Quality Assurance Therapeutic Counselor

EOE Statement

At HOPE, our goal is to be a diverse workforce that is representative, at all job levels, of the community we serve.  We embrace and encourage our employees’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language,  national  origin,  physical  and  mental  ability,  political  affiliation,  race,  religion,  sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are proud to be an equal opportunity workplace and an affirmative action employer.

SUMMARY

Provides clinical expertise, support and guidance in quality assurance for assigned programs related to documentation standards and quality of care.  Under the direction of the Quality and Integration Director works with assigned programs to enhance service delivery, maintain standards of practice, and identify trends for enhancing training practices across the agency.

ESSENTIAL DUTIES AND RESPONSIBILITIES may include the following. Other duties may be assigned.

Conducts proactive documentation reviews, including progress notes, treatment plans, and discharge summaries, ensuring accuracy, compliance, and clinical appropriateness. Provides feedback and recommendations for improvement.

Provides clinical consultation and training to therapists and case managers regarding documentation best practices, medical necessity, and adherence to regulatory and accreditation standards.

Engages in program meetings to present documentation trends, reinforce quality standards, and offer training to improve compliance and enhance clinical outcomes.

Supports the development and implementation of clinical program goals and outcome measures that align with recovery-oriented services, including data collection and analysis as needed.

Assists in tracking performance and quality improvement indicators such as the Performance and Productivity Report (PPMR), the Enhanced Tier Payment System (ETPS), and other key metrics.

Conducts chart reviews and audits to ensure compliance with CARF, ODMHSAS, CCBHC, Medicaid, and Medicare standards, offering corrective action plans when necessary.

Identifies potential service gaps and collaborates with clinical teams to enhance client engagement and reduce administrative discharges.

Educates and supports clinical staff in managing caseloads, ensuring timely documentation, and utilizing available tools for tracking service delivery.

Provides clinical oversight for collaborative/therapeutic documentation practices, ensuring real-time documentation with clients and same-day completion of service records.

Works closely with program leaders to identify training needs, offering education and consultation to enhance staff competency in documentation and service delivery.

Assists in reviewing clinical records and service documentation to generate quality assurance and improvement reports, identifying trends that inform clinical training and policy development.

Seeks supervisory assistance and professional development opportunities to enhance skills and maintain expertise in clinical documentation and quality assurance best practices.

Ensures strict adherence to HIPAA, CARF, ODMHSAS, CCBHC, and other funding source requirements to maintain client confidentiality and uphold professional ethical standards.

Attends assigned treatment team meetings to ensure quality and training measures

Supports a trauma-informed, recovery-oriented approach to behavioral health service delivery.

Performs other related duties, as assigned.

QUALIFICATIONS

· Strong understanding of clinical documentation standards, medical necessity requirements, and quality assurance in behavioral health settings.

· Ability to analyze clinical documentation for accuracy, completeness, and compliance with CARF, ODMHSAS, CCBHC, PPMR, and ETPS guidelines.

· Excellent verbal and written communication skills, with the ability to train and coach clinical staff on documentation and quality improvement strategies.

· Proficiency in electronic health records (EHRs), data management tools, and reporting systems to monitor clinical quality measures.

· Strong problem-solving skills, with the ability to identify trends, recommend solutions, and implement best practices for service delivery improvement.

· Ability to work independently and collaboratively within interdisciplinary teams to enhance quality, compliance, and service outcomes.

· Experience in data collection, analysis, and reporting to support program evaluation and continuous quality improvement.

· Strong organizational skills and attention to detail to ensure consistent documentation and adherence to quality assurance standards.

EDUCATION and/or EXPERIENCE

· Master’s degree in counseling, social work, psychology, or a related behavioral health field.

· Two (2) or more years of experience providing therapy or clinical services in a behavioral health setting.

· Experience in quality assurance, clinical auditing, compliance monitoring, or training in a behavioral health or CCBHC setting preferred.

· Familiarity with Medicaid/Medicare billing requirements, auditing processes, and documentation standards in behavioral health services.

· Prior experience in clinical supervision, training, or quality improvement initiatives is a plus.

CERTIFICATES, LICENSES, REGISTRATIONS

· Must hold an active Oklahoma license (LPC, LCSW, LMFT, LADC/MH)

· Required to complete Therapeutic Options or an approved safety training and maintain annual updates.

· May be required to obtain and maintain First Aid and CPR Certifications.

· Must possess a valid driver’s license and reliable transportation if required for job duties.

OTHER SKILLS AND ABILITIES

· Commitment to HOPE Community Service’s mission of providing compassionate, high-quality behavioral health services that empower individuals on their recovery journey.

· Ability to foster a supportive, trauma-informed, and recovery-oriented environment for both clients and staff.

· Strong interpersonal skills to effectively engage, educate, and support clinical teams.

· Adaptability in a fast-paced, evolving behavioral health setting, with a proactive approach to problem-solving and process improvement.

· Ability to interpret and apply state and federal regulations, accreditation standards, and agency policies to ensure continuous quality improvement.

· Skilled in developing and delivering clinical training that enhances staff competency in documentation, compliance, and service excellence.

· Passion for improving client outcomes through data-driven decision-making and evidence-based best practices.

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 occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb or balance; and talk or hear. The employee must occasionally lift and/or move up to 25 pounds. Employee must have vision enough to read written or typed data. Employee must have hearing and speech enough to communicate effectively with staff, clients, and public in person or by phone.

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.