Participate in county, state and federal data integrity audits and reviews.

• Provide oversight for tracking of safety crisis plans, ensuring timely and accurate completion of crisis plans and document entry into case file.
• Assist Clinical Operations Manager in training staff in various CQI areas that include Medicaid Fraud and Abuse.
• Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to FBH system leadership.
• As part of the site CQI team, represent FBH at MCO/BHO Provider CQI meetings and trainings.
• Participate in regular CCS administrative team meetings.

• Develop and distribute reports to leadership, both routine and ad hoc, including staff activity, consumer encounter outcome and service reports. These reports are vital to clinical oversight by clinical supervisors and are used to track clinical intensity and service outcomes.
• Ensure consumer information is accurate at all times, tracking consumers by service type at intake and exit using current data collection system so that site clinical outcomes can be evaluated.
• Work with data and report tracking in EHR to develop and distribute tracking reports to leadership, both routine and ad hoc, ensuring accuracy of data and compliance with required timelines for clinical chart documentation.
• Work in tandem with clinical staff to review Carelogic data and outcome reports and provide feedback to Clinical Supervisors on CQI quality of their staff.
• Complete the risk summary report for all incident reports that are submitted by staff to be turned in with the CQI quarterly reports.
• Maintain the tracking and inputting of the 90 day and discharge Child and Adolescent Needs and Strengths assessment and provide data to the WISe Referral Coordinator.

• Create, update and make available to staff BRS, FAST and Behavioral Health forms in charts.
• Maintain an adequate supply of intake packets and blank clinical charts.
• Maintain master copy of clinical forms and ensure an adequate supply to all staff.
• Create and maintain electronic version of clinical form, including updates as required by BHO/MCO and Federal/State requirements and train staff in their use.
• Support the supervisors and staff with ongoing peer review protocol and process.
• Assist the Clinical Operations Manager and Supervisors to regularly schedule peer reviews and other CQI training courses.
• Support staff in participating in these regularly scheduled events.
• Provide technical support to Clinical staff in file…