Clinical Quality Manager - Bay Area 901

Main Template•Alameda, CA

3d•Hybrid

About The Position

The Clinical Quality Manager is responsible for actively managing and promoting the organizational quality and risk management infrastructures. Responsibilities include, but are not limited to, planning and orchestration of onsite quality rounding processes, identifying process improvement needs, supporting implementation of program plans for improvement, conducting root cause analyses, supporting survey preparation, policy development, and incident review.

Requirements

Master’s degree in health-related field (i.e. Public Health, Health Care Leadership or Administration, Nursing Management, Quality, Patient Safety, Risk Management, Psychology) or equivalent years of experience
Must have an active, unrestricted license in behavioral health (e.g., LMFT, LCSW, LPCC, LISAC, PhD or PsyD)
Two (2) years’ behavioral health experience working in roles that included quality assurance, performance improvement, risk management, or patient safety across different levels of care (outpatient, residential, inpatient, etc.)
Knowledge of regulatory requirements and accreditation standards
Must be willing to travel 50%
Must be willing to obtain Certified Professional in HealthCare Quality (CPHQ) within 18 months of hire
Must be at least 18 years of age
All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification.
If the position requires driving, valid driver’s license, a motor vehicle clearance, and proof of auto insurance is required at time of employment and must be maintained throughout employment.
Additional regulatory, contractual, or local requirements may apply.
Valid and current driver’s license, and personal vehicle insurance with your name listed as a driver.
Willingness to use your personal vehicle to attend meetings, etc. (weekly mileage reimbursement at the IRS rate)

Nice To Haves

Prior experience with CARF and Joint Commission accreditation preparation and continuous readiness.
Two (2) years’ experience as a Quality Manager (or equivalent title) in behavioral health

Responsibilities

Actively manages, supports, and promotes quality improvement and risk management processes and outcomes.
Implements standard performance improvement and risk management methods (PDSA and Root Cause Analysis).
Operationalizes processes to support standards compliance.
Facilitates continuous survey readiness activities.
Guides the organization through survey processes and findings.
Supports/facilitates improvement processes across programs to further the clinical standardization process for Telecare programs (best practices, clinical initiatives, trends discovered in surveys and or other practices).
Leads quality and risk management process improvement from inception to final resolution.
Provides Program Support that includes, but is not limited to, the following: Autonomously organizes, plans, and facilitates the internal quality rounding process for programs in their region.
Analyzes findings, completes reports, and collaborates with programs in the development of a program-driven plan of improvement.
Plans Quality Review Process in a timely manner to assess the status of individual programs with adequate time for correction prior to external audits.
Develops collaborative short term and long-term plans of improvement specific to individual programs addressing the findings in the Quality Reviews, and / or regulatory reviews in collaboration.
Communicates clinical findings to program administrator and administrative staff in a manner that preserves the collaborative working process.
Provides individualized program assistance, leading in-depth system analysis, root cause analysis, development of improvement plans, implementation, and re-evaluation. This may include consultation, mentoring and supervision of program Administrator, Clinical Director, and Director of Nursing.
This may occur through the quality rounding process, regulatory review process, and orientation of new hire and / or promoted employees.
Apply project management methods with planning, clear communication of timelines, commitment to timely deliverables, holding oneself and others accountable to timelines, swift responses to requests, regular updates on project status, facilitation of productive meetings, and being prepared.
Assess patient safety culture by ensuring policies, procedures, CPI training and drills being adhered to; understand how to use, to train to, and access data in the adverse and sentinel event databases and Qlik.
Acquire data from source systems, Financial Leaders Report, Integrated Ops Reports, Direct Care Hours and Timeliness Trackers, Relias Training and Drills, Avatar, Qlik Adverse Events Database Qlik Community MHSA Outcomes, and RL Datix.
Integrate data from internal and external systems. Including how Avatar or Qlik data measures against regulatory body or customer requirements.
Use statistical and visualization methods through software systems available at Telecare.
Consults directly with VP and Directors of Quality to develop operational plans specific to the strategic priorities and identified initiatives of the Operations and Medical teams.
Effectively and autonomously plan productive day to day work schedule and prioritization of tasks.
Regulates the use of privileged information.
Works collaboratively with program leaders and departments heads.
May be assigned to work in programs on special assignments from the Vice President or Directors of Quality.
Involved in the startup of new programs including planning calls, orientation, and policy and procedure development.
Develops and implements training specific to quality assurance, performance improvement, and risk management.
Consistently performs duties with a customer and community focus.
Duties and responsibilities may be added, deleted and/or changed at the discretion of management.