The QM Healthcare Analyst is responsible for performing concurrent and retrospective quality management/practice improvement reviews as defined by the QM Director including case file audit & mortality review and other specified indicator monitoring, data entry and database management. The QM Healthcare Analyst is an active participant in point-of-care improvement activities, as well as staff education based on opportunity assessment/gap analysis findings. The QM Healthcare Analyst also assists in the auditing of treatment plans to ensure plan is being followed as well as analyze quality management data and prepare user-friendly information reports.
Bachelor Degree in Human Services/Behavioral Health field and/or (5) or more years direct work experience preferred. Certified Professional in Healthcare Quality (CPHQ) certification preferred.Quality management and/or Auditing working experience in a Human and Health services agency required. Requires a thorough knowledge of all clinical aspects of the behavioral health system including management of auditing program, incident/accident death reporting, and complaint reporting. Must have a strong knowledge of Arizona Administrative Code, Arizona Revised Statutes, Regional Behavioral Health Authority provider manual, OBHL, and additional rules and regulations affecting JFCS programs. Thorough knowledge of CPT codes and clinical documentation required. Requires experience with process improvement, regulatory/accreditation programs, data management, and analysis including graphic development and presentations. Knowledge of current principles, theories, and trends related to Quality Management. Use initiative and independent judgment and maintain positive team working relationships to promote positive change and quality improvement initiatives. Computer skills:proficient in Word, Excel and Access.