Who We Are
Casa de los Niños is one of the most established and well respected non-profit organizations in Tucson. We have been helping kids and healing families since 1973.
Our services include parent education classes, Foster Care, Parents As Teachers, Behavioral Health, and Nurse-Family Partnership Program!
Job Summary :
The Q uality Improvement & Compliance Specialist will assist with all quality improvement and compliance activities throughout all programs in the organization.
The position will help monitor compliance standards for COA, state and OLR licensing, DCS, DES, AOC, AHCCCS, and various health plans.
In addition, conducts internal audits of patient / client files and programs, assists with preparation for internal and external audits, also processes incident report reviews and any Quality-of-Care Concerns.
Essential Duties :
- Reviews patient / client charts for all programs and makes quality and compliance recommendations to the department based on any deficiencies noted in the record .
- Reviews and analyzes data to ensure optimal documentation and services standards.
- Coordinates / Communicates with providers and other parties to facilitate optimal care / treatment.
- Conducts medical record audits and help facilitate process improvement activities to ensure compliance with industry standards and guidelines
- Collect and manage patient information from Casa de los Ninos personnel to complete medical / client records.
- Maintain patient / client files and records according to established standards.
- Assists with training and implementation of HIPAA standards.
- Responsible for organization-wide safeguards for HIPAA compliance and Protected Health Information
- Monitors and evaluates the quality-of-service provision and helps ensure compliance with regulatory bodies.
- Reviews, tracks and trend incident reports and assists with related process improvement activities.
- Assists with root cause analysis, development of corrective action plans, and monitoring progress toward goals.
- Identifying and assessing areas of significant business risk.
- Manag ing and reporting compliance breaches and exposures, conducting ad hoc investigations into identified or reported risks, as necessary.
- Assists with preparing reports, equipment, and credentials for external auditors.
- Assists all programs / departments to create and monitor KPIs and performance outcomes
- Process credentialing and re-credentialing applications and certifications.
- Screen practitioner's applications and supporting documentation to ascertain eligibility
- Monitor and track utilization review outcomes and trends, identify areas for improvement, and make recommendations for process enhancements.
Required Education / Experience / Skills / Abilities :
- Bachelor's Degree on behavioral health, health care administration or business-related field preferred.
- Two (2) years of experience in health care or quality management / compliance.
- Proof of COVID immunization.
- Excellent working knowledge of Microsoft Office applications and EHR.
- Must be able to meet training and organization requirements for the position.
- Must foster an environment that is solution-focused, dedicated, and compassionate to support the organization's mission, values, and strategic direction
- Must exhibit a demonstrated commitment to diversity and inclusion, valuing diverse perspectives and encouraging contributions by all team members.
- Must possess or be able to qualify for and maintain a valid Arizona department of public safety level one fingerprint clearance card .
- Must possess and maintain a valid Arizona driver's license and be insurable under the organization's automobile policy .
Our Mission
Casa de los Niños promotes child well-being and family stability in our community. We place top priority on hiring and growing a team of knowledgeable, passionate, creative, and diverse individuals who have a strong desire to empower children and families within our community.
More information about us and our current job openings is available at . Casa de los Niños is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, veteran status, gender identity, gender(sex), sexual orientation, or familial status.
Quality Improvement and Compliance Specialist I
We place top priority on hiring and growing a team of knowledgeable, passionate, creative, and diverse individuals who have a strong desire to empower children and families within our community. COA, state and OLR licensing, DCS, DES, AOC, AHCCCS, and various health plans. Maintain patient/client fi...
Burn and Trauma Quality Specialist
This position plans, coordinates, implements and evaluates clinic quality/performance improvements, patient safety programs, and/or coordinates compliance and regulatory programs for preparedness and accreditation requirements. Monitors and evaluates the overall quality of behavioral health services...
Sr Specialist, Quality Interventions/QI Compliance (Remote in Arizona)
Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring fo...
Senior Manager, Environmental Compliance and Strategy (NEPA Specialist)
With an increasing number of projects triggering federal environmental review, this position will serve as an internal resource and NEPA expert for project teams, directing and guiding NEPA compliance across multiple projects, where and when necessary. The successful candidate will have a thorough u...
Quality Process Improvement Specialist
The Quality Improvement Specialist performs and oversees ongoing Quality Improvement activities to assure patient safety and evidence based practice, as well as, timeliness, accuracy and compliance with licensing, registry and regulation requirements. This role will require the use and application o...
IT Governance, Risk, & Compliance Specialist
Develop and oversee IT compliance and IT Risk strategies, ensuring alignment with regulatory requirements and industry standards. The IT Governance, Risk, and Compliance Specialist will play a key role on the iboss team by aligning security initiatives with enterprise programs and business objective...
Patient Safety Specialist, Enterprise Quality and Patient Safety
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting...
Project Manager – Construction
Project Manager – Construction Responsibilities** Prepare, review, and submit owner billings and subcontractor pay applications* Oversee the preparation and submittal of change orders* Review, report, and manage project costs including the monthly project forecast* Oversee the execution and implemen...
Manager Quality Management - RN
Managerial Role in Cath Lab - Elevating Patient Care to Excellence. Position: Manager Cath Lab - Nurturing Compassionate Care and Inspiring Excellence. Champion productivity, while ensuring quality care and patient satisfaction. ...
Quality Assurance Manager
Join Our Winning Team! Are you a passionate Quality Assurance leader looking to make a significant impact? We're seeking a dynamic individual to join our growing team as a Quality Assurance Manager. As a Quality Assurance Manager, you will be responsible for establishing, monitoring, and maintaining...