Rights Officer // QM Specialist 51 (Waco, TX)

Performs routine consultative services and technical assistance to program staff, governmental agencies, community organizations, or the general public.   Works under moderate supervision, with limited latitude for the use of initiative and independent judgment.   

EXAMPLES OF WORK PERFORMED

• Perform QM activities such as maintaining data on abuse/neglect/ exploitation/ appeals/rights complaints
• Assists with QM department monitoring of Center compliance with requirements, laws, regulations, policies, and procedures to identify areas in need of change and assists with the development of plans to improve or address areas of concern
• Investigates client rights complaints and coordinates with Center staff, state rights office, and others as necessary to resolve complaint
• Serves as Center liaison with DFPS to coordinate investigations of abuse, neglect, exploitation which could include occasional after hours contact with supervisory staff
• Maintains mechanisms to measure, assess, and reduce incidents of client abuse, neglect, and exploitation and improve client rights protection processes
• Facilitates client appeal process for eligibility determinations and services including coordination, notification, and other actions as outlined in Administrative Manual for Medicaid clients handle referrals to HHSC and MCOs for appeals as necessary
• Serves as Center’s HIPAA Privacy Officer and ensures center compliance through periodic internal HIPAA reviews, maintenance of procedure, and breach analysis should a potential issue arise
• Serve as chair of Human Rights Committee 
• Maintains mechanisms to measure, assess, and improve client satisfaction with services
• Assists in the preparation of administrative reports, studies, surveys, and specialized projects
• Provides rights/guardianship/consent/ethics/confidentiality/client satisfaction-related consultative services and technical assistance for agency programs/staff
• Assists in analyzing legislation and/or new rules to develop recommendations for procedural changes in programmatic areas
• May assist in developing procedure particularly for the Administrative Manual
• Conducts new employee training in client rights and confidentiality and additional training as requested by managers or as corrective action to a review investigation finding. Responsible for creation of training material and documentation of training activities
• Serves as a liaison to government agencies, community organizations, or the general public to explain program specifics and requirements as needed
• Performs related work as assigned

Knowledge, Skills, and Abilities

• Knowledge of local, state, and federal laws related to services including Texas Administrative Code and HIPAA
• Experience with clinical documentation such as recovery planning, person-directed planning, progress notes
• Data analysis processes and tools, investigation techniques, training techniques, and MH and IDD program requirements
• Must be patient, respectful, and can exercise sound, unbiased judgement in resolving/investigating difficult and/or sensitive situations
• Ability to set and maintain strong boundaries
• Must be able to protect sensitive and/or confidential information
• Perform detail-oriented tasks such as the gathering, correlating, and analyzing facts; devise solutions to problems, prepare reports; to develop, evaluate, and accurately interpret policies and procedures; and to train others
• Proficiency with MS Word, Excel, PowerPoint, & Outlook
• Excellent documentation and verbal communication skills
• Strong organizational and time management skills
• Valid driver’s license, liability insurance, and reliable transportation required

Education & Prior Work Experience

• Bachelor’s degree from 4 year accredited university
• Two years case management  Required
• Experience in Treatment Planning, clinical documentation Preferred
• IDD Program knowledge Preferred
• Prior experience with Texas Administrative Code (TAC) Preferred

 Hours:  Mon- Fri 8AM-5PM

Salary: Base on Experience and Education


Benefits:

Heart of Texas Behavioral Health Network strives to offer competitive compensation and a comprehensive benefits package that includes:
Employer paid Health Insurance
Employer paid Dental Insurance
Employer paid Life Insurance
Payroll Direct Deposit
12 paid Holidays per year
Generous Paid Time Off (PTO)

Excellent 401-K Retirement Plan (Center will contribute 12% of employee earnings) **Certain Requirement Needed**

Department: Administration
This is a full time position