Mental Health Quality Improvement Administrator (LMFT/LCSW/LPCC preferred)

Bay Area Community Services

$104K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • LCSW, LMFT, or LPCC with current BBS registration preferred
  • BA required for non-BBS registered roles
  • Minimum 4 years of experience in social services
  • Familiarity with HIPAA, Medi-Cal, CCL, and medical billing
  • Intermediate proficiency in Microsoft Office and typing speed of 45wpm
  • Valid California driver's license and personal vehicle required

Responsibilities

  • Perform clinical chart reviews, including approvals and denials
  • Prepare for audits from regulatory agencies such as Medi-Cal and HUD
  • Recommend improvements for chart review and electronic medical records processes
  • Track Documentation Certification Processes and collaborate on action plans
  • Contribute to the Internal Utilization Committee
  • Review and approve progress notes for Medi-Cal programs
  • Prepare summary audit reports with findings and recommendations

Benefits

  • Competitive pay of $50/hr for licensed positions, $30/hr for non-licensed
  • 100% employer-paid medical, dental, and life insurance options
  • 31 days off annually (including your birthday), increasing with tenure
  • Language proficiency differential of +3% for key languages
  • 403b retirement plan with matching contributions after one year of service
Full Job Description
Mental Health Chart Review, 40 hours per week.

Hybrid 3/2 after successfully completing BACS' 90 day introductory period with satisfactory performance and achievement of all job related goals and requirements.

Do you have strong organizational skills, impeccably high standards, and a knack for quality assurance and compliance performance? The Quality Improvement Administrator - LMFT or LCSW Preferred audits BACS MH charts to ensure compliance with all Medi-Cal Mental Health regulations, laws, and other external requirements to assure that all clinical services are documented appropriately, and exceed standards.
DUTIES AND RESPONSIBILITIES
  • Performs clinical chart reviews, approvals, or denials of documentation
  • Participates in preparations for audits from regulatory agencies (e.g., Medi-Cal, HUD, etc.).
  • Participate in user recommendations regarding chart review/utilization review processes, electronic medical records system, data collection/integrity for episodic data, and external chart audits/reviews;
  • Track and conduct Documentation Certification Processes and collaborate with the Program Manager on performance and corrective action plans.
  • Contributor to Internal Utilization Committee
  • Review and approve progress notes for all Medi-Cal programs as appropriate.
  • Provide feedback and trend analysis based on note writing standards
  • Prepare summary audit reports containing findings as well as the methodology used and recommendations for improvement.
  • Additional duties as assigned.
QUALIFICATIONS
  • LCSW or LMFT or LPCC with current BBS registration preferred.
  • BA required for non BBS registered.
  • Minimum 4 years experience n social services.
  • Experience with Hipaa, Medi-Cal, Community Care Licensing (CCL), and medical billing.
  • Demonstrated intermediate proficiency in Microsoft Office (Word, Excel) and ability to type 45wpm.
  • Position requires a valid California driver's license, personal vehicle, proof of personal vehicle insurance coverage, and the ability to drive for work. DMV printout required.
BENEFITS/PERKS
  • Competitive Pay $50/hr for LCSW/LMFT/LPCC or LCP, $30/hr for non-licensed.
  • 100% employer-paid medical, dental, and life insurance coverage options for employees, plus a vision reimbursement program. Children's healthcare coverage is available for as little as $25/month. Average employer-paid benefit value: approximately $913/month per enrolled individual. BACS contributions apply to company-sponsored plans only.
  • 31 days off (PTO/Holiday), increasing with tenure, includes your birthday off.
  • +3% differential for tested ability in Sacramento county ( Arabic, Cantonese, Farsi, Spanish, Vietnamese, Russian)
  • 403b. After one year of service, BACS matching contribution.


How to apply:

Submit a resume with a cover letter highlighting your relevant experience.

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