Gateway Foundation · 3 weeks ago
Quality Systems Specialist (Behavioral Health) - Humble, TX
Humble, TX
Full-time
Onsite
Entry, Mid Level
$24/hr - $24/hr
2+ years expGateway Foundation, Inc. is a national non-profit dedicated to helping individuals with substance use and mental health disorders. The Quality Systems Specialist coordinates quality assurance activities to evaluate and improve the quality of patient care within the organization.
Addiction TreatmentHealth CareMedicalMental HealthNon ProfitRehabilitationWellness
Responsibilities
Conducts review of client records to monitor and evaluate adequacy and performance measures in accordance with established standards and medical necessity
Audits client records and reports to ensure compliance with regulations, contracts, policies and procedures, and standards of care
Coordinates with program supervisors and directors to initiate corrective action-improvement plans
Provides quality improvement training and in-service programs for all levels of clinical staff
Monitors site administration and results of client satisfaction surveys. Review client satisfaction results and trends with sites and help identify areas for improvement including identified benchmarks
Facilitates site-level quality improvement meetings to review monthly audit findings and compliance with Gateway identified quality indicators. Records site-level meetings or designate person to record meetings
Participates in the site-level meetings to identify, plan and implement areas for improvement
Prepares summary reports and presentations of program activities and results for review and use by management in planning and evaluating quality of services, and process improvement. Participates in analyzing data to identify trends, program strengths and weaknesses, and interpret and explain results. Contributes to developing recommendations to enhance services
Assists supervisor in evaluating standards of compliance and quality of care
Participates as a member of committees or teams concerned with utilization review, quality management, and process improvement; and assists committees and teams in carrying out responsibilities by aggregating and reporting pertinent review and audit findings. Identifies client care problem areas and provides input into resolution of identified problems
Keeps current regarding changes in regulations, standards and contracts governing utilization review and quality management, as well as trends and developments in data retrieval and reporting methodologies
Manages weekly clinical schedule ensuring updates and modifications are completed as needed
Qualification
Required
Bachelor's degree in nursing, health care, health information management, social services or other closely related field
Two years progressively more responsible experience in healthcare or social services, with concurrent experience in substance abuse counseling
Strong verbal and written communication skills, and high degree of tact and diplomacy, in order to gather and exchange utilization and quality management data, present written and verbal reports of findings, and provide effective advice and guidance to clinical staff in achieving compliance and enhancing quality of services
High level analytical skills necessary to collect, analyze and interpret client data, determine significance of information collected, form inferences and/or forecasts from data, and prepare abstracts and summaries of statistical information for reports
Proficient in Microsoft Office such as word and excel in order to complete required forms, reports, and analyses
Proficient in Electronic Medical Records
Ability to lift and carry 5 to 20 pounds
Proofreading and checking documents for accuracy on a continual basis
Ability to use a keyboard and video display terminal to receive, retrieve, and/or audit information and data
Ability to respond to telephones, pages and speech
Normal or corrected vision in order to read and audit files
Works in a corrections environment where there is exposure to potentially disruptive or violent offenders. Potential for harm is limited if established security precautions and procedures are followed
May be exposed to inclement weather when traveling to various locations. Some exposure to hazards when driving, but potential for harm is limited if safe vehicle operation procedures are followed
Benefits
Medical, dental, and vision insurance for employees and dependents
Employee wellness program promoting health and fitness and offering cash-saving premiums
Employee assistance programs focused on mental health
403(b) Retirement Plan with 3% employer match
Short-term and Long-term Disability and Life and AD&D Insurance paid for by Gateway
Flexible Spending Accounts for medical and dependent care
Public Service Loan Forgiveness (PSLF)
18 paid time off days per year – accrual rates increase with years of service
9 paid company holidays
Work-life-balance
Training & Development Programs
Tuition Reimbursement - up to $5,250 per calendar year
ELearning access to online courses that provide CEU’s and job-related training
Clinical Supervision: Formal and informal guidance
Company
Gateway Foundation
Gateway Foundation offers a wide range of addiction treatments, therapy, and clinical services for substance abuse and mental health.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ave Costa
Chief Development Officer (CDO)
Recent News
2025-10-27
2023-11-08
Company data provided by crunchbase