Clinical Quality Assurance Specialist
Who is Kyros?
Kyros is a venture-backed Minneapolis-based start-up that has built the world’s first recovery management platform. Our platform provides instant, centralized access to resources, provider care, and peer support for individuals suffering from substance use disorder.
Position Summary: The Clinical Quality Assurance Specialist will be responsible for supporting our Clinical Quality Department.
Essential Duties and Responsibilities:
The Clinical Quality Assurance Specialist is responsible for various tasks related to the supervision, planning, development, implementation, and evaluation of the Clinical Quality and Certified Peer Recovery Specialist (CPRS) Program. The essential duties and responsibilities of this role include:
- Contributing to the continual planning, data-gathering, development, implementation, and evaluation of the Clinical Quality Program.
- Serving as a valuable contributor to the Clinical Quality team, collaborating with other team members to ensure program effectiveness and compliance.
- Completing Quality Checks for the Peer Services Program, which involves conducting chart reviews and audits, contacting clients to verify care and assess program satisfaction, delivering coaching and performance plans to providers, and conducting overall quality and compliance reviews. These activities are performed under the direction of the Manager of Clinical Quality & Training.
- Generating reports and corresponding documentation based on the Quality Checks conducted. These reports provide insights into program performance and compliance.
- Assisting with the collection and summation of scheduled metrics related to quality and compliance. This involves gathering data from various sources and stakeholders, such as Peer Leads, Peer Supervisors, Assessors, and Program Partners.
- Performing other duties as assigned by the supervisor or management.
Supervisory Responsibilities: This job has no supervisory responsibilities.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to work in an office, in Minneapolis, at least 80% of the time.
Education/Experience: Bachelor’s degree from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
- Preference given to a licensed health care professional (RN, LADC)
- Experience with quality control monitoring, quality assurance and compliance is preferred!
- 5+ years of experience in healthcare operations and/or administrative coordination.
- Successful experience in team collaboration.
- Strong analytical skills.
- Excellent written and verbal communication skills.
- Planning, organization, and time management skills with a drive to meet strict deadlines.
- Must be an independent problem-solver and critical thinker.
- Strong knowledge of front-end revenue cycle and clinical operations processes.
- Effective use of software applications is required, and advanced use is preferred. – i.e., Google Suite, MS Excel, Electronic Health Records, Slack, etc.
- Partner and client relationship-building skills are required.
- Previous experience managing multiple projects and/or initiatives at once is required.
- Clear results of a background check with findings that do not exclude applicants from working within healthcare, receiving Medicaid reimbursement for services and/or being a part of a CMS-compliant organization.
- MS Office
- Google Suite
- Solid understanding and experience with people in recovery and within the substance use disorder (SUD) community.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit. The employee is frequently required to use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand and walk. The employee must be able to occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision.
It's important to note that reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions of the job. Additionally, while the above duties and responsibilities provide a general overview, other tasks may be assigned as needed.
The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.
Equal Employment Opportunity
We’re proud to be an equal opportunity employer and welcome our employee’s differences, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or Veteran status. Difference makes us better. Join us.
Kyros is a first of its kind digital platform for recovery services, harnessing the power of technology to build new pathways to help people heal. At ...