CLINICAL SERVICES QUAL ASSURANCE ADVISOR
Company: Beacon Health Options
Posted on: September 13, 2020
We Help People Live their Lives to the Fullest Potential!
For more than 30 years, Beacon has changed the way people live with
behavioral health conditions. Today, we are the undisputed leader
in behavioral health management, serving 40 million people across
all 50 states. At Beacon, we are committed to delivering
a'world-class' candidate experience from the moment you
click'Apply'! Our goal is to help you reach your fullest potential,
while utilizing your talents and expertise to help us deliver on
Do you have a passion for helping others? If so, we are looking for
Beacon is currently seeking a Clinical Quality Auditor to join our
team out of Chesapeake, VA, Arlington, VA or Bellevue WA. The
Clinical Svcs Quality Assurance Advisor partners with the Military
OneSource Management team to evaluate clinical and quality
performance by monitoring calls and correspondence, daily. This
individual will ensure the delivery of excellent service to
internal and external customers for the Military OneSource
Contract. Through exceptional interpersonal and communication
skills, effective leadership, planning, process management and
information analysis, this individual will continually promote a
customer focused environment. This position enhances customer
loyalty by insuring that managers and supervisors are continually
apprised of critical service quality issues, staff receives
appropriate training and performance feedback and management
receives appropriate recommendations regarding staff development,
What does a typical day look like?
- Monitors, evaluates and documents member or provider calls for
designated staff to ensure staff responses meet VO's clinical and
quality audit standards, and provides managers, supervisors and
clinical care managers with call coaching quality data. Partners
with the management team to ensure frequent performance and
developmental feedback are provided to the Military OneSource
- Compiles/reports monitoring evaluation data and presents call
coaching sessions. Provides Military OneSource Staff with an action
plan for process improvement, and if needed collaborates with the
management team in the corrective action process by gathering
documentation regarding non compliance in meeting required
standards. Contributes to performance improvement plans and
participates in discussions, up to and including termination.
- Ensure processes are in place to support compliance with all
state and federal laws (HIPAA), regulatory requirements,
accrediting agencies (NCQA and URAC) as well as Valueoptions
Federal Services' Inc.-- clinical criteria and policies and
- Compiles and presents summary level call coaching and
efficiency data which becomes part of each Military OneSource
Staff's performance review. Assures integrity and confidentiality
of call monitoring documentation and evaluates/develops monitoring
tools to support efficiency and effectiveness in the call
- Audits the timeliness and accuracy of any contractual follow up
inquiries made by Military OneSource Measures the ability of staff
to successfully meet all client performance expectations and
presents final assessments/employment recommendations to
- Identifies improvements or training opportunities and
develops/presents quality improvement training materials to improve
overall service quality. Identifies trends in inquiry monitoring
and applies corrective actions as necessary to meet business needs.
Ensures follow through with Military OneSource
- Develops ideas for performance improvement, service delivery,
and cross-functional initiatives that contribute to department
- Collaborates with the management team on new client
implementation activities, including development/presentation of
training materials, to ensure all home service center and client
performance expectations are met.
- Performs all functions of the role of triage consultant to
standard at any time leadership determines necessary.
What you Contribute?
- Education: Master's degree in Social Work Counseling or one of
the other core mental health disciplines
- License: Preferred current, valid and unrestricted Clinical
Knowledge, Skills& Abilities: A minimum of five years post graduate
clinical/administrative experience, some of which has been in a
supervisory capacity. Requires solid knowledge base and working
knowledge of mental health systems with clear understanding of
psychiatric clinical case management.
What Makes Us Different?
- Here, it's not just a job- it's an opportunity to change
- Our employees are learners, innovators and original
- Our mission and values guide the way we treat our members,
providers and each other.
What We Have to Offer:
- Healthcare benefits available starting day 1!
- Health& wellbeing incentives, such as gym membership
- 401K with company match to help reach your future financial
- Generous PTO, because we know life happens outside of work
If Beacon sounds like the place for you, what are you waiting for?
Apply with us today to get started!
Click below on"Apply for this Position" to create a profile and
apply for the position
ValueOptions Federal Services, Inc, a Beacon Health Options
company, is proud to be an Equal Opportunity and Affirmative Action
Employer as well as a Drug Free and Tobacco Free Work Environment.
At Beacon Health Options, our candidate's data privacy is a top
priority. Our recruiting team conducts all communications using
official company email (@BeaconHealthOptions.com). Only candidates
who have applied for an open position through our Careers page
(careers.beaconhealthoptions.com) will be engaged in our interview
process. Beacon conducts all interviews in person or over the
phone. At no time during the recruiting process will any Beacon
recruiter request any financial or personally identifiable
information from you.
Keywords: Beacon Health Options, Arlington , CLINICAL SERVICES QUAL ASSURANCE ADVISOR, Healthcare , Arlington, Virginia
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