Quality Assurance Specialist - $65535 - $88665

Are you interested in improving the quality of life for the people in your community? Do you have a passion for ensuring that those with mental health and substance use disorders receive the services they need? Are you looking for a place to work that is committed to the development of staff and matching people to work they love? A place that values a diverse workforce that strives for excellence while maintaining a healthy work/life balance?

Then come join us!

Quality Assurance Specialist

Southwest Michigan Behavioral Health • Quality & Clinical Outcomes • Office/Home

Reports To

Director of Quality

FLSA Status

Exempt

Compensation

Commensurate with experience

THE QUALITY ASSURANCE SPECIALIST OPPORTUNITY

As our Quality Assurance Specialist, you'll monitor and improve the quality of behavioral health services across the region - leading audits, tracking performance data, and driving improvement projects that make a real difference for the people we serve.

WHAT THE QUALITY ASSURANCE SPECIALIST WILL OWN

External audits (HSAG, MDHHS, CMHSP site reviews) and provider action plans

QAPIP development, KPIs, and performance improvement projects

Critical incident and sentinel event review, root cause analysis, and trend reporting

The SWMBH survey process and member experience analysis

Subject matter expertise and coaching on quality improvement

WHAT THE QUALITY ASSURANCE SPECIALIST NEEDS TO BRING

Bachelor's in social work, psychology, healthcare administration, statistics, or a related human services field

Experience in quality assurance, auditing, and/or project management, with a track record leading improvement projects

Strong data analysis and reporting skills; advanced Microsoft Office 365

Keep scrolling for the full position details, or jump straight to applying below.

QUALITY ASSURANCE SPECIALIST - FULL POSITION DETAILS

The Quality Assurance Specialist monitors, collects, reviews, and reports data to meet contractual requirements and support continuous improvement projects. The Quality Assurance Specialist monitors internal SWMBH measures and data elements, organizes projects, coordinates external audits, and provides subject matter expertise in business process analysis and performance improvement.

QUALITY ASSURANCE SPECIALIST DUTIES & ESSENTIAL FUNCTIONS

Identify quality initiatives that improve regional clinical performance, member outcomes, and access to services, in line with federal, state, contractual, and accreditation requirements

Help develop the annual Quality Assurance and Performance Improvement Program (QAPIP) Plan and Evaluation; support regional implementation, including KPIs, Performance Improvement Projects, strategic imperatives, and QAPIP goal tracking across departments

Review critical incidents to determine sentinel event status, support timely root cause analysis, assist with mortality reviews, and analyze quarterly trends for Critical Incident Reporting System submissions

Lead and coordinate external audits (HSAG, MDHHS, CMHSP site reviews): consult throughout, prepare reports, and manage remediation

Develop action plans with partners to address performance issues and monitor progress

Manage the SWMBH survey process, from distribution and collection to communicating outcomes

Analyze member experience assessments to identify trends in quality, availability, and accessibility of care; recommend, track, and evaluate systemic action steps

Track and analyze project details; maintain internal systems for projects, audits, and reports

Report information to external stakeholders per federal, state, and contractual requirements

Serve as subject matter expert on quality assurance and performance improvement; coach internal and external customers on improvement methods

Manage multiple audits and initiatives at once, with strong organization and attention to detail

If staffed by someone with an active clinical license, may join clinical chart reviews and audits of SWMBH providers and CMHSPs

QUALITY ASSURANCE SPECIALIST QUALIFICATIONS

Required

Bachelor's in social work, psychology, organizational psychology, healthcare administration, statistics, or a human services field

Quality assurance, auditing, and/or project management experience, with a proven record of leading process improvement projects

Strong skills organizing, analyzing, and presenting information in verbal and written reports

Excellent interpersonal skills; works well in teams and independently; manages multiple projects and deadlines

Advanced Microsoft Office 365 skills (Word, Excel, Outlook, Visio, PowerPoint)

Supports culturally competent, recovery-based, person-centered, and trauma-informed practices

Preferred

Master's with licensure or certification (LMSW, LLP, LPC)

Behavioral health experience with Intellectual and Developmental Disabilities, Severe Mental Illness, and/or Serious Emotional Disturbances

Knowledge of quality management and continuous improvement principles

Adobe Acrobat, Tableau, Power BI, and electronic medical record experience; life experience with diverse backgrounds and behavioral health issues

WORKING ENVIRONMENT

Office or home environment with frequent sitting, standing, and walking. Occasional travel to CMHSPs or conferences. Occasional lifting up to 20 lbs.

HOW TO APPLY

Ready to join SWMBH as our next Quality Assurance Specialist? Apply online at . Emailed resumes will not be accepted.

Compensation details: 5

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