Quality Improvement Lead

🕒 Setembro 1

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $133.000 - $148.000 / ano

⏰ Tempo Integral

🟠 Sênior

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Lyra Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2015

🏥 Saúde

⚕️ Seguro de Saúde

☁️ SaaS

💰 $235.000.000 Series F em 2022-01

Healthcare • Healthcare Insurance • SaaS

A Lyra Health é uma empresa de saúde mental que faz parceria com organizações para oferecer benefícios de saúde mental abrangentes e eficazes para a força de trabalho global. Ao fornecer cuidados de saúde mental baseados em evidências, a Lyra Health melhora o bem-estar dos funcionários e gera impacto nos negócios. Sua plataforma oferece suporte de saúde mental de alta qualidade por meio de uma rede global de profissionais, utilizando tecnologia de correspondência por IA para conectar rapidamente os membros a provedores adequados. A Lyra Health atende famílias, casais, adultos e crianças, oferecendo suporte para diversas necessidades de saúde mental. Seus programas visam melhorar a saúde dos funcionários, a produtividade e reduzir custos com saúde, oferecendo uma experiência perfeita aos membros.

Descrição

• Lead Behavioral Health Performance Improvement activities • Track performance trends and incidents and conduct Root Cause Analysis • Ensure high-quality and culturally responsive care • Lead continuous survey readiness activities, including mock surveys and tracer methodology • Interpret and operationalize regulatory requirements into clinical workflows and policies • Ensure contracted services meet accreditation standards and comply with applicable regulations, including The Joint Commission Behavioral Health standards • Conduct chart audits covering timely assessments, treatment plans, medical necessity, and discharge planning • Identify risks, implement corrective actions, and partner with supervisors on provider documentation issues • Track key metrics and support OPPE and FPPE processes for licensed providers • Develop dashboards and reports for leadership review • Educate staff on documentation, risk assessment, incident reporting, and quality improvement processes • Support competency validation and address performance gaps with leadership • Coordinate the Behavioral Health Quality/Performance Improvement Committee • Partner with Risk Management/Compliance on investigations and mitigation strategies • Support Performance Improvement plan development and annual evaluation • Analyze, develop, and monitor clinical QI activities for compliance with customer guarantees • Lead clinical quality audits with benefits and customer teams • Investigate and resolve behavioral health quality-of-care complaints and grievances • Perform other duties as assigned

🎯 Requisitos

• Master’s or doctoral degree from a behavioral health clinical track (e.g., LCSW, LMHC, LPC, MSW, LMFT, Ph.D, Psy.D.) • Current unrestricted license to practice within the United States • 3+ years in behavioral health, quality improvement, or compliance, with experience in chart audits, incident review, and regulatory surveys • Strong understanding of Behavioral Health clinical workflows and documentation requirements • High attention to detail and regulatory compliance • Knowledge of performance improvement methodologies (PDSA, Lean, Six Sigma) • Data analysis and interpretation skills • Ability to collaborate with multidisciplinary teams and influence practice change • Strong understanding of mental health conditions, empirically supported treatment options, and patient progress evaluation • Knowledge of cultural, linguistic, and socioeconomic differences in client populations • Ability to interact through secure virtual platforms and maintain privacy and security of confidential data • Proficiency with Electronic Health Record(s) and accurate, timely documentation • Ability to stay current with applicable training and advances in virtual healthcare delivery • Ability to think critically and adjust processes based on client needs • Collaboration and interprofessional communication skills • Understanding and compliance with system policies, protocols, and processes • Adherence to legal and ethical healthcare standards, patient confidentiality, and HIPAA-compliant documentation and communication • Ability to manage multiple tasks, schedules, priorities, records, and timely follow-up

🏖️ Benefícios

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances) • Lyra for Lyrians; coaching and therapy services • Equity in the company through discretionary restricted stock units • Competitive time off with pay policies including vacation, sick days, and company holidays • Paid parental leave • 401K with up to 3% matching • Monthly tech allowance • Well-being perks and activities • Surprise swag • Regular community celebrations