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6446-Compliance & QA Specialist

companyBehavioral Health Services
locationGardena, CA, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Salary: $22-26

POSITION:                            Compliance & QA Specialist

LOCATION:                          BHS Corporate. - Gardena, CA.

DUTIES:         Perform routine and assigned audits, monitoring reviews and data collection using approved audit and monitoring instruments.  Conduct demographic data entry (CalOMS Admission and Discharge) and/or corrections across behavioral health sites. Assist in the collection of charts and/or data for quarterly Drug Medi-Cal Utilization Review and other Utilization Review meetings and participates in meetings as assigned. Conduct behavioral Health Quality assurance chart audits. Perform behavioral health billing reconciliation tasks. Perform routine compliance activities, such as SBAT monitoring, exclusions screening, etc. in support of department goals. Maintain organized physical and electronic files and documentation of activities. Attend Committee Meetings and prepare meeting summaries as assigned. Other duties as may be assigned.

QUALIFICATIONS:              Following are the qualifications required to perform the essential functions of this position.  Qualifications may be subject to modification based on the Americans with Disabilities Act.

Strong attention to detail. Reliability in attendance and assignments. Adherence to tight deadlines and ability to multi-task. Ability to critically think through problems and tasks, and conduct research to identify solutions and/or support decisions. Ability to learn computer software programs (e.g. electronic health record systems, external portals, etc.) in order to perform job duties within 3 months of hire. Strong display of agency values:  Compassion; Dedication; Integrity; Diversity. Basic knowledge of health care and social service systems.  Knowledge of behavioral health documentation. Self-motivated; ability to work independently and with a team. Compliance with applicable federal, state, contract and agency regulations, policies and procedures regarding the privacy, confidentiality and release of patient and business information. Adherence to professional and ethical standards of conduct, and health and safety standards. Ability to display respect for cultural and lifestyle diversities of clients and staff.

Education and Experience:

  • Minimum 5 years’ experience in behavioral health care field, preferably substance abuse.
  • Bachelor’s Degree in a health or human/social service or related field, or equivalent combination of education and experience.
  • Experience and proficiency with MS Office Suite, especially WORD and Excel

                                                Must have valid California driver’s license and liability insurance if driving personal vehicle on BHS business. Ability to stand, bend, stoop, squat and reach for purpose of performing duties such as handling materials stocked on shelves, filing and handling and sorting mail.  Routinely lift and move items weighing up to ten pounds; is expected to ask for assistance and use dolly or cart and any heavy items.  Vision, hearing, manual dexterity and eye-hand coordination adequate to answer telephones, use keyboard, write messages.  Able to move about the facility and in other off-site locations.

Recovering individuals must have a minimum two years clean, sober and abstinent to be considered for employment.

Behavioral Health Services (BHS) is a non-for-profit, community-based health care organization, whose mission is to transform lives by providing substance abuse, mental health, drug-free transitional living, family preservation, prevention and Family Health Center and other related health services to the residents of Southern California. If you are interested in being a part of this dynamic organization, please apply.

BENEFITS: BHS offers a full complement of benefits for eligible employees: Medical, Dental, Vision, 401K, Long & Short Term Disability and Life Insurance.

APPLICATIONS: Applicants may email resume to jobs@bhs-inc.org or fax to (310) 679-4621, or apply in person at 15519 Crenshaw Blvd., Gardena, CA 90249. NO PHONE CALLS PLEASE.

BHS IS AN EQUAL OPPORTUNITY EMPLOYER

BHS will consider applicants with criminal history as required.

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