Clinical Quality Improvements Specialist

Clinical Quality Improvements (CQI) Specialist

Continuous Quality Improvement department

Salary range: $65,000 - $72,000/annually

The Opportunity Alliance is looking to fill a new Clinical Quality Improvement Specialist role with our Continuous Quality Improvement (CQI) department.

We are looking for an experienced, licensed, social worker who has a keen eye for detail and can help support our programs review and improve our clinical documentation. This role is more administrative in nature but relies on the value of clinical mental health experience. We are looking for someone who is excited to coach and train in proper clinical documentation and someone who can look at the process overall with a keen eye for improving processes.

The Clinical CQI Specialist’s responsibility is to work with programming and quality staff to ensure quality client outcomes and effective delivery of clinical services. Specifically, the Clinical CQI Specialist is responsible for ensuring ongoing activities in reviewing, monitoring and educating program clinical staff in documentation of sound clinical practice in client records. This role will support introducing the clinical documents and clinical documentation of medical necessity and service delivery as staff onboard with relevant TOA clinical programs. The Clinical CQI Specialist will provide all departments with training and technical assistance in priority clinical training topics.  This role will support programs with clinical client record review processes and support program leadership in action planning related client clinical workflows. 

Schedule: Full-time, 40 hours per week, salaried position.

                       Primarily regular business hours M – F.

Location: Office is located in South Portland, ME.

               Opportunity to work partially remote in a hybrid schedule.

Qualifications: 

• A master’s degree in social work, with 10 years of clinical mental health treatment experience and 3-5 years of clinical supervision and LCSW required.
• Prior Experience in providing clinical mental health treatment in a managed care environment and utilization review in a managed health/behavioral health context is preferred.
• Demonstrated ability to follow through on details and have strong organizational, analytical and communication skills.
• Ability to effectively assess performance issues and develop appropriate and effective intervention plan.
• Ability to work effectively with a multi-disciplinary staff.
• Demonstrated knowledge of and the ability to identify and utilize relevant reference material, i.e. Program Contracts, Maine Care regulations, level of care criteria, SAMHSA best practice material, etc.
• Ability to effectively utilize technology to expedite job performance.
• Must be able to successfully pass a criminal background, child protective service check & sex offender check.
• Must not be on the state or federal suspension and disbarment list.
• Normal office conditions such as sitting, with occasional standing, walking, reaching, stooping, bending, kneeling, crouching, typing and lifting up to 10 pounds.
• Driving may be necessary to attend meetings and trainings but is not a primarily and essential job responsibility.

Benefits: Our benefits include but are not limited to:

(offered to full-time and part-time employees)

• Generous paid time off accrual
• 9 paid holidays per calendar year and up to 3 floating holidays per calendar year 
• Excellent medical benefits at very reasonable cost 
• Dental and Vision insurance options 
• Agency paid basic life insurance and STD & LTD disability insurances 
• 403(b) retirement with a generous agency match (all employees are eligible)
• Tuition Reimbursement – offered once per year through an application process
• The Opportunity Alliance (TOA) is a qualified employer under the Public Service Loan Forgiveness (PSLF) program.

To learn more about our benefits please visit, https://www.opportunityalliance.org/explore-our-benefits

Who we are…

The Opportunity Alliance is “Helping People Reach for a Brighter Future”.

Mission: The Opportunity Alliance works with people to build better lives and stronger communities. We provide advocacy, leadership, and support to identify the goals and address the needs of individuals, families, and communities.

The Opportunity Alliance (TOA) is a dynamic, results-focused Community Action Agency providing approximately 50 integrated community-based and clinical programs serving more than 20,000 people annually throughout the state of Maine. With over 50 years of experience, TOA draws from a comprehensive set of programs which address issues such as mental health, substance use, homelessness, lack of basic needs, and access to community supports. Through an extensive array of services, TOA provides opportunities for individuals to stabilize fragile situations and then works with them to achieve self-sufficiency. TOA is client-focused with extensive experience working with diverse client populations. TOA programming includes four key sectors of service:

• Mental Health & Wellness
• Community Building
• Family & Early Childhood Education
• Economic Resources

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If you are viewing this posting on a third-party site, please visit our website at https://opportunityalliance.wd1.myworkdayjobs.com/Careers to apply.

Please submit a cover letter and resume along with your application.

Thank you!