OC Wrap QA Support Specialist

South Coast Community Services; Placentia (CA); On-site; USD 52,000 - 68,000; Full time

Job summary

South Coast Community Services seeks a Quality Assurance Support Specialist to aid the Program Director in QA, contract compliance, and quality improvement for the Orange County Wraparound program. The role coordinates documentation, billing, and data reporting while ensuring fidelity and timely data collection.

The position requires a high school diploma (Bachelor’s preferred) and experience with data entry, basic accounting, and Medi-Cal billing processes.

Qualifications

• High school diploma required; bachelor’s preferred.
• Experience with data entry, filing, and basic office tasks.

Responsibilities

• Assist the Program Director with design, implementation, and maintenance of quality improvement and outcomes tracking.
• Assist with quality assurance and contract compliance for the OC Wraparound program.
• Provide guidance to meet standards for quality improvement and assurance.
• Monitor service utilization and referrals; maintain records and outcomes data.
• Compile monthly reports and ensure documentation and billing accuracy.
• Maintain Wraparound OC records, assessments, and expenditures; support audit readiness.

Skills

Data entry

Basic accounting

Filing

Office administration

Medi-Cal billing

Managed care systems

Data analysis

Wraparound process

Education

High school diploma

Bachelor's degree in business administration or related field

Job description

Description

SUMMARY:

The Quality Assurance Support Specialist supports the Program Director/Manager in maintaining continuous quality assurance, contract compliance, and quality improvement for the Orange County Wraparound program. The position coordinates documentation and billing processes, reviews records for accuracy and Wraparound fidelity, monitors service utilization and referrals, and maintains systems for outcome measurement and reporting. The manager organizes program administrative functions and supervises assigned staff supporting documentation and billing.

JOB DUTIES & RESPONSIBILITIES:

• Assist the Program Director with the overall design, implementation, and maintenance of the organization’s continuous quality improvement and outcome based services. Assist the Program Director with continuous quality assurance and contract compliance for the OC Wraparound program.
• Provide guidance and coordination towards satisfying standards and requirements for quality improvement and quality assurance.
• Assist Supervisors with maintaining accountability for all agency and program Policies and Procedures.
• Monitor service utilization and referrals.
• In consultation with the Program Director and county contract agencies, develop and utilize reliable outcome measures to track effectiveness of the process and ensure that all data collection instruments are completed and collected in a timely manner including satisfaction surveys and Wraparound Fidelity Index demonstration project. Assist the Program Director with tracking outcome measures and data for the OC Wraparound program.
• Establish and implement monitors to ensure the accuracy and timeliness of Plan of Care and all other documents requiring Wraparound Supervisor’s signature and/or approval.
• Compile monthly service reports in accordance with the contract and provide feedback to the Program Director and Wraparound Supervisors.
• Compile and route all program and contractual documentation in accordance with this agreement.
• Attend scheduled supervisor meetings, meetings with contract administrator, and/or WIRT meetings as determined by Program Director. Attend scheduled trainings as determined by the Program Director.
• Participate in training and ensure that Care Coordinators, Parent Partners and Youth Partners participate in the training in accordance with this contract.
• Maintain Wraparound OC records, assessments, reports, expenditures records, monthly internal audit of files, personnel records, scheduling and referral information, and billing and collection for services rendered. Assure compliance with all contract regulations regarding documentation and billing services.
• Purchase and inventory billing supplies.
• Input all Special Incident Report (SIR) data and generate reports to internal administrators and outside agencies as needed.
• Performs other related duties as required and assigned.

Requirements

GENERAL REQUIREMENTS:

Education/Experience

1. High school diploma required. A bachelor’s degree in business administration or a related field is preferred.
2. At least one year of experience in data entry, basic accounting, filing, and other office functions.
3. Proficiency with applicable mental health documentation, Medi-Cal billing requirements, and managed care systems.
4. Proficiency with program assessment, outcome measures, and data analysis. Familiarity with the Wraparound process and practices is preferred.

Licensure, Registration, Certification

1. Valid CA driver’s license and proof of automobile insurance.
2. Completion of CPR/First Aid certification within the first thirty (30) days of employment.