Audit and monitor delivery of behavioral and/or clinical therapies to ensure quality participant service delivery, and regulatory and record keeping compliance related to the specific treatment being delivered. Utilize fidelity/competency check lists to assure associates/vendors achieve adequate clinical standards performance levels.
- management of administrative and emergency plans, accommodations, physical facility,medical record keeping practices, supervision practices, and competency assessments, to ensure quality and clinical standards are achieved.
- provide appropriate audit report, highlighting areas of concern; ensure service delivery as specified by contract; provide mentoring, supervision and/or support, as necessary.
- Perform billing audits to ensure accuracy of records
- Perform and audit medical records;
Provide comprehensive reports summarizing results, recommended actions and status. Monitor, assess and assure consistently organized medical records; secure, confidential record keeping and access practices; defensible documentation with objective and functional goals related to written assessment; and accurate documentation of goal achievement or progress. Initiate corrective action as necessary to restore and maintain compliance.
Manage and maintain the performance system utilizing developed fidelity/competency check lists; develop, monitor and analyze ongoing organizational data collection, develop and ensure implementation of interventions based on area of specialization, training and ongoing coaching to improve associate/vendor performance;
Initiate and maintain liaison relationships between management, clinical and/or therapy supervisors, directors, service providers, and other team members.
Conduct assessments for participants on a monthly basis or as needed.
Survey and report participant experience results, provide excellent customer service, and assist families and vendors in resolving challenging situations including but not limited too, PHI violations, termination of services, behavioral concerns, etc.
Assist internal therapy centers with associate productivity, oversight surrounding therapist supervision of clinical fellows, therapy assistants, and/or aides. Initiate corrective action if necessary and/or advise management of major concern
Attend and participate in leadership team Meetings. Lead and/or participate in Policy and Procedure, Infection Control, as required, Safety and Risk Management Committees, and contribute to Performance Improvement.
Monitor and ensure treatment plans of participants meet guidelines of care for medical necessity, are evidenced based, and in line with regulatory requirements.