Quality Improvement Analyst - Mental Health

Maryvale - Rosemead, CA3.0

Full-time$50,000 - $55,000 a year


Under the direct supervision of the Director of Quality Improvement, the Quality Improvement (QI) Analyst is responsible for providing quality assurance/ and improvement related program support. The Q.I. Analyst is responsible for ongoing case record reviews of the Los Angeles County Department of Mental Health (LACDMH), The Early Children Education program, and the Department of Children and Family Services (DCFS) documentation for contract compliance. The QI Analyst ensures that program services meet the standards of quality care and comply with Federal, State, and County regulations and Council on Accreditation (COA) Best practice standards.


  • Demonstrate a passion and commitment for the Mission and Vincentian Core Values of Maryvale and the Daughters of Charity.
  • Create an atmosphere of enthusiasm and energetic commitment and serve as a role model in carrying out the Mission.
  • Promote and support the attitudes, behaviors, knowledge and skills necessary to work respectfully and effectively with each other as well as demonstrate the ability to address the needs of the children and families Maryvale serves.
  • Follow the Trauma Informed Care philosophy when supporting and addressing the needs of the children and families Maryvale serves.
  • Utilize Trauma Informed Care approach in recognizing the presence of trauma symptoms and acknowledge the role that trauma has played in the lives of the clients/residents.
  • Assist in the healing process by developing appropriate RICH®(Respect, Information, Connection and Hope)relationships with those served.
  • Follow Universal Precautions when exposed to blood and body fluids.
  • Follow Occupational Safety Health Administration (OSHA) regulations pertaining to safety and the use of equipment/machinery.
  • Support Maryvale’s Performance and Quality Improvement Plan and participate in discussion regarding department or program goals, data collection and/or analysis.
  • Conducts a review ofthe core Medical Necessity documentation (Clinical Assessment and Treatment Plans) within the first forty (45) days of admission to ensure compliance with MediCal guidelines, and provide feedback to theprogram’s clinical leadership on audit risk.
  • Conducts quarterly case record reviews for all active DCFS and ECE case records, and a random sampling of discharged case records, to ascertain compliance with documentation standards and audit readiness.
  • Responsible for collating and analyzing case record review findings, creating and submitting weekly, monthly and quarterly data summary reports to the programs.
  • Responsible for creating and maintaining the tracking system for all core documents including Clinical Assessments, Treatment Plans, Need and Services Plans.
  • Assesses and make recommendations regarding the documentation tracking and internal utilization review systems to eliminate redundancy and ensure effectiveness.
  • Processing and tracking of all requests for Release of Information for all discharged program clients.
  • Provides documentation training to the treatment staff regarding Maryvale’s compliance standards and the provision of quality services.
  • Provide orientation training to Associates assigned to the DCFS and DMH staff, including the use of the Exym; the organization’s Electronic Health Records System (EHRS) and its functionality; documentation timelines and contract compliance procedures.
  • Provide technical assistance as needed, to Program Associates on the Electronic Health Record System (EHRS) Exym.
  • Work closely with the Program teams to ensure audit readiness. Provide supports during Program audits, MediCal recertification and Approvals; and Council on Accreditation (COA) pre and onsite preparations.
  • Other duties, as assigned by the Director of Quality Improvement.


  • A Bachelor’s Degree in the Human Services field from an accredited university, in addition to a minimum of two years’ experience working within a Human Services organization.
  • Knowledge and proven experience working with Department of Children and Family Services and the Department of Mental Health programs. Knowledge of Early Childhood Education Programs a plus.
  • Takes initiative, is flexible, has the ability to multi task, ability to work in a fast-paced environment and adapt quickly to changing priorities, autonomous but also comfortable working within a team context.
  • Excellent verbal and written communications skills are required to confer with administrative and professional personnel and to communicate with individuals of diverse backgrounds and education, and to train others. Must be able to make recommendations concerning policies and procedures, trainings, and improvement projects based on case record review findings.
  • Strong computer skills including proficiency in Microsoft Office applications as well as the ability to adapt quickly to industry-specific software.
  • Demonstrated experience working with Electronic Health Record Systems (EHRS). Exym preferable.
  • All Associates, regardless of position, serve as role models for children and adolescents who are served by our agency.Therefore, each Associate must be emotionally stable at all times, and able to function effectively with children, adolescents and adults who may have mental or behavioral health problems.The staff must be able to demonstrate appropriate daily behavior, appropriate expression of emotions, as well as appropriate role modeling.Hostility, aggression or unnecessary or inappropriate physical actions as well as inappropriate emotional expression are not acceptable.

Job Type: Full-time

Salary: $50,000.00 to $55,000.00 /year


  • QA related (LA County DMH): 1 year (Required)
  • auditing case records; data compliance and analysis reports: 1 year (Preferred)


  • Bachelor's (Required)