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Job Detail

Director of Clinical Compliance and Quality Outcomes

Location:

Pittsburgh, Pennsylvania, United States

Date published:

08-Sep-2020

The Director of Clinical Compliance and Quality Outcomes is responsible for the clinical oversight of the Quality Improvement Team and ancillary clinical departments including psychology, training, behavior analysts, and medical departments.  Additionally, this position will manage and lead the Quality Council and Risk Management Teams.  This position is responsible for providing oversight of all clinical programs, ensuring there are internal controls and systems to monitor quality delivery of services, and to monitor clinical utilization of services provided as it relates to quality of care.   This position will provide such oversight through the development of policy, clinical models, service descriptions, and practice standards. This position is responsible for the oversight and reporting of outcome measures, including but not limited to the following healthcare measures: HEDIS, Payer derived measures, CAHPS, and cost analysis


ESSENTIAL JOB RESULTS AND FUNCTIONS:

·         Provides clinical oversight of all service lines under FBR’s scope of services

·         Provides oversight of the Quality Improvement Department, Risk Management Team, and Quality Council

·         Ensures highest level of clinical quality in program service provision

·         Ensures ongoing and consistent growth

·         Ensures best practice quality standards

·         Monitors the overall quality of service delivery and clinical utilization of services provided

·         Assists with development and implementation of policies and procedures

·         Maintains accountability and good standing in CARF Accreditation and Licensure Status

·         Ensures adherence to all regulatory compliances

·         Maintains a commitment to professional development

·         Adheres to professional and ethical interaction policies and procedures

·         Supports on-going and future business needs

·         Ensures FBR/AERI is meeting quality outcomes


EDUCATION  

Master’s degree from an accredited college or university in Psychology, Social Work, Counseling, Education, or similar human services field; professional licensure required (Psychologist, Professional Counselor, Marriage and Family Therapist, Clinical Social Worker, Social Worker, or other applicable license).

EXPERIENCE

At least 2 years of supervisory experience; at least 3 years of experience in Behavioral Health and/or mental health; at least 1 year experience working within a Quality Improvement Department; at least 1 year of experience in controls of licensure and accreditation guidelines

COMPETENCIES

Must be able to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists; must be proficient in use of electronic health record system and Microsoft Suite software; must be able to make sound decisions to support internal and external business partners in a calm and timely manner; must demonstrate initiative with clinical, program, and individual professional development


WORK LOCATION

This positions permits work from home in addition to site-based travel, as needed

TRAVEL

Up to 75% of travel between clinic and program office locations



FBR is an Equal Opportunity Employer

FBR provides equal employment opportunities to all employees and applicants for employment free from unlawful discrimination based on race, color, religion, gender, age, national origin, disability, veteran status, marital status, sexual orientation or any other status protected by local, state, or federal law.