Associate Director, Quality Support

Who We Are:

Pacific Clinics is California's largest community-based nonprofit provider of behavioral and mental health services and support. Our team of more than 2,000 employees speak 22 languages and are dedicated to offering hope and unlocking the full potential of individuals and families through culturally responsive, trauma-informed, research-based services for individuals and families from birth to older adults.

Program Description:

Enhanced Care Management (ECM) and Community Supports (CS) are programs within a far-reaching, multiyear plan to transform California's Medi-Cal system, known as California Advancing and Innovating Medi-Cal (CalAIM). Led by California's Department of Health Care Services, the goal of CalAIM is to help integrate Medi-Cal more seamlessly with other social services and help improve outcomes for the millions of Californians covered by Medi-Cal, especially those with the most complex needs. Customers enrolled in these programs receive comprehensive care management from a single System Navigator who coordinates all their health and health-related care, including physical, mental, and dental care, and social services. ECM makes it easier for customers to get the right care at the right time in the right setting and receive comprehensive care that goes beyond the doctor's office or hospital. Our CS Housing teams support adults and families at risk for or currently experiencing homelessness along with getting connected to other programs that address their social drivers of health and overall wellness. Come join our team, partnering with managed care health plans, and change the landscape of Behavioral Health and integrated care in our state!

What We Offer:

• Pay Range: Bay Area $110,885-$127,530 / Los Angelas $83,054- $104,863 / Fresno-Central $89,294- $112,726 / San Bernadino-Inland $75,504- $95,332 / Sacramento

• Capital $75,504- $101,941

• Hybrid

• 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.

JOB SUMMARY:

The Associate Director Quality Support, under the supervision of the Regional Executive Director, is responsible to manage quality assurance structures in large geographic regions consisting of multiple counties, programs and contracts representing substantial agency revenue. The AD Quality Support 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, the AD Quality Support may assist in the preparation of RFP's, manage client services and HIM functions and participate in training and outcome evaluation structures.

RESPONSIBILITIES AND DUTIES

• 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, receives correspondence and 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 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 Quality Improvement

• 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 HIPAA compliance officer.

• Manages client services and HIM functions, as assigned.

• Performs other responsibilities, as assigned, to support specific department/business needs.

JOB SPECIFIC COMPETENCIES

• Clinical Leadership

• Contributes To Team Performance

• CQI/QA Projects

• Managing Multiple Priorities

• Reviews Data for Accuracy

CORE ABILITIES

Ability to:

• Maintain self-initiative, reliability, and resolve problems in a timely manner.

• Resource allocation and utilization.

• Train and instruct.

• Quality assurance and troubleshoot.

• Research, plan, monitor, implement.

• Persuade and negotiate.

• Create, innovate, prioritize, and reorganize.

• Sensitivity to working with culturally diverse populations.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Minimum Education and/or Experience

• Master's Degree (M.A.) in Social Work, Marriage and Family Counseling, Psychology, or related field.

• Six (6) years direct clinical experience of which three (3) years' experience in children's mental health

• Experience with the mental health, child welfare and/or juvenile justice systems.

• Two (2) years increasingly responsible experience in a clinical setting.

Preferred Qualifications

• LPHA or California licensure as LCSW