QUALITY REVIEW SPECIALIST - 60022603 jobs in United States
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State of Florida · 1 day ago

QUALITY REVIEW SPECIALIST - 60022603

The State of Florida's Department of Children and Families is seeking a Quality Review Specialist to enhance behavioral health services across the state. This role involves conducting quality reviews, preparing reports, and collaborating with various stakeholders to improve service quality and outcomes for individuals facing mental health and substance use challenges.

Government Administration
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Responsibilities

Conduct reviews of behavioral health services across the state to assess service quality, compliance, and effectiveness
Prepare and deliver clear, timely reports of findings to leadership and stakeholders, including identified strengths, deficiencies, and recommendations for improvement
Review documentation and provide findings to operation staff to support service quality and improvement
Participate in the design, development, and refinement of quality review tools, instruments and methodologies aligned with leadership priorities, evidence-based practices, and departmental performance metrics
Maintain ongoing communication and collaboration with the Quality Review Supervisor and review team to ensure consistency, accuracy, and alignment in review activities
Engage with SAMH staff, managing entities, providers, regional representatives, and other stakeholders through meetings, interviews, and focus groups to gather feedback and inform quality improvement efforts
Ensure critical deficiencies identified during quality reviews are escalated and communicated to designated personnel within established time frames
Collaborate with the Office of Quality and Innovation analytics team to support accurate data analysis, interpretation of findings, and meaningful reporting of review outcomes

Qualification

Behavioral health experienceQuality review assessmentReport preparationRegulationsContinuous quality improvementData analysisMicrosoft WordMicrosoft ExcelCollaboration skillsCommunication skillsCritical thinking

Required

Demonstrated professional experience in social work, psychology, public health, behavioral health, or a related human services field required
Experience working in behavioral health services, including mental health or substance use programs
Experience assessing behavioral health services and program operations to ensure quality, compliance and effective outcomes
Experience preparing reports, presenting findings, or providing recommendations to leadership or stakeholders
Experience collaborating with multidisciplinary teams, providers, or community partners
Knowledge of behavioral health systems, service delivery standards, and regularity requirements, including federal and state laws and polices related to substance use and mental health services
Understanding of evidence-based and promising behavioral health practices and their application across departmental programs
Experience assessing and monitoring behavioral health services and program operations, including system level and case level reviews
Understanding of continuous quality improvement and the ability to integrate quality processes across programs
Ability to apply systems thinking to operational decisions and maintain a holistic, integrated approach to quality
Agility and adaptability in applying and designing quality review approaches and instruments to ensure objective, valid and reliable findings
Strong critical thinking, analytical, and problem-solving skills
Excellent written and verbal communication skills, including conflict resolution and the ability to convey findings clearly to diverse audiences
Proficiency in Microsoft Word and Excel
Ability to manage multiple projects, prioritize tasks, and work collaboratively to drive improvements
Candidate Profile (application) must be completed in its entirety
Include supervisor names and phone numbers for all periods of employment
Account for and explain any gaps in employment so that the hiring process is not delayed
Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications
It is unacceptable to use the statement 'See Resume' in place of entering work history
If you experience problems applying online, please call the People First Service Center at (877) 562-7287

Benefits

The State’s total compensation package for employees features a highly competitive set of employee benefits.
Growth Opportunities: With 12,000 employees across the state DCF promotes opportunities and training for all.

Company

State of Florida

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The State of Florida is an online telephone and email directory for state government agencies and employees in Florida.

Funding

Current Stage
Late Stage

Leadership Team

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Richard Herstein, MD, MHA, MBA
Chief Hospital Administrator (CEO) and Chief Medical Officer (CMO)
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Jimmy Patronis
Chief Financial Officer
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