Quality Management Analyst

$41,000 - $41,000/Yr

Codac Health Recovery & Wellness - Tucson, AZ

Full-time

Tucson, AZ

Ambulatory Health Care Services

About the position

The Quality Management Analyst position at CODAC Health Recovery & Wellness Inc. is a full-time role that operates under limited supervision. The primary responsibility of this position is to evaluate and recommend improvements for the quality of integrated health services provided by CODAC and its subcontracted service providers. This role is crucial in overseeing ongoing activities related to the development, implementation, maintenance, and adherence to the agency's policies and procedures, particularly concerning the privacy of and access to patient health information. The position requires a deep understanding of quality management practices and compliance with federal and state laws as well as healthcare organizations' information privacy practices. As the primary point of contact for the involuntary commitment process as per Arizona Revised Statutes, Title 36, the Quality Management Analyst will work closely with various stakeholders, including County Attorney Offices, health plans, and the Arizona Superior Court. Daily tasks include compiling and maintaining data for monthly reports, submitting mental health legal documents to the County Attorney's Office and the Superior Court, and monitoring the overall quality of integrated health services to ensure compliance with regulatory and accreditation requirements. The analyst will conduct periodic chart reviews, data validation reviews, and quality improvement monitors, preparing reports of findings and recommendations for corrective actions. Investigating critical incidents, internal complaints, formal grievances, and appeals is also a key responsibility, along with providing training and technical assistance to agency staff and subcontracted providers. The role involves serving as a liaison to various departments, committees, and work groups within CODAC, monitoring agency sites for compliance with regulatory requirements, and assisting with the agency-wide preparation process to maintain national accreditation status. Additionally, the analyst will coordinate correspondence with other agencies, staff, and clients while ensuring confidentiality and will assist in the annual process of writing, reviewing, and updating policies and procedures.

Responsibilities

• Evaluate and recommend improvements for the quality of integrated health services provided by CODAC and its subcontracted service providers.
• Oversee ongoing activities related to the development, implementation, maintenance, and adherence to agency policies and procedures.
• Serve as the primary point of contact for the involuntary commitment process per Arizona Revised Statutes, Title 36.
• Compile and maintain data for monthly reports.
• Submit mental health legal documents to the County Attorney's Office and the Superior Court on a daily basis.
• Monitor and evaluate the overall quality of integrated health services to ensure compliance with regulatory and accreditation requirements.
• Perform periodic chart reviews, data validation reviews, quality improvement monitors, and focus reviews, preparing reports of findings and recommendations for corrective action implementation.
• Investigate critical incidents, internal complaints, formal grievances, and appeals, preparing reports/responses of findings.
• Monitor and facilitate responses for grievances and appeals.
• Provide training and technical assistance to agency staff and subcontracted providers.
• Serve as QM liaison to departments, committees, and work groups within CODAC.
• Monitor agency sites for compliance with regulatory requirements and report results to applicable sites and internal committees.
• Assist with agency-wide preparation process in maintaining national accreditation status.
• Coordinate and process correspondence to other agencies, staff, and clients in accordance with confidentiality policies and procedures.
• Perform and report on assigned record reviews.
• Assist in the annual process of writing, reviewing, and updating policies and procedures.

Requirements

• Master's or Bachelor's degree in a related field.
• 2 years of experience in integrated case management or quality management.
• Certified Professional Coder (CPC) certification required or the ability to obtain within 12 months.
• Valid Arizona Driver's license and proof of current insurance.
• Clean Motor Vehicle Record - no more than 2 moving violations or a license suspension in the past 3 years.

Nice-to-haves

• Extensive knowledge of Systems of Care.
• Extensive knowledge of community resources.
• Extensive knowledge of integrated health challenges, including the impacts of mental illness, domestic violence, and the dynamics of addictive behavior.
• Intermediate to advanced computer skills using MS Office products, including Word, Excel, and Access.
• Knowledge of basic statistical methodologies.
• Ability to interact effectively with other service providers.
• Ability to communicate effectively both orally and in writing.