Job scope:

The Behavioral Health Quality Reviewer reports directly to the Behavioral Health Quality Review Manager. The Behavioral Health Quality Reviewer is a key team member in establishing a professional system of care to the individuals served through CHC. Behavioral Health Quality Reviewer will utilize the systematic approach whereby clinical staff are trained to use a Person-Centered philosophy. Will audit clinical documentation to ensure that a Person-Centered philosophy is utilized in recovery. Inspects documentation for the purposes of insuring that contract standards are met for Center payors.  Ensures contracted services are provided according to the Texas Health and Human services Commission (HHSC) contract standards.  Ensures that non-HHSC services are provided according to Center standards.  Ensure written audit findings are provided to MH programs and corrective action plans requested as needed to establish a clinically effective workforce. Ensure super user responsibilities are followed and assists refresher trainings for eligible staff are completed twice a year per contractual guidelines. Assists in CANS/ANSA certifications and re-certifications for all eligible staff. Will train clinical staff for the purposes of insuring that contract standards are met for center payors. Will train new staff on HHSC TRR contract, other contracted behavioral health services, the center's EMR as well as provide refresher trainings as needed. May maintain a MH caseload as needed.

Education/licensure:

Current valid driver's license in state of residence. Degree from an accredited college or university with an approved major which meets state requirements for QMHP. Prefer 3 or more years' experience working in the field.

Experience/Knowledge:

Ability to plan, organize and direct the work of others.

Ability to gather, assemble, correlate and analyze facts and devise solutions to administrative problems.

Ability to comprehend and implement program goals, objectives and operations and to relate these to administrative objectives and missions. 

Ability to develop, install, and evaluate administrative policies and procedures.

Ability to exercise judgment and discretion in applying and interpreting departmental policies and procedures.

Ability to establish and maintain effective working relationships with other staff, administrative personnel and officials and the public.