Clinical Quality Improvement Coordinator-IBH - Kern/Fresno Admin

Clinica Sierra Vista; Fresno (CA); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Competitive pay

Health coverage

Vacation days

Wellness plan

Continuing education assistance

403(B) plan with company matching

Job summary

Clinica Sierra Vista in California is seeking a Clinical Quality Improvement Coordinator-IBH to implement and oversee the Behavioral Health Quality and Compliance program, aligning with HRSA and Joint Commission standards. The role emphasizes development of workflows within the EHR to ensure quality and proper billing practices.

You will oversee adherence to medical records requests, HIPAA compliance, and performance reporting, while coordinating staff development and improvement initiatives.

Qualifications

• Valid licensure with the Board of Behavioral Sciences as a Clinical Social Worker, LMFT, LPCC, or Licensed Psychologist.
• 3–4 years of experience in community mental health or substance use disorder programs.
• Strong knowledge of California Medi-Cal standards for mental health and substance use treatment.
• Experience with HRSA and FQHC requirements and performance/audit standards.

Responsibilities

• Plan, direct, coordinate, and evaluate behavioral health program compliance with contracts and regulations.
• Implement and maintain quality improvement activities to meet FQHC requirements.
• Develop staff training to meet quality standards.
• Design and implement quality improvement processes and workflows in the EHR.
• Create metrics, collect data, and generate trending reports for performance improvement.
• Monitor site risks and coordinate corrective actions.
• Collaborate with internal and external entities to resolve quality issues.
• Oversee medical record requests and HIPAA compliance.

Skills

Analytical skills

Communication skills

Team collaboration

Data interpretation

Education

California LCSW/LMFT/LPCC or Licensed Psychologist

Tools

EHR systems

Data dashboards

Job description

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient.

Why work for us?

• Competitive pay which matches your abilities and experience
• Health coverage for you and your family
• Generous number of vacation days per year
• A robust wellness plan and health club discounts
• Continuing education assistance to grow and further your talents
• 403(B) plan with company matching

We're looking for someone to join our team as a Clinical Quality Improvement Coordinator-IBH who:

The Clinical Quality Improvement Coordinator is responsible for implementing, monitoring, and evaluating the Integrated Behavioral Health Department’s Quality and Compliance Management Program. With oversight and direction from the Senior Director of BH, this position is responsible to coordinate and ensure quality, as well as compliance with all behavioral health contractual agreements as well as HRSA and Joint Commission standards. The Clinical Quality Improvement Coordinator also ensures the IBH therapists are meeting the standard billing and quality care through development of workflows within the EHR.

Essential Functions

• With assistance from the Senior Director of BH, the Clinical Quality Improvement Coordinator is responsible for planning, directing, coordinating, and evaluating behavioral health program compliance with contract agreements, local, state, and federal regulations, performance standards, performance improvement plans, customer service objectives, and Department of Health Care Services laws, regulations, and state plan amendments.
• Responsible for implementing and maintaining improvement activities to meet the requirements of the FQHCs.
• Helps design and provide staff development activities to meet quality standards.
• Successfully develops and implements quality improvement processes.
• Establish work plan metrics with data collection methodology for accurate trending reports.
• Monitor and recommend actions to address site risks or vulnerabilities.
• Comprehensive recommendation strategies to improve and streamline program activities.
• Collaborates with internal and external entities to identify and problem solve quality improvement related issues.
• Prepares and maintains peer reviews and provides appropriate follow-up.
• Oversee the adherence to medical record requests and ensures all releases meet the required HIPAA standards.
• Develops assessment activities and tools to track, analyze, and present patient/client outcome measures, process improvement activities, program performance, and customer satisfaction, along with tracking mechanisms relating to these materials.
• Provides reports and data summaries relevant to performance improvement activities.
• Coordinates/participate in the development and oversight of the Behavioral Health Department’s compliance program.
• Must be able to operate standard office equipment including: a keyboard, copier, telephone, and calculator.
• On occasion must be able to work irregularly scheduled hours.
• May require some travel between sites and occasional out-of-area travel.
• Provides other administrative support as required.

Other Experience and Skills Required:

• Normal office environment.
• Knowledge and understanding of California Medi-Cal standards of care for Mental Health, and the principles of quality and performance improvement processes.
• Knowledge of computer systems and applications.
• Ability to work well with others in a professional and team-oriented environment.
• Ability to reach decisions and lead action within scope of responsibilities.
• Ability to communicate clearly (verbal and written).
• Ability to analyze and interpret data and prepare summary reports.
• Ability to monitor quality control standards.

You’ll be successful with the following Qualifications:

• Valid Board of Behavioral Sciences (BBS) Licensure as a Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC),

OR

• a valid license with the Board of Psychology as a Licensed Clinical Psychologist

AND

• 3-4 years of working in community mental health or Substance Use Disorder program is desired
• Demonstrated organizational, and management skills in a behavioral health care delivery organization.
• Knowledge and understanding of California Medi-Cal standards for mental health out-patient services and for substance abuse treatment.
• Knowledge of performance and audit standards for HRSA and FQHC requirements.
• Effective verbal and written communication skills in English and demonstrated ability to analyze data and write concise narrative and statistical reports.
• Valid California driver’s license, auto insurance, and personal transportation.

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.

Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!