Quality Specialist , Compliance

Excitement abounds at Heritage Behavioral Health Center!

We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois who is dedicated to improving mental health and substance use care to individuals in a multi-county area. We recognize that all individuals at our organization have an impact on patient care - regardless of the position they hold.

Why join us?

• We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package.
• We are expanding our primary care, mental health and substance use services to individuals in Central Illinois and beyond and are looking for dedicated staff to meet the needs of our clientele.
• Our salaries have been updated and are competitive at both the state and national levels with wonderful benefits.
• Full-time employees receive 56 paid days off during their 1^st year of employment (this includes every other Friday off PAID for your wellness needs). This increases to 61 days the 2^nd year and continues to increase with tenure.
• We have expanded our employee insurance benefit offerings and made them more affordable.

At Heritage, we believe in taking care of our staff's needs so that they can concentrate on taking care of the needs of the individuals we serve. Our staff are our greatest asset, and we treat them as such!

We are pleased to present the following position for your consideration:

Position Overview: We are seeking a dedicated and detail-oriented Quality Specialist to join our certified community behavioral health clinic. This position is responsible for training staff on all aspects of clinical documentation to ensure compliance with rules, contracts, and funding requirements. The ideal candidate will foster a culture of accuracy, professionalism, and timely communication in clinical documentation across the organization.

Key Responsibilities:

• Onboarding and Training:
  Conduct comprehensive onboarding sessions for new employees, ensuring they understand appropriate documentation standards and procedures.
  Develop and maintain training materials that reflect the latest compliance requirements and best practices.

• Ongoing Coaching:
  Provide ongoing coaching and support to staff regarding clinical documentation practices to enhance understanding and adherence to compliance standards.
  Create a supportive environment for continuous learning and improvement in documentation skills.

• Documentation Review:
  Review and provide feedback daily for new clinical and medical staff on clinical documentation within the first 30 to 90 days of employment to ensure accuracy and compliance with regulations.
  Identify areas for improvement and recommend strategies to address documentation issues.

• Facilitate Review Process:
  Collaborate with the compliance department to facilitate formal clinical documentation reviews, ensuring alignment with organizational policies and funding requirements.
  Ensure all staff successfully complete clinical documentation review by 90-day mark or refer for supervisor review.
  Prepare reports on review outcomes and provide insights into training improvements.
  Assist with utilization review per contract, accreditation, and funder requirements.
  Complete OIG investigator training within the first three months of employment.

• Quality and Content Training:
  Deliver training sessions focused on the quality and content of clinical records, emphasizing the importance of professional communication.
  Ensure staff understand the relevance of high-quality documentation in supporting client care and organizational compliance.

Education and/or Licensure Requirements:

• Bachelor degree in Social Work, Psychology, Healthcare Administration, or a related field. A Master's degree is preferred.
• Proven experience in healthcare quality assurance, customer service, or behavioral health services.
• Familiarity with evidence-based practices such as NIATX and customer experience best practices.
• Strong analytical skills and the ability to interpret data to drive improvements.
• Excellent interpersonal and communication skills, with a focus on creating a welcoming environment.
• Ability to work collaboratively with multidisciplinary teams.
• Proficiency in Microsoft Office Suite and customer relationship management (CRM) tools.
  Preferred Qualifications:
• Experience in behavioral health or community health settings.
• Knowledge of process improvement methodologies or ability to obtain training in NIATX or other evidence-based systems management.
• Ability to obtain certification in quality management or customer experience within 6 months.

Heritage also offers the following with this position:

1. Generous vacation, sick and personal leave
2. WELLNESS days - 26 days per year (every other Friday off paid)
3. Paid holidays - 9
4. Health Club/Fitness Reimbursement
5. Employee Assistance Program
6. Continuing education opportunities
7. Tuition assistance program
8. Agency provided life insurance and short-term disability policies
9. Retirement plans (401k and Roth)
10. Optional insurance benefits, including health, dental, vision, flex spending accounts (healthcare, dependent care), and additional life insurance. (The health insurance benefit includes substantial agency contribution towards the cost.)
11. We are a National Health Service Corp site which gives staff access to the National Health Service Corp federal student loan forgiveness program (LCPC, LCSW, MD, APN, RN, CADC, LSW, and LPC individuals). For more information, visit www.hrsa.gov.