Clinical Quality Assurance Manager

<h3>Position Summary</h3> <p>The Clinical Quality Assurance Manager plays a crucial role in Centria’s efforts to ensure proper implementation of all clinical quality standards. This role will be responsible for reviewing clinical documents to evaluate their adherence to Centria’s quality standards and summarizing the findings for internal stakeholders. Working closely with the Director of Clinical Quality, they will also provide guidance and support to the Clinical Quality Assurance Specialists, mentor new team members during their orientation to the team, and co-reviewing records for interobserver agreement.</p> <h3>Duties and Responsibilities</h3> <ol> <li>Support Quality Assurance Department Clinical Review Activities <ul> <li>Process requests; obtain documents and compile information for clinical review requests.</li> <li>Report on and provide routine feedback in a quantitative format on adherence to Centria clinical quality standards, as measured by the clinical reviews.</li> <li>Log details of the review request in a trackable format to allow real-time viewing of progress.</li> <li>Store and catalog all review materials for future review if required.</li> <li>Work across multiple internal systems to ensure clinical reviews are comprehensive and accurate.</li> <li>Coordinate with clinical staff and other departments to obtain required documentation.</li> <li>Collaborate with other departments to ensure appropriate escalations, collaboration, and stakeholder inclusion.</li> <li>Provide feedback to inform potential areas of improvement.</li> <li>Monitor adherence to clinical quality elements of payor Corrective Action Plans and assist clinical and operational leaders with preparation for future clinical reviews.</li> <li>Remain up to date and trained on all necessary information systems to ensure the full breadth of a process can be examined.</li> <li>Compile and generate various reports related to clinical quality standards as required by the Clinical Excellence Department (CED), including staffing lists, utilization reports, inactivity reports, status updates, etc.</li> <li>Gather information and conduct analysis to ensure compliance with and smooth reviews by third party credentialing organizations (e.g., JCAHO, BHCOE).</li> </ul> </li> <li>Clinical Quality Assurance Specialist Support <ul> <li>Assist with other clinical quality measures, such as client satisfaction surveys.</li> <li>Participate in the implementation of new clinical quality initiatives and processes.</li> <li>Assist with ad hoc reports as needed.</li> <li>Support teammates in onboarding and ongoing mentorships.</li> <li>Conduct co-reviews to ensure interobserver agreement using Centria rubrics.</li> </ul> </li> </ol> <h3>Rate</h3> <p>$80,000 - $85,000 per year</p> <h3>Qualifications</h3> <h3>Education</h3> <ul> <li>Bachelor's degree</li> <li>Master's degree, preferred</li> <li>BCBA or BCaBA certification</li> </ul> <h3>Work Experience</h3> <ul> <li>Knowledge of ABA clinical and documentation best practices, preferred</li> <li>Knowledge of ABA terminology and clinical concepts, preferred</li> <li>Proven record of success in working in a highly detail-oriented environment</li> </ul> <h3>Equipment and Technology Requirements</h3> <ul> <li>Basic computer skills</li> <li>Working knowledge of laptop/desktop PC</li> <li>Proficiency in Microsoft Suite</li> <li>Proficiency in G Suite</li> </ul> <h3>Other Competency Requirements</h3>