New Horizon Counseling Center is looking for a full time experienced clinician to manage a small quality assurance unit. Quality Assurance monitors the services delivered by the Care Coordination program. We are looking for an organized, detailed, and assertive individual. The ideal candidate should have extensive knowledge of NYS Office of Mental Health regulations, NYS Department of Health regulations, Medicaid and Medicare, and Managed Care Organizations. Previous experience with the NYS Health Home program is a plus. This position requires expertise in standards of care related to assessment, treatment planning, risk assessment and risk management, incident reporting, information sharing and confidentiality, utilization review, consumer rights and consumer satisfaction.
•Quality assurance activities for the care coordination program;
•Conduct regular and systematic review of the initial assessments, psychiatric evaluations, progress notes, treatment plans and treatment plan reviews, care coordination services, and primary care integration services to ensure documentation is timely and has expected quality;
•Conduct utilization review;
•Assess discharge procedures and discharge documentation;
•Monitor services delivered to high risk participants and individuals identified for the primary care integration registry;
•Develop reports of findings and recommendations and communicate to supervisory staff;
•Track, monitor, and measure the annual quality performance of the program and develop recommendations based on annual changes;
•Identify staff training needs through auditing activities;
•Monitor and track the implementation of corrective action plans;
•Collect incident reports, conduct trending analysis and support operations of Incident Review Committee;
•Conduct review of records for ‘high risk’ consumers to ensure risk assessment and risk management protocols adhere to policies;
•Support the Care Coordination clinical directors and supervisors through data tracking to support continuous quality assurance initiatives and projects;
•Analyze program data and maintain data related to implementation of evidence-based practices and clinical outcomes;
•Support clinical directors and supervisors to create systems and processes that facilitate achievement of quality assurance goals and continuous quality improvement;
•Adhere to cultural competency and anti-discriminatory practice, and
•Other duties as required by the Care Coordination clinical directors and Director
•Licensed mental health professional LMSW, LCSW, LMHC;
•At least one year of quality assurance experience preferred;
•Effective interpersonal skills and ability to successfully use authority to work with staff throughout the agency;
•Experience with electronic health records (EHR).
New Horizon Counseling Center now serves a diverse population throughout Queens, Brooklyn, & Nassau/Suffolk.
New Yorkers who have multiple comorbidities, such as chronic medical conditions often complicated by substance use and mental health disorders.
Our clients experience significant barriers to access of behavioral and medical services due to a multitude of social and economic factors. By addressing these factors, New Horizon Counseling Center helps empower individuals to remain more engaged in their care, thereby reducing preventable hospitalizations and emergency care.
Empowering Individuals & Strengthening Communities.
We take an empathetic approach by always treating our clients with a caring culturally sensitive approach, then assess their readiness for behavioral change and provide a clear path to obtainable goals.
Through our comprehensive array of programs, we provide an integrated, person-centered continuum of care.
The foundation of our programs is laid with our Core Values.
Role: Quality Assurance Manager (LCSW, LMSW, LMFT, LMHC)
Apply for this job now.