Associate Director, Quality Support

Pacific Clinics•Fresno, CA

27d

About The Position

The Associate Director Quality Support, under the supervision of the Quality Assurance, Health Information Management and Customer Services, is responsible for managing 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.

Requirements

Master's Degree (M.A.) in Social Work, Marriage and Family Counseling, Psychology, or related field and five (5) or more years of relevant experience required, or equivalent combination of education and experience (two years of relevant experience equals one year of education) to include:
Five (5) years direct clinical experience of which three (3) years' experience in the program's specialization, such as children's mental health, child welfare, and/or juvenile justice systems.

Nice To Haves

Clinical Leadership
Contributes To Team Performance
CQI/QA Projects
Managing Multiple Priorities
Reviews Data For Accuracy

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, 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.