REACH Quality Specialist l

Remote, USA Full-time
The Richmond Behavioral Health Authority is seeking a Quality Specialist to join our REACH Team! The successful candidate will perform intermediate skilled administrative support work to include high volume data entry, conducting chart audits of the Program to ensure charts meet Medicaid, Licensure and RBHA standards for documentation, identifying staff training needs, and reviewing REACH incident reports and ensuring appropriate action, follow-up and documentation, and related work as apparent or assigned. Work is performed under the limited supervision of the REACH Quality Manager. This position is fully telework. Essential Functions Completes a high volume of data entry and maintenance of several Excel spreadsheets and data platforms. Conducts on-site and online chart reviews/ audits for REACH residential and community-based services. Conducts on-site physical inspections at the Adult/Child CTH and ATH Assists with submission of billing authorization requests. Participates in data collection for DOJ and Prevention Services ensuring accuracy of information, and entering into state Behavioral Health Link platform. Identifies staff training needs; conducts and/or arranges for trainings based on findings from audits and data reviews. Reviews incident reports for the program; ensures appropriate action, follow-up and documentation by REACH personnel. Identifies quality improvement and risk management needs and develops necessary strategies to mitigate risks. Aids in the development of new processes, policies and procedures, etc. to ensure compliance with all regulatory bodies. Other responsibilities as requested. Knowledge, Skills and Abilities Thorough knowledge of the principles, standards, practices and techniques of clinical practices in a behavioral health setting; thorough knowledge of best practices/standards of consumer care, documentation and quality control; thorough knowledge of treatment, assessment, and related services to include ancillary and medical services for the behavioral health consumers served by the agency in the areas of mental health, substance abuse and intellectual disabilities; thorough knowledge of local and State rules, regulations, procedures and policies pertaining to behavioral health services; ability to accurately maintain confidentiality of medical records and reports; ability to establish and maintain effective working relationships with associates, supervisors, consumers and the general public. Apply tot his job
Apply Now

Similar Jobs

Clinical Risk Management Analyst (Registered Nurse) - Day Shift, Mon - Fri

Remote, USA Full-time

Manager, Governance Risk & Compliance (HITRUST Certified) - Healthcare Consulting - Remote

Remote, USA Full-time

Director, Prospective + Concurrent Risk Adjustment Products

Remote, USA Full-time

Executive Underwriter, Healthcare Risk Solutions

Remote, USA Full-time

Sr Bus Enterprise Risk & Controls

Remote, USA Full-time

Coding Quality Auditor, HEDIS *Remote - Many States Eligible*

Remote, USA Full-time

Junior Investment Analyst & Trader (Investment Strategy)

Remote, USA Full-time

Guest Service Representative-Doubletree by Hilton

Remote, USA Full-time

Senior Health Care Systems Analyst

Remote, USA Full-time

Hedge Fund / SPV Due Diligence Specialist (Investment + Operational DD)

Remote, USA Full-time

Experienced Full-Time Customer Service Representative - Work From Home at Blithequark - Earn Up to $35/Hour with Comprehensive Benefits

Remote, USA Full-time

Experienced Retail Customer Service Associate – Athletic Sneakers and Apparel Enthusiast for Exceptional In-Store Experience

Remote, USA Full-time

**Experienced Customer Service Representative – Work From Home Opportunity at blithequark**

Remote, USA Full-time

Experienced Part-Time Online Chat Support Agent – Delivering Exceptional Customer Service through Remote Work Opportunities

Remote, USA Full-time

Experienced Customer Sales and Service Representative – Delivering Exceptional Customer Experiences through Technology and Innovative Solutions at blithequark

Remote, USA Full-time

Experienced Data Entry and Market Research Specialist – Remote Work Opportunity with arenaflex

Remote, USA Full-time

Experienced Customer Care Manager – Quality & Training Leadership with AI-Driven Innovation

Remote, USA Full-time

Data Engineer DBT, Databricks & SQL :: Remote

Remote, USA Full-time

Experienced Live Chat Customer Support Assistant – Fully Remote Text Chat Operator Position for Career Growth and Development

Remote, USA Full-time

People Ops Partner (German speaker)

Remote, USA Full-time
Back to Home