Oversees clinical utilization reviews as well as trainings on quality clinical documentation and practices. Also practices continuous quality improvement to ensure agency provision of excellent care and preventive services that are effective, patient-centered, timely, efficient, safe, and equitable. Works primarily with substance Abuse Prevention and Control (SAPC) programs and Crisis Residential Treatment Programs (CRT). Primary Duties Compliance Conducts chart audits to ensure compliance, accu... more details
Quality Improvement Clinician - SAPC and CRT (Sepulveda Health & Innovation)
This position is remote. The pay range for this position is between $66,820 - $74,245 annually.
About Didi Hirsch
Didi Hirsch Mental Health Services has been a national leader in whole-person mental health, crisis care, and substance use services since 1942 and is home to the nation’s first Suicide Prevention Center. We are a nonprofit organization providing care to nearly 200,000 people annually across our programs. Didi Hirsch has deep roots in community-based mental health and a commitment to providing culturally responsive services that are just and equitable.
As an organization, we value equity, diversity, and inclusion. More than 1,000 dedicated employees and volunteers make Didi Hirsch’s work possible. We intentionally recruit and retain a workforce that is reflective of the communities we serve and strive to cultivate a sense of belonging for them. We embrace employees and candidates from all backgrounds who want to help make this vision a reality.
Summary
Oversees clinical utilization reviews as well as trainings on quality clinical documentation and practices. Also practices continuous quality improvement to ensure agency provision of excellent care and preventive services that are effective, patient-centered, timely, efficient, safe, and equitable. Works primarily with substance Abuse Prevention and Control (SAPC) programs and Crisis Residential Treatment Programs (CRT).
Primary Duties
Compliance
Conducts chart audits to ensure compliance, accuracy and adherence to local, state, and federal regulations.
Conducts case/utilization reviews to ensure services provided meet clinical best practice standards.
Assists in preparation and completion of any external audits.
Utilizes the agency’s Electronic Health Record systems to review required medical record documentation in a timely and comprehensive manner.
Closely monitors federal and state regulations and documentation compliance standards, including those for the Department of Mental Health.
Participates in writing and implementing policies and procedures.
Attends all SAPC meetings and relates/disseminates essential information to relevant staff within the Agency.
Attends CRT related meetings as needed.
Quality Data and Improvement
Supports continuous learning across the agency to ensure high quality service delivery.
n collaboration with the Quality Manager identifies areas for improvement in the delivery of care, facilitates QI workgroups, develops strategies to assess performance, and interprets data to assess progress.
Collaborates with other departments within the agency.
Training
Develops and maintains the Training Manuals for SAPC and CRT programs, which include both EHR functionality as well as compliance requirements.
Assists staff with technical problems related to use of EHR.
Provides consultation services for clinical staff around clinical documentation and compliance.
Plans, schedules, and tracks participation in trainings.
Develops and delivers trainings agency-wide on various topics related to substance use assessment and treatment.
Position Requirements
Licensed or License Eligible: LMFT, LCSW, LPCC, Psy.D., or Ph.D.
At least 1 year of experience in quality improvement and training; or have acquired such skills through clinical or research experience.
Strong understanding of data utilization and interpretation in driving actionable steps toward QI. Experience with or willingness to learn quality improvement methodologies (PDSA, workflow mapping, root-cause analyses).
Very clear oral and written communication skills.
Strong skills in creating visually appealing and clear training materials.
Savvy in electronic health record systems to train on documentation within our agency’s specific electronic health record.
Strong working knowledge of State and Local regulations.
Ability and willingness to travel to various sites as needed for in-service trainings, if appropriate, when/if on-site services resume.
Experience managing multiple projects concurrently while maintaining high level organizational skills and attention to detail.
Flexibility and ability to adapt to changing priorities and needs.
A commitment to team objectives and Didi Hirsch philosophies.
Current California driver’s license and a driving record acceptable to the Agency’s insurance carrier.
Our Vision
A future where everyone has equitable access to care and is empowered to achieve optimal mental health and well-being.
Our Mission
Didi Hirsch provides compassionate mental health, substance use, and suicide prevention services to individuals and families, especially in communities where discrimination and injustice limit access.
Core Values
Excellence: We are constantly innovating, learning from the communities we serve, and applying the latest research to advance best practices. We uphold the highest ethical standards to ensure we are providing compassionate and excellent care. Diversity & Inclusion: We value diversity of background, experience, and ideas, committing to a workforce representative of the communities we serve. We celebrate differences and prioritize creating a sense of belonging. Equity: We are dedicated to maintaining equitable practices in our healthcare delivery and workplace culture, and we work to dismantle disparities and discrimination within both systems of care and society. Well Being: We are devoted to the well-being of our staff, volunteers, and communities, and believe healthy teams lead to healthy clients. Advocacy: We advocate across all levels of government and use our voice to reduce barriers to care, including stigma, systemic racism, and parity across payers, with the goal of access to high quality, integrated healthcare for all. Community Engagement: We build partnerships in the community and across sectors to create a more inclusive and responsive mental health ecosystem and enhance greater accessibility to care and support.
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