Quality Assurance Manager

SAN-Benito-Count; Hollister (CA); Vor Ort; USD 120.000 - 170.000; Vollzeit

Zusammenfassung

San Benito County is seeking an advanced management professional to coordinate department-wide quality assurance and improvement activities. You will lead strategic quality initiatives, ensure regulatory compliance, and supervise professional staff across multiple behavioral health programs.

The role requires a Master’s degree in a related field, plus supervisory or management experience in health or behavioral health services, with responsibilities in policy development and program evaluation.

Qualifikationen

• Master’s degree in relevant field required.
• 1 year in county Behavioral Health management OR 3 years supervisory experience in health/mental health management.
• Possession of one of the listed professional licenses (Clinical Social Worker/LMFT/PCP; Psychologist; RN/NP; CA Driver’s license).

Aufgaben

• Oversee and coordinate quality assurance and improvement programs across the department.
• Ensure compliance with federal, state, county, and regulatory requirements; prepare reports for oversight agencies.
• Lead audits, regulatory reviews, and accreditation activities; monitor program performance metrics.
• Develop staffing, training, and professional development plans; supervise staff and provide guidance.
• Develop grants and funding strategies to support department programs.

Kenntnisse

Quality assurance

Quality improvement

Regulatory compliance

Data analysis

Strategic planning

Staff supervision

Policy development

Budget management

HIPAA privacy

Communication

Ausbildung

Master’s degree in Social Work

Related field acceptable

Tools

Data management systems

Auditing tools

Jobbeschreibung

DISTINGUISHING CHARACTERISTICS

Under general direction, coordinates and oversees department-wide quality assurance and improvement activities; develops and implements quality management programs; monitors and evaluates service outcomes and compliance; and leads initiatives to improve service quality, performance, and adherence to applicable federal, state, county, and regulatory requirements.

This is an advanced management classification responsible for directing the Department's quality improvement and compliance functions across multiple behavioral health programs. The incumbent provides strategic leadership, oversees supervisory and professional staff, and is accountable for department-wide quality improvement initiatives, regulatory compliance, and accreditation activities. This classification is distinguished from lower-level management positions by its broader scope of responsibility, strategic decision-making authority, and role in departmental planning, policy development, and executive-level consultation. Incumbents report to the Behavioral Health Director or designee and oversee quality assurance staff.

Duties include but are not limited to those described below. Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.

• Oversees and assists in the development, implementation, and evaluation of quality assurance and quality improvement policies, procedures, and programs to ensure compliance with applicable Federal, State, County, and regulatory requirements.
• Plans, develops, administers, and evaluates departmental goals, objectives, management strategies, and quality improvement initiatives; supervises and evaluates subordinate staff and provides technical and programmatic guidance.
• Develops, communicates, and monitors adherence to departmental policies, protocols, safety standards, data management requirements, and fiscal and programmatic responsibilities.
• Prepares reports, analyses, and recommendations for contract providers, consultants, department leadership, and State oversight agencies regarding compliance, quality improvement, and operational matters.
• Coordinates and assists with departmental preparation for internal and external audits, including Specialty Mental Health Services, Medi-Cal billing, compliance reviews, and other regulatory assessments.
• Reviews and analyzes data, audit findings, and program performance metrics to identify deficiencies, compliance risks, and opportunities for improvement; develops and monitors corrective and preventative action plans.
• Maintains, compiles, analyzes, and reports statistical and performance data related to quality improvement, compliance, and program effectiveness.
• Monitors and interprets Federal, State, and County laws, regulations, policies, and program requirements; ensures departmental compliance with evolving mandates and standards.
• Oversees the development, implementation, and monitoring of privacy and confidentiality policies and procedures in accordance with HIPAA and other applicable regulations; collaborates with providers, management, quality improvement committees, and legal counsel on privacy-related matters.
• Consults with department leadership on personnel matters and provides recommendations regarding recruitment, employee development, performance management, disciplinary actions, and other workforce issues.
• Directs staff development activities, including training programs, certification processes, travel approvals, continuing education opportunities, and compliance with mandated training requirements.
• Represents the department on regional committees, work groups, and collaborative initiatives; establishes and maintains effective working relationships with partner agencies and stakeholders
• Develops proposals, grant applications, and funding strategies to secure additional resources and support the expansion, enhancement, or continuation of departmental programs and services.
• Performs related duties as assigned.

MINIMUM QUALIFICATIONS

Education: Master’s degree in Social Work, Social Welfare, Clinical or Counseling Psychology or related field required from an accredited college or university.

Experience: One (1) year of experience working for a County Behavioral Health Department in a management role OR Three (3) years of increasingly responsible supervisory work in health or mental health management, governmental administration or equivalent.

License:

• 1. Possession of a valid license as a Clinical Social Worker, Marriage and Family Therapist or Professional Clinical Supervisor issued by the California State Board of Behavioral Science.
• 2. Possession of a valid license as a Psychologist issued by the California State Board of Psychology
• 3. Possession of a valid license as a Registered Nurse and/or Nurse Practitioner by California State Board of Registered Nursing
• 4. Possession of a valid California operator’s license issued by the State of California Department of Motor Vehicles.

Special Requirements:

• 1. Ability to work irregular hours as necessary
• 2. Ability to travel within and outside the county
• 3. Ability to qualify for security clearance through a background investigation, including a fingerprint check.

Knowledge of: Principles, practices, and methods of quality assurance, quality improvement, performance management, and continuous quality improvement in behavioral health programs; Federal, State, and local laws, regulations, policies, and standards governing behavioral health services, including Medi-Cal, Medicare, Specialty Mental Health Services, Drug Medi-Cal, and related reimbursement systems; accreditation, certification, auditing, monitoring, and compliance requirements applicable to public behavioral health programs; administrative principles and practices, including program planning, policy development, organizational management, and strategic planning; principles and practices of supervision, staff development, performance evaluation, and personnel management; data collection, statistical analysis, outcome measurement, and performance reporting methods; behavioral health treatment systems, including mental health and substance use disorder services and programs; contract administration and provider monitoring principles and practices; budgetary, fiscal, and program management principles; HIPAA, confidentiality requirements, and applicable privacy laws and regulations; methods of conducting program evaluations, compliance reviews, and operational assessments; principles of effective communication, collaboration, negotiation, and conflict resolution; computer applications and information systems used in quality improvement, data management, reporting, and program administration.

Ability to: Plan, organize, direct, and evaluate quality improvement and compliance activities across multiple behavioral health programs; develop, implement, and monitor policies, procedures, standards, and quality improvement initiatives; interpret and apply complex Federal, State, County, and regulatory requirements and ensure organizational compliance; analyze data, audit findings, operational issues, and program outcomes; identify trends and develop effective corrective actions and improvement strategies; supervise, train, mentor, and evaluate professional, technical, and supervisory staff; establish and maintain effective working relationships with employees, management, contracted providers, regulatory agencies, and community stakeholders; communicate effectively, both orally and in writing, including preparing reports, recommendations, policies, and presentations; lead organizational change initiatives and facilitate continuous quality improvement efforts; exercise sound judgment and make effective decisions in complex and sensitive situations; manage multiple priorities, projects, and deadlines while maintaining attention to detail and regulatory compliance; facilitate meetings, committees, and collaborative workgroups; analyze administrative, operational, and compliance issues and develop practical solutions; prepare and interpret statistical, operational, and performance reports; utilize computer software, databases, and information systems related to quality improvement, compliance monitoring, and program management; represent the Department effectively before governing bodies, regulatory agencies, professional organizations, and community groups.

Physical Requirements/Work Environment: Work is performed primarily in an office environment including sitting at a desk working with computer equipment for prolonged periods, and travel for work purposes of training; hear and communicate orally in person, on the phone and in meetings; hand/eye coordination for use of computer/office equipment and performing ergonomics assessments; visual ability to distinguish colors; regularly working with files and general office equipment; safely operate a motor vehicle. Light to moderate lifting and carrying of files; occasionally stand and walk for extended periods.

Disaster Service Workers: All San Benito County employees are designated “Disaster Service Workers” through state and local laws (CA Government Code Sec. 3100-3109 and Emergency Services Chapter 6 via adoption of local Ordinance No. 361 § 1, 2-25-75). As Disaster Service Workers, all County employees are expected to remain at work, or to report for work as soon as practicable, following significant emergency or disaster.