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IS
Integrated Services for Behavioral Health
Quality Specialist
Career Insights for Clinical Quality Manager
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Based on Ohio data
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What they do
A Clinical Quality Manager ensures that the quality of the work in a clinical environment is consistent and meets government and industry standards as well as customer expectations. Verifies compliance with health and safety regulations. Coordinates all activities related to quality assurance and monitoring and revises existing processes in order to increase efficiency.
$122,838 / year median in Ohio
Job Description
We are seeking a Quality Specialist! Central Ohio Join our team! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to their needed resources. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services, working with local partners to promote healthy people and strong communities. Our services are intended to be collaborative and personalized for the individual. The Quality Specialist plays a key role in supporting the development, implementation, and evaluation of quality improvement initiatives across the organization. This individual will work collaboratively with clinical, operational, and administrative staff to monitor and improve performance metrics, ensure compliance with accrediting and regulatory bodies (e.g., CARF, Medicaid/Medicare), and promotes a culture of continuous improvement in healthcare delivery. The pay range for this position is $57,417.82
- $69,992.
Essential Functions:
Collect, analyze, and report data related to quality indicators, outcome measures, and client satisfaction surveys. Assist in the preparation of internal and external audits, including documentation review, chart audits, and regulatory surveys. Support compliance with accreditation and licensing standards (e.g., CARF, state Medicaid agency, MCOs, etc.). Support quality improvement projects, including Plan-Do-Study-Act (PDSA) cycles and root cause analyses. Implement quality improvement efforts in the OhioRISE program, ensuring compliance with policies and contractual obligations. Monitor and track corrective action plans (CAPs) and follow up on identified areas of improvement. Assist in developing and updating quality-related policies, procedures, training materials, and documentation tools. Participate in and help coordinate quality committee meetings, including agenda preparation, minutes, and follow-up activities. Develop dashboards and visualizations for internal reporting to track progress on quality and compliance benchmarks. Collaborate with clinical teams to ensure documentation and service delivery meet payer and regulatory requirements. All other duties as assignedMinimum Requirements:
Bachelor's degree in public health, Health Administration, Psychology, Social Work, Nursing, or related field is required. Master's degree in healthcare administration, Public Health, Social Work, or related field preferred. At least 2 years of experience in a healthcare or behavioral health quality improvement setting is required. Experience with quality improvement methodologies (e.g., Lean, Six Sigma, PDSA) is required. Experience using electronic health records (EHRs) and quality reporting tools is required. Experience with regulatory and accreditation requirements (CARF, Medicaid, Medicare, HIPAA, etc.) is required. 2 years of experience in data analysis platforms required. Strong analytical and critical thinking skills are required. Excellent written and verbal communication skills are required. Demonstrated ability to work collaboratively with interdisciplinary teams is required. Must be able to operate in an Internet-based, automated office environment is required. Knowledge of behavioral health service delivery systems and payers is preferred. A certificate in healthcare quality (e.g., CPHQ, Lean Six Sigma) is preferred. Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package.Benefits include:
Medical Dental Vision Short-term Disability Long-term Disability 401K w/ Employer Match Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues. To learn more about our organization: https://ISBH.org/ OUR MISSION Delivering exceptional care through connectionOUR VALUES
Dignity- We meet people where they are on their journey with respect and hope Collaboration
- We listen to understand and ask how we can best support the people and communities we serve Wellbeing
- We celebrate one another's strengths, and we support one another in being well Excellence
- We demand high-quality care for those we serve, and are a leader in how we care for one another as a team Innovation
- We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible We're an equal opportunity employer.