CLINICAL QUALITY ASSURANCE PROGRAM SPECIALIST

Full Job Description

This position is located at the Fleet and Family Support Program, Joint Region Marianas, Guam.

The mission of Joint Region Marianas (JRM) Warfighter & Family Readiness (WFR) is to provide the highest quality programs and services to the military community through self-sustainment across all quality of life programs.

***Recruitment and Relocation Bonuses/Incentives may be negotiable in accordance with agency policy.*** In order to qualify for this position, resumes must include information which demonstrates experience and knowledge, skills, and ability (KSAs) as they relate to this position.

Applicants are encouraged to be clear and specific when describing their experience level and KSAs.

If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S.

Department of Education in order for it to be credited towards qualifications.

Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education (http://www.ed.gov/admins/finaid/accred/).

Applicants qualifying based on education, time in grade, credentials, certification, training and/or module completion MUST provide proof of education (i.e.

official transcripts/high school diploma), personnel action or SFS0, credentials, statement of service, certification, training and/or module completion at the time of resume submission.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

The incumbent must meet Tier III qualification requirements described in SECNAVINST, "Credentials Review and Clinical Privileging of Clinical Providers within Department of the Navy Family Readiness Program.

Master's degree from a program accredited by the Council for Accreditation of Counseling and Related Education Programs or an equivalent degree; OR Master's degree from a program accredited by the Commission on Accreditation for Marriage and Family Therapy Education or an equivalent degree; OR Master's degree in Social Work from a graduate school of Social Work accredited by the Council on Social Work Education or an equivalent degree; OR Doctoral degree in clinical or counseling psychology from an American Psychological Association (APA) accredited university or professional school and a 1-year APA accredited clinical internship; AND Possess a current and unrestricted license or certification that provides legal authority to provide clinical services as an independent practitioner in the fields of Licensed Professional Counseling, Marriage and Family Therapy, Clinical Social Work, Clinical Psychology or Counseling Psychology; AND At least 2 years, full-time clinical experience post independent licensure or certification; AND At least 2 years of direct experience in the prevention intervention, or treatment of child abuse or domestic abuse, or the provision of maternal or child health support services; AND At least 5 years of specialized experience providing administrative support with the Department of Defense (DoD) program operations.

Expert knowledge of clinical social work and counseling principles, practices, instructions and standards; program development methods and practices; the FFSP organization, mission and functions; and analytical and evaluative methods to evaluate and interpret regulations and other programs effect on FFSP clinical functions.

Mastery in applying quality assurance methods and techniques and statistical analysis to evaluate clinical care services for compliance with regulations, directives and policies; and make recommendations for improved client care, treatment and quality customer service and to mitigate risk.

Expert skill in applying complex FFSP policies, procedures, instructions, and clinical treatment to manage the FFSP's Clinical QA/RM Program.

Proficiency in conducting audits and expert knowledge of intervention strategies, treatment modalities, and policies concerning mental health treatment including domestic violence to conduct clinical care reviews and lead or conduct investigations related to clinical care.

Professional skill in effectively applying verbal and written communication methods and techniques to consult with and provide guidance to upper management and staff; chair multiple committees; train staff throughout the region; and provide program information to the RCAP.

Work is performed in an office setting that is adequately lighted, heated, and ventilated; however, the incumbent will be required to visit regional work sites and attend meetings in the commuting area.

Major Duties:

Major duties and responsibilities are summarized below.

The primary purpose of this position is to serve as a Risk Mitigation Specialist to the Regional Counseling, Advocacy and Prevention (RCAP) Coordinator, responsible for planning, developing, and implementing the FFSP Quality Assurance/Risk Management (QA/RM) Program.

I.

Quality Assurance - Clinical Cases Conduct regular quality assurance (QA) reviews of Clinical, Family Advocacy Program (FAP), Sailor Assistance Intercept for Life (SAIL) and New Parent Support (NPS) cases to ensure the provision of the highest level of clinical counseling services complies with Secretary of the Navy instructions (SECNAVINSTs), policy, professional and accreditation requirements per current and CNIC certification standards.

Evaluate clinical services, including administration of RM, professional credentialing, professional education, and program evaluation and provide recommendations for improved client care and treatment and quality customer service.

Identify and evaluate key clinical processes and develop methods for collecting process improvement data.

Provide analytical expertise to measure progress in activities critical to improved clinical service delivery.

Chair Critical Incident Review Committee (CIRC) meetings on open cases involving suicide or attempted suicide and homicide.

Chair the Regional Fatality Review Committee meeting on cases that result in the death of a military member or dependent due to abuse or neglect.

Develop and maintain efficient and effective QA/RM methods to achieve the clinical mission of the FFSP.

Assist with other counseling and advocacy services, administration, and management, as requested by the RCAP. II.

Case Management Implement required QA activities for all clinical services in accordance with RCAP guidance to ensure compliance with CNIC certification standards and other appropriate guidelines.

Conduct records audits and collaborate with installation supervisors on clinical care reviews and reviewing customer satisfaction surveys to identify trends and common themes.

Develop and provide action plans to installations and send applicable data to CNICHQ for consolidation. Oversee the development of Quality Improvement Plans (QIPs), and critical incident reviews.

Lead/conduct investigations of alleged provider impairment, unethical behavior, or other misconduct, as required.

Identify ways to improve processes and programs to mitigate risk, develop needs assessments and provide to RCAP for review/approval.

Negotiate with installation CAP/FAP supervisors, and Naval Criminal Investigative Service (NCIS), Department of Defense Education Activity (DoDEA), and Bureau of Medicine and Surgery (BUMED) personnel within the area of responsibility (AOR) to come to agreement on improved quality assurance processes and coordinate implementation.

Work with installations to deliver needs assessments, analyze data obtained from installations, and write an analysis report to present to region N9.

ensure periodic needs assessments, delivery, and analysis.

Collect, compile, and evaluate clinical program data and develop reports of findings consult with and provide guidance to upper management and staff on case management and clinical QA matters.

Assist installations in the event of staff shortage or multi-victim situations, providing other counseling and advocacy services, when directed by the RCAP. III.

Administrative and Training Develop and manage an administrative reporting system to ensure quality of clinical services is routinely reviewed according to current SECNAVINST's and CNIC certification standards and other applicable professional standards.

Develop and deliver training to installation level clinical supervisors and providers within the Region to address deficiencies in certification standards and to ensure compliance with instruction and policy.

Participate in installation inspections and mid-cycle reviews, draft reports to provide to RCAP and region N9 and assist sites with developing corrective action plans and providing training that is involved in corrective actions.

IV. Program Management Manage region's Professional Credentialing and Privileging program in accordance with written protocol and in coordination with CNIC.

Gather all credentialing requirements from health care practitioners to ensure all health care providers in the region are credentialed and privileged and meet and maintain required DON professional and licensure standards.

Utilize the current record system to audit the clinical supervision record to ensure all Tier 1 and Tier 2 clinical providers are regularly participating in clinical supervision and/or consultation, as appropriate to their privileging status.

Performs other duties as assigned. A complete list of duties and responsibilities will be provided at the time of hire.