Clinical Quality Specialist

Clinical Quality Specialist (Full-time) (Santa Ana, CA)

Reporting to the Director of Training and Quality Assurance, the Quality Assurance Specialist is responsible for overseeing the functions of data collection and analysis, data reporting, quality assurance, and quality improvement. Responsibilities include the collection and analysis of data to ensure contract requirements are met along with minimum quality assurance and continuous quality improvement, and adherence to all DHCS, SAPC, and CARF requirements.

• Collect, evaluate, analyze, and report data to ensure contract and grant requirements are met.
• Prepare written reports and analyses setting forth progress, adverse trends, and appropriate recommendations or conclusions.
• Drive the tools and analysis necessary to improve decision making and performance across all programs.
• Generate weekly and monthly reports utilizing Electronic Health Record to measure compliance and report program progress to county and state funders.
• Work with IT and QA team members to develop QI monitoring tools and reporting tools/reports.
• Develop a Quality Management Plan and system for quarterly review with the Director of Training and Quality Assurance.
• Ensure proper CARF documentation for QR meetings are completed and uploaded.
• Review client charts and associated records periodically to ensure compliance with County, State, and CARF requirements.
• Assess whether clients receive the appropriate level, type, and amount of services in an appropriate setting.
• Assure compliance with established record‑keeping standards.
• Evaluate the quality of services provided compared to clinical best‑practice guidelines.
• Assist and conduct utilization review for the facilities’ insurance clients as needed.
• Develop and monitor clinical and administrative processes to assure quality of care and regulatory compliance.
• Enter client data and new staff data into the Electronic Health Record as needed.
• Develop standards of care for program participants in collaboration with the Program Director or designee.
• Lead or participate in work groups to improve clinical services or processes.
• Plan and provide training on relevant topics to clinicians, consumers, and Phoenix House staff.
• Plan and provide Electronic Health Record specific training for staff.
• Assess compliance with record‑keeping standards and determine need for additional services.
• Perform a variety of complex and independent activities involved in the collection, analysis, documentation, and interpretation of data related to quality improvement.
• Meet regularly with multidisciplinary team members concerning client and program issues.
• Develop forms and procedures to track and compile information and apply appropriate data analysis techniques.
• Maintain liaison with other provider agencies’ Quality Assurance, Utilization Review, and Risk Management offices.
• Stay abreast of new developments in Quality Assurance/Improvement and recommend new policies.
• Assist in the processing of records requests.
• Lead or participate in other projects as assigned.
• Assist in the preparation of grant proposals.
• Analyze and recommend positions on policy/procedural/clinical issues and proposals.
• Consult regarding case/issue specific clinical questions.
• Maintain provider relations.
• Represent Phoenix House at meetings, training events, and conferences.
• Provide technical assistance and consultation to clinicians and staff.
• Ensure compliance with local, state, and federal confidentiality laws and regulations.
• Attend all required staff training sessions in accordance with Phoenix House and state licensing requirements, completing all training on time.
• Attend and participate in program and all staff meetings.
• Adhere to and promote the Phoenix House Mission, Vision, and Values while acting as a role model for others.
• Other duties as assigned.

The incumbent in this position has no supervisory responsibilities.

• Registered QA Specialist:
  High school diploma or equivalent; registered as an Alcohol and Drug (AOD) Counselor recognized by DHCS.
• Certified QA Specialist:
  Minimum of a high school diploma or…