Associate Director, Quality Support Job at Pacific Clinics
Who We Serve
Pacific Clinics serves children, transitional age youth, families, adults, and older adults. We offer a full range of mental and behavioral health services, foster care and social services, housing, continuing adult education and early childhood education programs to Medi-Cal eligible individuals and families throughout Alameda, Contra Costa, Fresno, Kings, Los Angeles, Madera, Orange, Placer, Riverside, Sacramento, San Bernardino, San Francisco, Santa Clara, Solano, Stanislaus, Stockton, Tulare and Ventura Counties.
What We Offer
- Pay Range: $83,054.40 - $97,593.60 year. Compensation may vary based on skills, experience, education, and location.
- We Offer Medical, Dental & Vision benefits, retirement options, Flex Spending, EAP, and more!
- Employee engagement and advocacy opportunities to advance our justice, equity, diversity, and inclusion agenda across our Agency and throughout the communities we serve.
Position Summary
Under the supervision of the Regional Executive Director, manages quality assurance structures in large geographic regions consisting of multiple counties, programs, and contracts representing substantial agency revenue. 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, may assist in the preparation of Request For Proposal (RFPs), manage client services and Health Information Management (HIM) functions, and participate in training and outcome evaluation structures.
Essential Duties and 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 and receives correspondence. 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 Electronic Health Record (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 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 Health Insurance Portability and Accountability Act (HIPAA) compliance officer.
- Manages client services and Health Information Management (HIM) functions, as assigned.
Education Requirements
Master’s Degree (MA/ MS) in Psychology, Social Work, Marriage and Family Counseling or related field required.
Experience Requirements
- Six (6) years direct clinical experience of which three (3) years’ experience in children's mental health required.
- Two (2) years increasingly responsible experience in a clinical setting required.
- Experience with the mental health, child welfare and/or juvenile justice systems required.
Physical Requirements
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 may be required to use hands to handle or feel objects, tools or controls; reach with hands and arms; and taste or smell. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
In addition, this position requires standing, sitting, walking, climbing, and kneeling.
Equal Opportunity Employer
We will consider for employment qualified Applicants with Criminal Histories in a manner consistent with ordinance 184652 Sec.189.04 (a) and San Francisco Police Code, Article 49. Section 4905.
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