Quality Improvement Supervisor II

  • SAN BENITO COUNTY, CA
  • 481 4th St., Hollister, California
  • Jun 04, 2022
Full Time Clerical and Administrative Support
  • Salary: $96,262.40 - $125,881.60 Annually USD

Job Description

DEFINITION
Under general direction of the Director of Behavioral Health, plans, organizes, manages, evaluates and supervises the activities that ensure the quality of client care and over-all quality/effectiveness of major programs within the County Behavioral Health Department; assigns and evaluates the work of multidisciplinary professional and paraprofessional staff and other support personnel, may plan and provide a variety of direct client behavioral health services, performs a variety of administrative work functions associated with ensuring fiscally sound utilization of behavioral health services; serves a primary role in the completion of the departments Performance Improvement Projects; serves as the departments Compliance Officer; serves as a liaison for the department with contracted direct service providers, community, regional, or State agencies

DISTINGUISHING CHARACTERISTICS
This is middle level management position with primary responsibility for the administration of the quality improvement and compliance plans of a major department with multiple programs that include mental health and substance abuse branches. Incumbents are responsible for maintaining the quality of both staff and program performance and workload standards. This classification requires strong management and communication skills as well as problem solving skills and the ability to participate effectively in decision-making processes. This classification also requires a high degree of professional knowledge in the areas of mental health and substance abuse treatment/support services, federal and state laws and regulations related to MediCal and Medicare reimbursement and program operations.

REPORTS TO
Director of Behavioral Health

CLASSIFICATIONS SUPERVISED
This classification has no direct supervisor responsibility of specifically assigned staff, however the responsibilities of the position requires oversight, and evaluation of the work produced by multidisciplinary professional and paraprofessional staff and other support personnel.

PHYSICAL REQUIREMENTS
Sit for extended periods; frequently stand and walk; normal manual dexterity and eye-hand coordination; lift and move objects weighing up to 25 lbs.; corrected hearing and vision to normal range; verbal communication; use of office equipment, including computer, telephone, calculator, copiers, and FAX.

TYPICAL WORKING CONDITIONS
Work is performed in an office, clinic, homes, school, or community environments; work is performed with people who may exhibit unstable and potentially violent behavior; continuous contact with other staff and the public.
Examples of Duties / Knowledge & Skills
(The following is used as a partial description and does not exemplify the full scope of all duties required.)

  • Reviews client admission data and clinical documentation to ensure compliance with County and State regulations and policies relating to medical necessity and case documentation: when appropriate interviews clients, significant others, and consults with outpatient professional staff, and contract provider staff regarding client diagnoses, medical necessity, length of treatment and case documentation.
  • Reviews case records and assesses for appropriate levels of care, aftercare and discharge planning.
  • Represents the County in disputes with contract providers over appropriateness of treatment plans and length of stay in care.
  • Advocates on behalf of the County with contract provider staff for appropriate client care.
  • Provides training for professional, paraprofessional and contract provider staff on information about utilization and documentation requirements.
  • Facilitates and participates with department staff in utilization review and quality improvement meetings.
  • Evaluates financial status of inpatients at contactor inpatient facilities to identify payer sources; posts and reconciles all payments from all payer sources for inpatient physician services and bed day charges; records MediCal and Medicare payments, cutbacks and denials.
  • Prepares comprehensive reports related to program operations and activities
  • Works in a primary staff role in fulfilling the responsibilities for the design, implementation and completion of the departments Performance Improvement Projects
  • Fulfills the responsibilities of the Compliance Officer as identified in the departments Compliance Plan
  • Ensures the adherence to and fulfillment of the responsibilities of the department as described in the department's Annual Quality Improvement Plan
  • Responds to requests for information and assistance
  • Assists in the preparation for and participates in various state and federal program audits to ensure department compliance with MediCal and Medicare regulations
  • Monitors and evaluates overall activities of assigned programs/functions, including contracted service providers/programs, methods and procedures for effectiveness and consistency with program goals and objectives, recommending and implementing upon Director approval changes in program, policies, and procedures as necessary.
  • Files MediCal updates
  • Operates a computer and updates files, records

Minimum qualifications & Requirements
Any combination of training and experience which would likely provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be:

At least three years of licensed professional experience in a multidisciplinary Behavioral Health program which includes experience in administrative management and /or clinical supervision that demonstrates possession of the knowledge and abilities.

AND

Completion of academic coursework and training as defined in Title IX for the California Administrative Code in one of the following:
Ph.D. in clinical psychology from an accredited school;Master's degree in Social Work from an accredited school of social work;Master's degree in Marriage, Family and Child Counseling, Psychology, or Counseling from an accredited school.Registered Nurse, meaning a person licensed as a registered by the California Board of Registered Nursing.
Special Requirements:

Possession of a valid California class C driver license.
Possession of one of the following licenses issued by the State of California: Clinical Psychologist; Registered Nurse; Clinical Social Worker; or Marriage Family and Child Counselor.
Supplemental information
Knowledge of:
  • Quality review/quality assessment principles, practices, methods and techniques
  • Pertinent laws and regulations regarding health and social service programs, including guidelines pertaining to reimbursement of health care services
  • Federal, state and county regulations and policies pertaining to utilization review
  • Laws and regulations pertaining to client's legal rights
  • Basic pharmacology and and the utilization of prescription drugs for treatment: Methods and procedures of admissions, discharges, and client care in outpatient and acute care psychiatric settings
  • Principles, practices, and techniques of psychotherapy and psychiatric casework and substance abuse treatment
  • Social aspects, attitudes, characteristics and behaviors of mental illness, emotional disturbances and addiction to drugs and alcohol
  • Current developments in the field of Mental Health and Substance Abuse Treatment
  • Community resources available to mental health and substance abuse programs
  • Cultural, socio-economic and language factors that affect service delivery to ethnic populations
  • Basic training and employee development principles and practices
  • Basic mathematics and basic computer applications and techniques.

Ability to:
  • Review and interpret healthcare documentation, including interpretation of clinical data and medical terminology pertaining to diagnosis, treatment and medication
  • Ascertain facts through examination of records
  • Collect, interpret and evaluate data
  • Interpret complex regulations, laws and guidelines, formulate policies and procedures, rationalize and project consequences of decisions, and /or recommendations
  • Establish and maintain effective relations with clients, the general public, contract providers and personnel at all organizational levels
  • Prepare concise, logical oral and written reports and explain policies, procedures and recommendations
  • Communicate effectively both orally and in writing
  • Prepare and maintain accurate records
  • Operate standard office equipment, utilize various software programs relevant to the responsibilities of the position
  • Operate a motor vehicle; assist in the establishment of program goals and objectives and evaluate their attainment, train, evaluate and motivate professional and support staff.

In accordance with California Government Code section 3100, et., seq., all County of San Benito employees are considered disaster service workers who may be required to report for duty, or remain on duty to address disaster service activities in the event of an emergency or disaster and are required to undertake an applicable loyalty oath.

SAN BENITO COUNTY BENEFITS

Employees in regular, full-time positions will be eligible to participate in the following employee benefits:

Pay Day: Employees are bi-weekly. The insurance and benefits deductions will take place bi-monthly - normally the first two pay periods of the month. Bank/Credit union and 457 Retirement Deferrals deductions will take place bi-weekly.

Vacation: Based on continued years of service. Maximum accruals may apply depending on the bargaining unit.

< 4 years of service = 10 days per year

5 to 9 years of service = 15 days per year

10 to 14 years of service = 18 days per year

15 + years of service = 20 days per year

Administrative Leave: Management employees receive 80 hours of administrative leave per calendar year. Forty (40) unused hours can be paid out at the end of the calendar year. Administrative leave is pro-rated.

Holidays: 13.5 holidays (including 3 floating) for most employees. Safety officers and dispatchers receive approximately 5% holiday pay in addition to their base pay in lieu of paid holidays off.

Sick Leave: 15 days per year. Maximum accruals apply.

Health Plan: Comprehensive medical and dental plans available for full-time employees. Employees appointed to a regular position at a time base of 50% or higher are also eligible to participate.

Vision Plan: MES Vision Plan offered which offers exams, frames and lenses on a 12-24-24 basis. The County pays for employee coverage and the employee can pay for dependent coverage. This benefit is available to FULL-TIME employees only.

Employee Assistance Program: The County provides confidential short-term counseling services to employees and dependents.. Any regular employee is eligible for up to a total of three (3) hours of counseling sessions within any six (6) month period per County employee. Up to a maximum of six (6) sessions per calendar year are allowed per family

Life Insurance/AD&D: County pays for a $20,000 BASIC life insurance policy for each employee. Two other VOLUNTARY life insurance plans available, including AD&D.

Disability Insurance: General, Confidential and Management groups participate in the State Disability Insurance.

Credit Union: Membership available to San Benito County employees at the Santa Clara County Federal Credit Union.

Deferred Compensation: Employees may participate in tax-deferred retirement savings. Two 457 plans available. Employees may rollover funds from prior 401k or 457 accounts. IRS limits apply.

Retirement: PLEASE NOTE THAT CHANGES ARE CURRENTLY PENDING FOR JANUARY 1, 2013 DUE TO PENSION REFORM LAW AND OTHER DATES DUE TO CONTRACT MODIFICATIONS. Regular employees will be enrolled into the CalPERS retirement system in accordance with the Public Employees' Retirement Law. Employee contributions vary according to bargaining unit.

? All New Miscellaneous (non-Safety) employees enrolled into the CalPERS retirement system participate in the full formula of 2% at 62. Miscellaneous employees participate in Social Security in addition to CalPERS.

? New Safety employees are covered by the safety full formula 2.7% at 57. Safety employees contribute 9% of the employee contribution. Safety employees do not participate in Social Security.

Extra Insurance: Employees may participate in various AFLAC plans such as accident, disability, and cancer insurances. AFLAC can enroll employees into a pre-tax cafeteria plan and flexible spending accounts including Unreimbursed Medical ($2500) and Dependent Care ($5000).

Administrative Leave

Health Insurance

Dental Insurance

Vision Insurance

Retirement Formula Local MISC 2% @62 for New PERS Members

Social Security

Vacation Based on Continued Years of Service

Sick Leave 15 Days Annually

Floating Holiday

457 Deferred Compensation

Credit Union

Unreimbursed Medical

Flexible Spending Account

Employee Assistance Program

Group Life Insurance

Additional Optional Life Insurances & AD&D

Automatic Deposit

Bi-Weekly Pay Periods

Tuition Reimbursement

01

Please be sure to answer the supplemental questions thoroughly and accurately. Applicants are responsible for clearly, completely, and accurately identifying their qualifications. Your responses to the questions must be supported by both the work experience listed on your application as well as your resume. The rating of the supplemental questions may determine your application status and/or rank on the eligible list. I have read and understand the statement above concerning submission of supplemental questionnaire responses.
  • Yes
  • No


02

I understand all County employees will be required to take an Oath of Office and will be called upon to act as Disaster Service Workers, when needed.
  • Yes


03

Per the State Public Health Officer Order of January 14, 2022 from the California Department of Public Health, all employees in the Behavioral Health Department must be fully-vaccinated and boosted against COVID-19 or submit a medical or religious exemption form. Any job offer made to candidates for the Behavioral Health Department are contingent upon showing proof of being fully-vaccinated on their first day of work or submitting an exemption form for medical or religious reasons. For more information and to view the complete San Benito County COVID-19 Policy, you may visit our COVID-19 Employee Information page at: https://www.cosb.us/departments/county-administrative-office/human-resources/covid-19-employee-information-updates I acknowledge that I have read and understand the above statement.
  • Yes


04

Do you have a Ph.D or Master's degree in psychology, social work, marriage and family counseling, or a related field from an accredited college or university?
  • Yes
  • No


05

Are you a licensed clinical psychologist, licensed clinical social worker, or a licensed marriage, family and child counselor in the State of California? If the answer is yes, a copy of your license is required to be attached to your application in order to be considered for this role.
  • Yes
  • No


06

Please describe your professional experience in multidisciplinary community-based programs including experience in quality management, program evaluation, quality improvement and/or in the production of reports using Excel.

07

Please describe your role in any state or federal audits, creation of policies, or development of trainings for staff.

Required Question

Closing Date/Time: Continuous

Job Address

481 4th St., Hollister, California 95023 United States View Map