Quality Assurance Coordinator - Madras, OR

BestCare Treatment Services in Madras is recruiting for a Quality Assurance Coordinator position! This is a Full Time regular position that includes employer-paid health benefits, FOUR WEEKS of paid time off, NINE recognized holidays, and a retirement account.

General Duties:  The role of the Quality Assurance Coordinator is to assist with routine chart reviews/audits to ensure compliance with Medicaid rules, and to assist with the development, organization, coordination and implementation of the quality management program for BestCare Treatment Services.  The Quality Assurance Coordinator works closely under the supervision and direction of the Quality Manager to assist with quality-related issues, including file documentation, industry compliance standards, data entry/gathering, and staff trainings to improve delivery of treatment services.  

Specific Duties:

  • Assists the Quality Manager with the development, organization, coordination and implementation of the quality management program for BestCare Treatment Services in collaboration with the Program Director, clinical supervisors and other agencies/organizations as directed.
  • Assists with the development and implementation of the internal Continuous Quality Improvement Plan, and routinely monitors the plan, providing reports to the Quality Manager regarding compliance/progress toward initiatives identified on the plan.
  • Assists with federal, state, regional and local site visits, including preparing necessary documents/materials, pulling reports/records, obtaining clearance for access to clinical records under state/federal mandates, providing technical support to auditors as needed and monitoring of compliance for corrective action plans. 
  • Performs data entry/gathering from a variety of databases and sources, and provides data submissions to the Quality Manager on a routine basis.
  • Assists with generating reports, both internally and for external community partners and contracted agencies/organizations.
  • Works collaboratively with Program Director and clinical supervisors to identify and develop quality improvement performance indicators to guide change and improve outcomes.
  • Assists with monitoring compliance of the Performance Metrics outlined in the regional Coordinated Care Organization (CCO) contract, and assists with strategies to achieve identified metrics.
  • Performs routine internal audits of clinical charts/documentation to ensure compliance with Medicaid regulations and other regulatory entities.
  • Assists with research efforts for quality-related initiatives.
  • Attend regularly scheduled local quality meetings, clinical staffings and regional meetings as directed. 
  • Routinely reviews Oregon Revised Statutes, Oregon Administrative Rules and the Oregon State Integrated Service and Support Rules to monitor for updates/revisions.

Minimum Requirements:
Experience coordinating and performing quality assurance or quality improvement activities in health care settings, preferably in behavioral health. Must be able to gather and analyze data, prepare reports and assist with the development of programs and protocols which maximize the delivery of high-quality services to our members, and provide technical assistance to our program staff. Must be a self-starter and demonstrate initiative and also able to take direction when necessary.  Must be able to handle multiple priorities while remaining composed, and able to see the larger picture beyond the details. Must be detail oriented and punctual.  Must be collaborative and possess strong communication skills, both orally and in writing.  Regular and consistant attendance is crucial for this position.  Graduate or Bachelor's degree in behavioral health or related field is preferable;  qualified applicants with a combination of education and experience in lieu of a formal degree may be considered. A pre-employment, post-offer background check will be conducted for this position.

Specific Qualifications for Position:

  • Thorough knowledge of principles and practices of health administration, quality assurance, and performance improvement.
  • Knowledge of the Oregon Health Plan Medicaid program.
  • Ability to interpret and apply rules, regulations, policies, procedures, and contract requirements as they relate to community behavioral health programs.
  • Ability to identify and analyze issues and problems from multiple perspectives, identify solutions and recommend appropriate action.
  • Knowledge of organizational policies, procedures and processes.
  • Knowledge of quantitative and qualitative analysis and statistical research methods, techniques, and procedures.
  • Experience preparing comprehensive reports and making public presentations.
  • Ability to plan and conduct audits, monitor program compliance and recommend operational improvements.
  • Ability to document processes and procedures and keep workflows functioning over extended periods of time.
  • Ability to communicate effectively, both orally and in writing.
  • Ability to work on concurrent tasks in a fast-paced environment while effectively prioritizing and coordinating work assignments to meet deadlines and due dates.
  • Experience in using a variety of computer software applications.

Tool and Equipment Used:
Computer, printer, telephone, power point machine, fax machine.

Physical Demands:
The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing this job, the employee is regularly required to reach with hands and arms. The employee is frequently required to stand, walk, and use hands to handle, feel, or operate objects or controls. The employee is occasionally required to sit; climb or balance; stoop, kneel, crouch, or crawl; and talk and hear. The employee must occasionally lift and/or move up to twenty (20) pounds. Specific vision abilities required by this job include close vision and the ability to adjust and focus. The position also includes the ability to operate a motor vehicle.

Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position requires regular and consistent attendance on site. The position requires the employee to dress in a professional manner that meets the standards for professional employees in Jefferson County (casual but neat and clean).

To apply, please send cover letter, resume and three supervisory references to careers@bestcaretreatment.org. 

Are you or a loved one struggling with addiction?
Call us at 541.504.9577