Clinical Quality Assurance Assistant

Type: Full-time, In-office

Responsibilities:

Review Clinical Notes:

• Regularly review clinical notes submitted by direct care staff for accuracy and timeliness.

• Utilize a note rubric provided by Pathways to Life, Inc to ensure that all notes meet organizational standards.

• Identify any discrepancies or errors in the clinical notes and take appropriate action to address them.

Provide Timely Feedback:

• Provide constructive feedback to direct care staff regarding any concerns or deficiencies identified in their clinical notes.

• Communicate feedback promptly to facilitate continuous improvement in note-writing skills and adherence to standards.

Report Trends and Training Needs:

• Analyze data from reviewed clinical notes to identify trends, patterns, and areas for improvement.

• Report findings to leadership staff, including any recurring issues or training needs observed among direct care staff.

Ensure Accuracy of Weekly Schedules and Timesheets:

• Compare weekly schedules with submitted clinical notes and timesheets to ensure accuracy and consistency.

• Address any discrepancies found between schedules, notes, and timesheets promptly to maintain data integrity.

Collaborate with Team:

• Collaborate with other quality assurance staff and relevant departments to share insights, best practices, and solutions.

• Participate in meetings and training sessions to stay updated on organizational policies, procedures, and standards.

Documentation and Reporting:

• Maintain accurate records of reviewed clinical notes, feedback provided, and actions taken.

• Generate regular reports summarizing key metrics, trends, and quality assurance activities for management review.

Continuous Improvement:

• Proactively suggest improvements to existing processes, workflows, and tools to enhance efficiency and effectiveness.

• Stay informed about industry standards, regulations, and best practices related to clinical documentation and quality assurance.

Qualifications:

• Bachelor's degree in a relevant field (e.g., Healthcare Administration, Social Work, Psychology) preferred.

• Previous experience in quality assurance, healthcare compliance, or a related field is preferred.

• Strong attention to detail and analytical skills.

• Excellent communication and interpersonal skills.

• Proficiency in using computer software and databases for data analysis and documentation.

• Ability to work independently and collaboratively in a team environment.

• Familiarity with relevant regulatory requirements and industry standards (e.g., HIPAA, Medicaid, Medicare).