QA QI Clinician – QA & Compliance

Vaga não está no LinkedIn

🕒 3 dias atrás

🏄 California – Remoto

🏄 California – Remote

💵 $120.000 - $140.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔧 Engenheiro de QA (Qualidade de Software)

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

California Mental Health Services Authority

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2009

🏥 Saúde

💼 Consultoria

⚕️ Seguro de Saúde

Healthcare • Consulting • Healthcare Insurance

A Autoridade de Serviços de Saúde Mental da Califórnia (CalMHSA) é uma entidade pública independente de administração e fiscal representando os condados da Califórnia. Focada em transformar o atendimento de saúde mental, a CalMHSA desenvolve registros eletrônicos de saúde (EHR) e promove a interoperabilidade entre vários sistemas de saúde de TI. CalMHSA apoia os condados na melhoria dos serviços de saúde mental por meio de iniciativas como intervenção precoce em psicose, desenvolvimento da força de trabalho, linhas diretas de prevenção ao suicídio e pesquisa sobre equidade e impacto comunitário. A organização trabalha em estreita colaboração com departamentos de saúde comportamental dos condados para ampliar o suporte às iniciativas de saúde mental, especialmente em comunidades carentes.

Descrição

• Lead and support quality assurance, compliance, utilization management, quality improvement, and other clinical and operational initiatives for California county behavioral health plans. • Conduct clinical documentation reviews, quality audits, and program audits for compliance with federal, state, contractual, and organizational requirements. • Monitor quality and performance measures, establish KPIs, analyze data and trends, and recommend improvements. • Develop, implement, monitor, and evaluate data-driven quality improvement initiatives. • Develop and maintain clinical resource guides, documentation manuals, policies, procedures, implementation tools, and operational resources. • Interpret behavioral health laws, regulations, contractual requirements, and guidance and translate them into operational recommendations and implementation strategies. • Develop and deliver behavioral health training programs, educational materials, and presentations. • Provide technical assistance and implementation support to county behavioral health plans. • Manage multiple projects and competing priorities while meeting timelines and maintaining high-quality deliverables. • Maintain current knowledge of behavioral health laws, regulations, contractual requirements, and industry best practices. • Collaborate with county behavioral health plans, state agencies, vendors, providers, and multidisciplinary teams. • Identify process improvements, enhance operational efficiency, and implement innovative solutions. • Handle sensitive and confidential behavioral health information in accordance with HIPAA, 42 CFR Part 2, privacy laws, and CalMHSA security policies.

🎯 Requisitos

• Current, active, and unrestricted California clinical license required: LCSW, LMFT, LPCC, Psychologist (PhD/PsyD), or equivalent California behavioral health clinical license. • Minimum 3 years of experience performing quality assurance, quality improvement, utilization management, compliance, or related quality oversight activities within California’s public behavioral health system, including county BHPs. • Demonstrated knowledge of DHCS regulatory requirements, county BHP operations, and clinical documentation standards. • Experience supporting behavioral health QA, QI, utilization management, compliance, and/or policy implementation initiatives. • Strong written and verbal communication skills. • Strong analytical and critical thinking skills. • Ability to interpret and apply federal and state behavioral health laws, regulations, policies, and guidance. • Ability to manage multiple priorities, organize complex workstreams, meet deadlines, and maintain accuracy. • Ability to collaborate with multidisciplinary teams, county partners, vendors, and stakeholders. • Proficiency with Microsoft Office Suite and ability to learn new technology platforms. • Intermediate knowledge of Excel, Word, PowerPoint, Adobe, and Outlook. • Ability to work with little or no supervision, conduct research, and ask appropriate probing questions. • Ability to handle confidential information in compliance with HIPAA Privacy and Security Rules, 42 CFR Part 2, state and federal privacy laws, and CalMHSA security policies. • Ability to work regular business hours of 8 a.m. to 5 p.m., Monday–Friday, with schedule varying according to business needs.