Clinical Quality Improvement Coordinator-IBH - Kern/Fresno Admin

Clinica Sierra Vista•Fresno, CA

2d•Hybrid

About The Position

Clinica Sierra Vista is seeking a Clinical Quality Improvement Coordinator-IBH to join their team. This role is responsible for implementing, monitoring, and evaluating the Integrated Behavioral Health Department’s Quality and Compliance Management Program. The coordinator will work under the direction of the Senior Director of BH to ensure quality and compliance with behavioral health contractual agreements, HRSA, and Joint Commission standards. This position also involves developing workflows within the EHR to ensure IBH therapists meet standard billing and quality care requirements.

Requirements

Knowledge and understanding of California Medi-Cal standards of care for Mental Health, and the principles of quality and performance improvement processes.
Knowledge of computer systems and applications.
Ability to work well with others in a professional and team-oriented environment.
Ability to reach decisions and lead action within scope of responsibilities.
Ability to communicate clearly (verbal and written).
Ability to analyze and interpret data and prepare summary reports.
Ability to monitor quality control standards.
Valid Board of Behavioral Sciences (BBS) Licensure as a Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), OR a valid license with the Board of Psychology as a Licensed Clinical Psychologist.
3-4 years of working in community mental health or Substance Use Disorder program is desired.
Demonstrated organizational, and management skills in a behavioral health care delivery organization.
Knowledge and understanding of California Medi-Cal standards for mental health out-patient services and for substance abuse treatment.
Knowledge of performance and audit standards for HRSA and FQHC requirements.
Effective verbal and written communication skills in English and demonstrated ability to analyze data and write concise narrative and statistical reports.
Valid California driver’s license, auto insurance, and personal transportation.

Nice To Haves

3-4 years of working in community mental health or Substance Use Disorder program

Responsibilities

Planning, directing, coordinating, and evaluating behavioral health program compliance with contract agreements, local, state, and federal regulations, performance standards, performance improvement plans, customer service objectives, and Department of Health Care Services laws, regulations, and state plan amendments.
Implementing and maintaining improvement activities to meet the requirements of FQHCs.
Designing and providing staff development activities to meet quality standards.
Developing and implementing quality improvement processes.
Establishing work plan metrics with data collection methodology for accurate trending reports.
Monitoring and recommending actions to address site risks or vulnerabilities.
Developing comprehensive recommendation strategies to improve and streamline program activities.
Collaborating with internal and external entities to identify and problem-solve quality improvement related issues.
Preparing and maintaining peer reviews and providing appropriate follow-up.
Overseeing adherence to medical record requests and ensuring all releases meet required HIPAA standards.
Developing assessment activities and tools to track, analyze, and present patient/client outcome measures, process improvement activities, program performance, and customer satisfaction, along with tracking mechanisms relating to these materials.
Providing reports and data summaries relevant to performance improvement activities.
Coordinating/participating in the development and oversight of the Behavioral Health Department’s compliance program.
Operating standard office equipment including a keyboard, copier, telephone, and calculator.
Working irregularly scheduled hours on occasion.
Traveling between sites and occasional out-of-area travel.
Providing other administrative support as required.