Job Title: Senior Quality Specialist

Job Summary:

Cases is seeking a detail-oriented and experienced Senior Quality Specialist to join our administrative team. The ideal candidate will have a strong background in quality management, a deep understanding of quality assurance principles, and a proven track record of implementing quality control processes. The Senior Quality Specialist will play a key role in developing and maintaining quality standards, conducting audits, and ensuring compliance with internal and external regulations.

Shift Hours: The Senior Quality Specialist position is full-time Monday through Friday from 9:00 am to 5:00 pm.

Location Address: 151 Lawrence Street Brooklyn, NY 11201. 

Workplace Flexibility: Remote, an employee is not required to work at a CASES worksite.

Salary: The salary for the Senior Quality Specialist role is $75,000 per year.

What you will be doing: 

Conduct internal chart review and audits to confirm client records meet standards of care, licensing, medical necessity, State and MCO Medicaid regulations.Complete timely utilization review (UR) of client documentation for medical necessity admission and continuing stay, and discharge reasons; develop recommendations shared with managers and monitor how UR decisions are implemented by the treatment team.Coordinate and support the incident reporting and review program according to NYS Part 524 regulations, promoting effective staff onboarding and training, engaging and helpful incident review meetings, timely minutes, and follow-up procedures and practices. Ensure incidents are documented, investigated, and appropriately reviewed.Support risk management practices for clients with high vulnerability for poor outcomes related to suicide, violence, and medical problems working collaboratively with treatment program managers on quality of care and evidence-based treatment services. Conduct continuous quality improvement (CQI) initiatives with treatment program managers to improve program performance and client outcomes.Monitor and ensure treatment programs comply with client privacy and release of confidential protected healthcare information, including HIPAA and 42 CFR Part 2 Confidentiality for Substance Use Disorder Treatment.Conduct real-time review and approval of documentation that will be shared with criminal legal system stakeholders about client status and progress in treatment.Develop and deliver training programs and staff coaching on policies and procedures, documentation, incident reporting, and standards of care to meet the needs of new hires and each treatment program, in compliance with local, state, and federal regulations.Demonstrate a commitment to diversity, equity, and inclusion through continuous development and modeling inclusive behaviors.

What we are looking for: 

LMSW or LMHC with at least 1 year of quality improvement/assurance and compliance experience with NYS licensed treatment programs.Maintain a high degree of accuracy along with attention to detail.Prioritize assignments and meet stringent deadlines.Ability to provide strengths-based constructive feedback, deal with sensitive issues, and maintain confidentiality, all with a focus on improved quality.Value diversity, equity, and belonging and contribute to an inclusive work environment.Excellent communications verbal, written, presentation, and interpersonal skills.Proficient with MS Office (Word, Excel, PowerPoint, Outlook, Teams, and SharePoint).

Employee Benefits:

CASES cares about employee wellbeing, and we offer a comprehensive benefits package to support you and your family, including:  

Medical Dental Vision Vacation and Paid Time Off – starting at 25 days-off annually, plus an additional summer self-care day12 Paid Holidays per yearRetirement 403b Competitive matching up to 6%Employee Referral ProgramVisit www.cases.org/careers/ to learn more about benefits offered by the CASES

Although we would love to learn about the skills of every candidate, only selected candidates that are selected will receive a response. We encourage you to apply for any position(s) you feel you are qualified for.  

CASES is proud to be an Equal Opportunity Employer. Employment with CASES is based solely on qualifications and competence for a particular position without regard to race, color, ethnic or national origin, age, religion, creed, gender, sexual orientation, disability, or marital, military, or citizenship status. We also actively recruit individuals with prior involvement in the criminal legal system.

Monday-Friday 9am-5pm.
35 hours weekly.