York, PA, 17405, USA
1 day ago
Behavioral Health Quality Assurance Specialist I
**Full-time, Days** **Monday-Friday** **80 hrs/2 weeks** **General Summary** Conducts chart audits, uses data for healthcare quality measures to review for trends and gaps related to quality documentation to ensure compliance with regulatory and payor agencies. Elevates and communicates gaps and opportunities through established channels. **Duties and Responsibilities** **Remote Work Capable** **Essential Functions:** + Supports the organization's commitment to comply with all federal, state, and local standards, with an emphasis on Mental Health and Substance Abuse regulatory agency requirements. + Demonstrates knowledge of regulatory and payor guidelines as they pertain to documentation requirements, quality review requirements, and policies and procedures. + Performs monthly audits of Behavioral Health medical records to ensure compliance with regulatory and payor agencies. + Enters and tracks data collected from monthly audits into an electronic format for reporting purposes and identification of compliance related trends. + Identifies compliance documentation opportunities and provides consultation and education to clinicians, leadership and others. + Maintains appropriate records, reports, and files as required for the department. + Covers responsibilities for peers in their absence. **Common Expectations:** + Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards. + Participates in educational programs and staff meetings required for the department. + Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. + Attends meetings as required. **Qualifications** **Minimum Education:** + High School Diploma or GED Required + Associates Degree Preferred or + Bachelors Degree Preferred **Work Experience:** + 2 years Working in Behavioral Health. Required or + 2 years Working in a Quality Assurance role. Required **Knowledge, Skills, and Abilities:** + Excellent communication and interpersonal skills. + Demonstrated basic to intermediate to advanced proficiency with Microsoft Office Suite/Excel. + Detail Oriented. + Critical thinking skills. WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. **Quality of Life** Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation. Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities. York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000) WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.
Confirmar seu email: Enviar Email