Manager, Quality SUPPORT

Who We Are

Pacific Clinics is California's largest community-based nonprofit provider of behavioral and mental health services and supports. 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.

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

• Salary Range begins at up to $91,188.00 annually Actual offers will be determined by the candidate’s creditable years of experience in conjunction with internal equity considerations and based on the organization’s current compensation practices.
• This position is eligible for 8% BBS Licensing Differential paid monthly
• 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

JOB SUMMARY

 

Works within the vision, mission and philosophy of the agency. Develops, maintains, and manages operational infrastructure functions that provide support to service delivery (intake, medical records); the assurance of quality (utilization review and quality assurance structures; training structures; outcomes evaluation structures; risk management oversight) for a distinct geographic region in compliance with agency standards. Ensures quality of service delivery in clinical and business operations. Specific areas of quality assurance include using data as it relates to service, compliance, medical records, client services and CQI processes. Administers audit readiness plan with coordination of regional management.

 

 

RESPONSIBILITIES AND DUTIES

 

1. Participates in regional leadership team to ensure the smooth operations within the region and between the region and the corporate headquarters. Ensures region is meeting and integrating both local and organizational requirements.

2. With members of the local management staff, designs and supports implementation of work processes to ensure compliance with agency standards, regulatory standards and community standards of care. 

3. Gathers information and produce routine reports to support the management of key business work processes. 

4. Ensures the implementation of data collection procedures and processes consistent with agency standards and local requirements that ensure timely access to evaluative information about clientele and service effectiveness. 

5. Develops and coordinates both routine and special reports to internal and external sources using local client and staff data and information. Reviews documentation (accuracy, appropriate description of services, meeting of best practice, and contract obligation).

6. Conducts extrapolation and analysis of data, identifying trends and opportunities for change.

7. Leads, participates in, and monitors quality improvement committees, processes and activities.

8. Implements and manages regular utilization review and medical records processes that assure standards for documentation and maintenance of client records are maintained consistent with agency standards, regulatory and contractual standards and community standards of care.

9. Administers corporate audit tools, in conjunction with monthly peer audits.

10. Trains regional leadership and management on QA and documentation topics. 

11. Serves as a liaison with corporate departments, county payors and risk management/enterprise to ensure contractual compliance. 

12. Oversees regional Health Information Management systems, including staff supervision and continuous quality improvement.

13. Serves as HIPAA regional compliance officer.

14. 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

• R