Clinica Sierra Vista

Quality Specialist

• Support quality improvement initiatives and activities across multiple Behavioral Health programs and sites.
• Coordinate compliance activities, conduct audits, monitor documentation standards, and provide data reporting.
• Organize and provide summary reports that alert the BH Quality Improvement Manager and Leadership of upcoming chart compliance requirements.
• Ensure compliance with regulatory notices, safety practices, and environment of care standards.
• Conduct quality control test calls to assess the veracity and quality of service claims.
• Conduct internal chart audits to ensure compliance with State (DHCS), county, and contract standards.
• Monitor provider documentation for accuracy, timeliness, and technical compliance.
• Utilize the electronic health record (EHR) system to create reports, templates, and tracking tools for compliance monitoring.
• Monitor and facilitate staff compliance with HIPAA, W&IC, and other efforts to preserve the integrity of protected health information.
• Track and report service volume and productivity by program, team, and provider.
• Establish and maintain working relationships with internal teams and external county representatives.
• Support Clinic Managers and Leadership to ensure staff compliance with EHR requirements and required training.
• Independently prioritize workload across multiple assignments to meet competing deadlines.
• Identify compliance risks and proactively escalate issues to Leadership.

Float Quality Improvement Specialist