Quality Assurance Behavioral Health

Quality Assurance Behavioral Health West Palm Beach, FL Job Details 1 day ago Qualifications Collaborate with healthcare professionals LMHC Document review (document control) Utilization review RN License Audit report preparation Maintaining patient confidentiality Regulatory compliance Licensed Clinical Social Worker Compliance audits & assessments Mid-level 3 years EMR/EHR Quality assurance audits Analysis skills Bachelor's degree Clinical documentation Quality audits JCAHO Interdisciplinary behavioral health coordination Communication skills Full Job Description Ambrosia Behavioral Health is revolutionizing behavioral, substance use, and eating disorder treatment for adolescents and adults by combining cutting edge neuroscience and precision diagnostics with compassionate, evidence-based therapies. Guided by our core values—Compassion, Curiosity, Excellence, and Innovation—we provide individualized, holistic, trauma-informed care in a supportive and healing environment that improves patient outcomes and empowers patients toward long-term recovery. Position Overview We are seeking a detail-oriented Quality Assurance Chart Auditor to support clinical and compliance excellence within our mental health and substance use treatment facility. This role is responsible for reviewing patient charts to ensure accurate documentation, appropriate level of care determinations, and alignment with ASAM and LOCUS criteria. The ideal candidate has a strong clinical or utilization review background, a deep understanding of medical necessity standards, and a commitment to quality and regulatory compliance. Key Responsibilities Conduct routine and targeted audits of patient charts for completeness, accuracy, and compliance Evaluate documentation against ASAM Criteria and LOCUS Criteria to ensure appropriate level of care placement Identify gaps in clinical documentation, including assessments, treatment plans, and progress notes Verify medical necessity and alignment with payer and regulatory requirements Provide clear, actionable feedback to clinical and utilization review teams Track audit findings, trends, and areas for improvement; prepare summary reports for leadership Collaborate with clinical, admissions, and utilization review teams to improve documentation quality and outcomes Assist in preparation for audits from regulatory bodies (e.g., Joint Commission, DCF, AHCA, FARR) Maintain up-to-date knowledge of behavioral health documentation standards and best practices Qualifications Bachelor's degree required; clinical licensure preferred (e.g., LCSW, LMHC, RN) 3+ years of experience in utilization review, quality assurance, or medical records auditing, required Strong working knowledge of ASAM and LOCUS criteria Experience with electronic health records (Kipu) Excellent attention to detail and analytical skills Strong written and verbal communication skills Ability to work independently and maintain confidentiality Ability to pass a Level 2 Background Check, required Why Join Us? Mission-driven work supporting individuals on their path to recovery Collaborative, multidisciplinary team environment Opportunity to impact quality of care and clinical outcomes Competitive compensation and benefits