CLINICAL SVCS QA ADVISOR in Bellevue, WA at Beacon Health Options

Date Posted: 6/18/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Clinical Services Quality Assurance Advisor to join our team at our office in Bellevue, WA.  The Clinical Services Quality Assurance Advisor partners with the Military OneSource Management team to evaluate clinical and quality performance by monitoring calls and correspondence, daily.  This individual will ensure the delivery of excellent service to internal and external customers for the Military OneSource Contract. Through exceptional interpersonal and communication skills, effective leadership, planning, process management and information analysis, this individual will continually promote a customer focused environment. This position enhances customer loyalty by insuring that managers and supervisors are continually apprised of critical service quality issues, staff receives appropriate training and performance feedback and management receives appropriate recommendations regarding staff development, etc

Position Responsibilities:

  • Monitors, evaluates and documents member or provider calls for designated staff to ensure staff responses meet VO’s clinical and quality audit standards, and provides managers, supervisors and clinical care managers with call coaching quality data.  Partners with the management team to ensure frequent performance and developmental feedback are provided to the Military OneSource Staff.

  •   Compiles/reports monitoring evaluation data and presents call coaching sessions.  Provides Military OneSource Staff with an action plan for process improvement, and if needed collaborates with the management team in the corrective action process by gathering documentation regarding non compliance in meeting required standards.  Contributes to performance improvement plans and participates in discussions, up to and including termination.

  • Ensure processes are in place to support compliance with all state and federal laws (HIPAA), regulatory requirements, accrediting agencies (NCQA and URAC) as well as Valueoptions Federal Services’ Inc. ® clinical criteria and policies and procedures.

  • Compiles and presents summary level call coaching and efficiency data which becomes part of each Military OneSource Staff’s performance review. Assures integrity and confidentiality of call monitoring documentation and evaluates/develops monitoring tools to support efficiency and effectiveness in the call monitoring process.
  • Audits the timeliness and accuracy of any contractual follow up inquiries made by Military OneSource staff.  Measures the ability of staff to successfully meet all client performance expectations and presents final assessments/employment recommendations to management.

  • Identifies improvements or training opportunities and develops/presents quality improvement training materials to improve overall service quality.  Identifies trends in inquiry monitoring and applies corrective actions as necessary to meet business needs. Ensures follow through with Military OneSource Staff.

  • Develops ideas for performance improvement, service delivery, and cross-functional initiatives that contribute to department success.  

  • Collaborates with the management team on new client implementation activities, including development/presentation of training materials, to ensure all home service center and client performance expectations are met.

Position Requirements:

Education:  Education: Master’s degree in Social Work Counseling or one of the other core mental health disciplines

Licensures: Preferred current, valid and unrestricted Clinical License.

Relevant Work Experience:  

A minimum of five years post graduate clinical/administrative experience, some of which has been in a

supervisory capacity.  Requires solid knowledge base and working knowledge of mental health systems

with clear understanding of psychiatric clinical case management. 

Knowledge, Skills & Abilities:

  • Analysis and problem solving

  • Excellent written and verbal communication skills

  • Microsoft Office experience

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

ValueOptions Federal Services, Inc, a Beacon Health Options company, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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