Behavioral Health Quality Assurance & Compliance Manager
Employment Type : Full-Time
POSITION SUMMARY
The Quality Assurance and Compliance Manager will provide operational and program support to all clinical and community support program managers and their staff on issues of quality assurance and compliance. Duties will focus on ensuring that ARCC complies with clinical and other regulatory requirements and maintains a high standard of quality through the implementation of quality assurance methods, such as internal auditing, rigorous training, and other methods to minimize waste. Additional tasks will include developing policies & procedures, conducting Medi-Cal documentation training, and supporting the compliance program at ARCC. This position has support from the Quality Assurance Administrative Assistant.
ESSENTIAL JOB FUNCTIONS- With support of the Chief Program Officer, Clinical Director and Chief Executive Officer, manage the audit process for all agency programs including: ensuring that internal audits are conducted properly and appropriately, drafting audit reports, supporting program managers in completing correction action plans, spot checking progress notes and reviewing assessments and treatment plans, and making adjustments to audit tools.
- Support ARCC in external audits, including conducting internal audits in advance of external audits.
- Provide compliance and documentation training to all new and existing agency staff as needed.
- Work closely with the Chief Program Officer and Clinical Director in developing and maintaining best practice Medi-Cal protocols and guidelines for agency documentation.
- Work closely with program managers to ensure best practice documentation and auditing standards are maintained and provide consultation and recommendations to managers and senior leadership regarding identified quality or compliance issues.
- With support from the Director of Quality Improvement collaborate on the development and tracking of key performance indicators (KPI) and other quality measures for the agency.
- Provide technical support and guidance regarding the development of policies & procedures, in support of accreditation.
- Ensure that the agency is meeting Medi-Cal site and satellite certifications.
- Provide oversight of the incident reporting procedure concerning the agency.
- Provide support around record requests/disclosures and service encounter verifications for the agency.
- Support the utilization and configuration of the electronic medical record, as necessary.
- Perform related duties for the benefit of the agency and its clients, as assigned by supervisor.
EDUCATION AND EXPERIENCE:- Masters in Social Work, Clinical Psychology, or related field strongly preferred
- Minimum of two years of experience working in a Medi-Cal driven environment required.
- Demonstrated knowledge and proficiency in Medi-Cal documentation required.
- Minimum of two years of experience working in quality assurance and/or compliance in a Medi-Cal driven environment strongly preferred.
- Two years of clinical experience working with children, youth, and families, preferably in a community-based setting strongly preferred.
- Two years of proficiency in utilizing an electronic medical record strongly preferred.
- Knowledge and understanding of diagnosis, terminology, and record charting standards.
- Flexibility, adaptability, and a desire to create efficiency, while maintaining quality.
- Excellent communication, training, interpersonal and writing skills.
- Able to work independently and as a positive member of a team.
- Fingerprinting and background check as required by the Department of Justice.
- Valid CA driver's license, an automobile for agency travel, and proof of current auto insurance.
- TB clearance required.