Program: Wind River Family & Community Healthcare
Salary: Depends On Experience
Opening Date: 11-26-2020
Closing Date: Open Until Filled
Hours: Generally Monday-Friday, 40 Hour Work Week
Addiction treatment is a complex disease that is stigmatized, misunderstood, and difficult to treat. To guide its own operation and to assist in the consumer’s search for appropriate care, treatment providers must be accurate and transparent in describing the disease and the services available to address it. The Quality Assurance Specialist is focused on establishing a strong standard for treatment service delivery, below which no provider should fall, and at which level proficient services will be delivered.
Reviews clinical files from providers, and reports to clinical coordinator any necessary corrections;
Assists with filing as needed;
Reviews process and paperwork with intake, assessment, admission, and treatment planning, and patient placement information to ensure conformity with standards;
Reviews and updates ACCUCARE regularly to assure compliance with client processes;
Provides follow up to previous clients with quality service questionnaires and surveys;
Provides monthly service reports to all clinicians, providers, prevention staff and Management Team;
Meet with outside agencies and programs to measure the level of effectiveness of the program;
Meets with compliance board to discuss quality service issues;
Reviews and files all critical incident reports.
Ensuring compliance with relevant regulations including Indian Health Service standards and certifying agency standards.
Advise staff in the management of records and information to ensure compliance with all confidentiality laws including HIPAA and 42 CFR Part 2.
Completes paperwork requirements to maintain quality, up-to-date clinical records, including progress notes and other relevant information, enter the necessary information into the electronic health record (EHR) system, ACCUCARE.
Strive to maintain client centered practices by integrating family and positive support systems.
Reinforcing staff adherence to ethical practices and professional boundaries.
Maintaining and modeling a close collaborative working relationships with community resources to ensure quality care is being provided.
Model and support health and wellness activities and healthy coping skills for clients;
Maintain professional standard of conduct, and model recovery type behavior. Adhere to NAADAC Code of Ethics, as well as policies and procedures.
Works with the billing department to pass along all compliant billable visits for billing to process payment.
Work to resolve conflicts at the team level and effectively use supervision and management for further conflict resolution.
Attend all mandatory training and staff meetings.
Provide coverage assistance to co-workers within the administration department.
Other duties as assigned.
Knowledge, Skills, and Abilities:
Minimum of an associate’s degree in human services, addictionology, psychology or a related field; Prefer a Bachelor's Degree.
Knowledge and understanding of confidentiality rules and regulations including HIPAA and 42 CFR Part 2
Must have at least three (3) years of experience working in the Substance Abuse/Human Services field
Must have knowledge of the Substance Abuse Standards of Indian Health Service, State of Wyoming, Centers for Medicaid and CARF international.
First Aid and CPR current certification
Must be self-motivated and organized.
Must have excellent computer skills and ability to navigate the Electronic Health Record
Must have two (2) years of continuous recovery of being clean and sober.
Must have a verifiable driver’s license.
Must complete comprehensive background investigation.
EDUCATION and EXPERIENCE:
Graduate degree program with a concentration in addictionology, chemical dependency, or substance abuse from an educational institution accredited by one of the regional or national institutional accrediting bodies recognized by the Council for Higher Education Accreditation (CHEA), along with any supporting certifications such as BLS and other necessary competencies (e.g., ACLS, TNCC, PALS, etc.).
Some weekends and nights may be required.
The work environment involves risks and discomforts of a patient care setting including exposure to communicable diseases, working with office machines, and computers. The demand of computer terminals and keyboards for long periods of time that may cause eye, shoulder, and wrist strain. Work is performed in a smoke-free office setting. There is adequate light, heat, and ventilation in the work area.
The Administrative Manager defines the overall goals and priorities and is available for guidance with unusual problems.
The Administrative Manager relies on the Quality Assurance Specialist for the knowledge, skills and abilities to independently perform his/her assignments.
The Administrative Manager periodically reviews the work for the results, technical accuracy and conformity to policy and regulatory requirements.
The Administrative Manager places considerable reliance upon the Quality Assurance Specialist’s ability to work directly with providers and staff.
Guidelines include numerous facility policies, Federal and State law as applicable, and other requirements as necessary. Guidelines are general and not cover all areas encountered in work performed. Interpretation of vague or unclear situations in which no precedent has been established is referred to the supervisor.
The Quality Assurance Specialist makes decisions in processing of all paperwork. It is important to maintain an open line of communication with all staff.
Scope and Effect:
Work involves contact with the patient and accessing patient health information for job duties.
Personal Contact/Purpose of Contacts:
Contacts are with counselors, case managers, peer specialists and administrative employees within the immediate organization of the work unit.
The work is primarily sedentary. There may be some walking or carrying light items such as manuals or files. Good eye/hand coordination is required.
Other Significant Factors:
It is of high importance to provide good customer service to clients, co-workers, and other departmental staff. Maintain professionalism in the work environment.
The incumbent must maintain strict confidentiality and high ethical standards in performing the position. The incumbent needs to be respectful, possess cultural awareness and sensitivity, be flexible, and demonstrate sound work ethics.
HOW TO APPLY: