Behavioral Health Quality Assurance Analyst

• Company Description
• America's Community Council (ACC) is a premier non-profit organization serving all communities in Southeast Michigan. Their services include human services delivery, counseling, employment training, and placement, aiming to empower individuals and strengthen communities. Headquarters based in Troy, MI, ACC is committed to improving lives through tailored support and advocacy.

• Role Description
• This is a full-time, on-site role for a Behavioral Health Quality Assurance Analyst based in Detroit, MI. The professional will play a vital role in ensuring the quality and effectiveness of behavioral health services within our organization. The Analyst will be responsible for evaluating, monitoring, and improving the delivery of behavioral health care services to ensure they meet regulatory standards, organizational policies, and best practices. The Analyst will involve analyze data, implement quality improvement initiatives, and collaborate with interdisciplinary teams to enhance the overall quality of care provided to clients.

• Facilitate the implementation and maintenance of organizational Quality Improvement activities related to programs and services currently being offered.
• Facilitate development and implementation of clinical record documentation monitoring systems to ensure compliance with current policies and procedures as well as funding sources and third-party payer documentation requirements.
• Generate individual and aggregate reports on clinician documentation performance.
• Conduct Quality Assurance meetings and facilitate review and reporting processes.
• Provide direct supervision to clinical staff at the various locations as needed.
• Training and Education: Provide training, education, and support to staff members on quality assurance principles, processes, and tools.
• Coordinates audit and review preparation and responds to audit accreditation, licensing reviews by developing and recommending plans of correction.
• Serves as an advisor for the interpretation of CARF standards, Medicaid, and state mental health code, rules, and regulations and coordinates activities for the accreditation process.

Qualifications

• Master's degree in psychology, social work, counseling, public health, or a related field, professional license required (LMSW, LLP, LMSW, LPC).
• Minimum of two years of experience in quality assurance, performance improvement, or a related role in the behavioral health field.
• Minimum five years related mental health experience preferred.
• Comprehensive understanding of managed care and knowledge of county Quality Improvement procedures.
• Strong knowledge of behavioral health care delivery systems, regulatory requirements, and accreditation standards, KPI standards set by county contracts.
• Excellent analytical skills with the ability to collect, interpret, and present data effectively.
• Proficiency in using computer applications and software for data analysis and documentation purposes, use in EMR.
• Certification in quality management (e.g., Certified Professional in Healthcare Quality - CPHQ) is a plus.
• Experience working with non-profit organizations is a plus