The Elam Mental Health Center is looking to implement and manage its Quality Management Plan, ensuring compliance with accreditation, licensure, and contract requirements related to clinical documentation.
Requirements
- Develops and maintains standardized reporting systems to track quality metrics, analyze performance data, identify trends, and support continuous improvement initiatives based on data-driven insights.
- Manages multiple quality assurance priorities and projects simultaneously, ensuring adherence to timelines, while identifying inefficiencies and implementing practical process improvements.
- Maintain a managerial knowledge of applicable HIPAA & 42CFR Part 2
- Knowledge of clinical documentation and accreditation standards
- Ability to analyze performance data and identify trends
- Ability to implement practical process improvements
- Knowledge of quality management principles and practices
Responsibilities
- Act as Chairperson of the Elam Center Quality Management Committee and ensure compliance with the Elam Quality Management Committee activities.
- Monitor and facilitate compliance with clinical staff credentialing file reviews and reporting changes in staff credentialing status.
- Maintain a managerial knowledge of applicable HIPAA & 42CFR Part 2 and ensure proper procedures are in place to safeguard client-protected health information.
- Plan and facilitate quarterly professional reviews of clinical records.
- Responsible for auditing the accuracy and timeliness of the medical charts of clients.
- Develops and maintains standardized reporting systems to track quality metrics, analyze performance data, identify trends, and support continuous improvement initiatives based on data-driven insights.
- Manages multiple quality assurance priorities and projects simultaneously, ensuring adherence to timelines, while identifying inefficiencies and implementing practical process improvements.
Other
- Hold a bachelor’s degree in a counseling-related field of study from an accredited college.
- Must have at least three (3) years of behavioral health experience.
- Must have a valid Tennessee Driver's license and vehicle to facilitate local travel between the Elam Center and business-related agencies.
- Current BLS certification.
- Excellent verbal and written communication skills with all stakeholders, providing honest, diplomatic, and unbiased feedback tactfully, respectfully, and courteously.