Clinical Quality Reviewer
Easterseals Northern California
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $85,000 - $100,000 per year
About the role
- Review and coordinate resolution to complaints, grievances, appeals, incident reports, clinical reviews and investigations
- Conduct Clinical Quality Reviews to ensure standards of care and quality standards are met
- Collaborate with Clinical Excellence and Operations to develop quality standards
- Act as an objective source of independent advice to ensure legitimacy, legality and goal achievement
- Develop and maintain policies, procedures, plans, schedules, and job aids for quality processes and systems
- Identify, plan, develop and execute performance improvement projects with the Quality Department and Programs leadership
Requirements
- Master’s degree and a minimum of 5 years’ clinical experience in child and youth behavioral healthcare services
- Licensure or Associate Status in Psychology, Marriage and Family Therapy, Counseling, School Psychology, Speech Therapy, Occupational Therapy, Social Work, or BCBA required
- Minimum of 2 years of experience in healthcare quality assurance or similar work experience
- Demonstrated proficiency in medical record analysis and chart review guidelines
- Ability to apply healthcare data analysis to improve processes
- Strong long-form narrative writing skills
- Working knowledge of HIPAA privacy and security rules
- Ability to communicate effectively verbally and in writing
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical quality reviewsmedical record analysischart review guidelineshealthcare data analysisperformance improvement projectspolicy developmentprocedure developmentquality standardsincident report resolutiongrievance resolution
Soft Skills
communication skillslong-form narrative writingcollaborationindependent adviceorganizational skillsproblem-solvinganalytical skillsinterpersonal skillsproject managementgoal achievement
Certifications
Master’s degreeLicensure in PsychologyLicensure in Marriage and Family TherapyLicensure in CounselingLicensure in School PsychologyLicensure in Speech TherapyLicensure in Occupational TherapyLicensure in Social WorkBCBA certificationAssociate Status in Psychology