Behavioral Health Quality Specialist
ABH® is committed to being the Employer of Choice. We were awarded one of the Best Places to Work in Connecticut in 2007 for demonstrating best practices. If your qualifications match these job requirements and you are interested in pursuing this potential position and joining a dynamic company, please apply on-line at www.abhct.com. include resume, letter of interest and salary requirements/range.
ABH® is an Equal Opportunity Employer
The Behavioral Health Quality Specialist (BHQS) oversees the various technical and administrative activities supporting the guidelines of the Intensive case Management Program (ICM). The BHQS is the primary link between the BHRP clinical authorization program and the ICM Program. BHQS are responsible for working with providers and the Program Manager, Regional Coordinators and Recovery Specialists to obtain Releases of Information (ROI), and then assign and, monitor, cases This position will represent ABH® and its services in a positive and professional manner and adhere to ABH®’s best practices, guidelines, policies and procedures as established, promoting ABH® as a leader in behavioral healthcare in all interactions and work.
DUTIES AND RESPONSIBILITIES:
- Identification and Assignment of individuals that meet ICM program criteria using ABH® databases by reviewing information to make an appropriate determination about assignment to Recovery Specialist and recommendations about intervention types and frequency; client assignments will take into consideration such factors as primary location of client, existing caseload distributions of Recovery Specialists, client cultural background, complexity of client’s needs and social risk factors, acuity of client’s symptoms and risk of dangerous behaviors and staff competencies.
- Track admissions into treatment and notify assigned case manager in order to maintain continuity on service planning;
- Monitor client records and case management documentation for quality assurance and ensures accurate entry and compliance to all program requirements and outcomes.
- Provide telephone support for incoming calls, ensuring prompt voice response to consumers or providers requesting case management services. This support includes answering incoming calls on the ABH® toll-free line; obtaining basic information from the caller and determining the appropriateness of case management services as quickly as possible;
- Prepare and analyze monthly reports to determine productivity and activity levels, client enrollments and other outcome based data as requested.
- Attend all required staff, supervision and training meetings (held throughout Connecticut);
- Maintains confidentiality of all client protected health information and adheres to all HIPPA related policies and procedures; works with providers and staff to obtain the necessary Release of Information
- Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds;
- Attends URAC trainings specific to job duties;
- Attends annual Conflict of Interest training;
- Performs other tasks/responsibilities as required to support the business operations.
SUPERVISORY DUTIES AND RESPONSIBLITIES:
May be responsible for the supervision of the Recovery Specialist. This includes; but is not limited to establishing and maintaining a working environment conducive to positive morale and teamwork; recruit and hire qualified employees; provide orientation and on-the-job training for staff. Establish short and long term goals that are both measurable and obtainable to meet contract requirements and ensure that these expectations are clearly communicated and understood by all direct and indirect reports. Review and approve all applicable timesheets. Oversee the daily responsibilities of direct reports to ensure that ABH®policies and procedures are being followed and the program/department goals are being met. Provide year-round feedback to employees, counseling, coaching, and training resources and support as necessary. Refer performance concerns/issues to next level Manager & Human Resources Department for advice, next steps and appropriate action. Complete timely staff performance evaluations outlining clearly defining goals/expectations, secure applicable signatures/approvals and process paperwork.
EDUCATION AND EXPERIENCE REQUIREMENTS:
- Master’s level with at least five years of experience in behavioral health care setting required;
- Demonstrated leadership, organization and planning skills;
- Strong attention to detail; ability to work on multiple tasks and meet deadlines;
- Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet;
- Strong written and verbal communication skills required.
We are an Equal Opportunity Employer.
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