Jobs · Quality Assurance · California

Associate Director, Quality Support

Pacific Clinics · Fresno, CA · Yesterday
Quality Assurance$83k–$102k/yrFull-time

Schedule

Monday through Friday, from 8am to 5pm

Compensation

The initial compensation for this position ranges from $83,260 to $102,399 per year; depending on experience, location, and internal equity considerations.

Benefits

Benefits eligibility starts on day ONE. We provide a robust benefits package which includes medical, dental, vision, and a 401K employer match up to 4%. Competitive time off plans are also included.

About the role

The Associate Director Quality Support, under the supervision of the Quality Assurance, Health Information Management and Customer Services, is responsible for managing quality assurance structures in large geographic regions consisting of multiple counties, programs and contracts representing substantial agency revenue. The AD Quality Support develops, implements and maintains quality management structures that encompass clinical quality assurance, process and operational consistencies, cost containment, compliance and continuous quality improvement processes in alignment with agency standards. In addition, the AD Quality Support may assist in the preparation of RFPs, manage client services and HIM functions and participate in training and outcome evaluation structures.

Responsibilities

  • Participates as a member of the regional leadership team.
  • Functions as a liaison to county Quality Assurance Departments within the region.
  • Attends relevant county meetings, receives correspondence and, otherwise acts proactively, to obtain information about changes to county quality management expectations.
  • Develop, implement and maintain quality assurance structures that comply with federal, state, county and organization compliance and regulatory requirements.
  • Gathers information to produce routine reports to support quality management structures.
  • Collects and maintains data on complaints and grievances in the region.
  • In conjunction with Outcomes and Evaluation (O&E), ensures data collection procedures in alignment with state, agency and contractual requirements.
  • Coordinate and produce routine and special reports to internal and external sources.
  • Conducts data analysis and identifies trends and opportunities for continuous quality improvement.
  • Ensures the smooth interface between Information Technology (IT) and clinical documentation requirements.
  • Ensures data integrity within the EHR.
  • Ensure medical records adhere to the regulatory requirements of the agency and accreditation organizations.
  • Leads regional quality improvement committees, processes and activities using a Continuous Quality Improvement - Continuous Learning Approach.
  • Develop, implement and maintain the regional utilization review process that is consistent with federal, state, county and organizational requirements. Ensure the completion of corporate and regional audit tools.
  • Develop and maintain working relationships with all regional county quality departments.
  • Trains regional leadership and management on quality assurance topics.
  • Serves as a liaison with corporate departments and county departments to ensure contractual compliance.
  • Serves as the regional HIPAA compliance officer.
  • Manages client services and HIM functions, as assigned.
  • Performs other responsibilities, as assigned, to support specific department/business needs.

Qualifications

  • Master's Degree (M.A.) in Social Work, Marriage and Family Counseling, Psychology, or related field and five (5) or more years of relevant experience required, or equivalent combination of education and experience (two years of relevant experience equals one year of education) to include:
  • Five (5) years direct clinical experience of which three (3) years' experience in the program's specialization, such as children's mental health, child welfare, and/or juvenile justice systems.

Job Competencies

  • Clinical Leadership
  • Contributes To Team Performance
  • CQI/QA Projects
  • Managing Multiple Priorities
  • Reviews Data For Accuracy

Physical Requirements

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 qualified 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 handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop; kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Driving Requirements

May have unsupervised contact with children. Requires full background check and TB Exam.

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