Quality Assurance Specialist

Wayfinder Family Services•Sacramento, CA

13d•$20 - $25•Onsite

About The Position

Wayfinder Family Services’ ATLAS program connects Sacramento County children, youth, and families to community outreach, early intervention, outpatient mental health, and Therapeutic Behavioral Services. The Quality Assurance Specialist oversees documentation, billing, and evidence-based practice fidelity for this integrated children’s specialty mental health services program, which operates under contract with Sacramento County Behavioral Health Services. The role reviews client records for compliance with contractual obligations and agency policy, provides training and feedback to service delivery staff, and works with supervisors and management to ensure client documentation and records are accurate. The position is based at the North Sacramento Office in Sacramento, California, and is full-time on the day/AM shift. The stated hourly wage range is $20.19–$25.25. Travel may be up to 25%.

Requirements

Bachelor’s degree in psychology, social work, human services, or a relevant field, or equivalent qualifying experience in county behavioral health documentation, billing, or quality assurance.
One year of experience working within a contracted or directly operated county behavioral health program serving high-risk children, youth, and families, or one year reviewing or overseeing county behavioral health billing, documentation, client records, quality assurance, policies and procedures, and training protocols.
Demonstrated knowledge of Medi-Cal specialty mental health documentation and claiming requirements, including EPSDT medical necessity and progress note standards.
Experience conducting chart reviews and providing corrective feedback and training to clinical staff.
Valid California Driver’s License, at least three years of good driving history, and approval by the agency’s insurance carrier to drive agency vehicles.

Nice To Haves

Experience supporting county monitoring visits, audits, or corrective action plans.
Familiarity with evidence-based practice fidelity monitoring.
Experience with PCIT or comparable model fidelity systems.
Bilingual in English and Spanish, or another language prevalent in the ATLAS priority ZIP code communities.

Responsibilities

Review submitted client-record documentation for content and compliance, including intake documents, assessments, treatment plans, progress notes, diagnosis changes, outcome measures, medication support and psychiatric documents, and correspondence.
Conduct reconciliation, document-specific reviews, and full chart reviews; provide feedback to staff, supervisors, and the Program Director about corrections, trends, training needs, and missing information.
Maintain tracking of vital client information, documentation due dates, cycle dates, and pending documentation; use it to remind staff, report to supervisors, and monitor employee and program compliance.
Verify that activities are assigned to the correct funding stream and that documentation supports the claimed classification across the listed Medi-Cal and other service programs; escalate classification questions to the responsible program manager.
Track program-level evidence-based practice fidelity, including PCIT session-level fidelity, DPICS-IV coded observation, session integrity checks, and treatment completion metrics.
Coordinate with the Quality, Risk, and Performance Improvement division on quarterly evidence-based practice performance reviews and quarterly disparity reviews of access and outcome data across priority ZIP communities.
Support housing-related documentation compliance, including Housing Support Plans in the health record and HMIS enrollment for clients meeting homelessness criteria, and help assemble the quarterly housing stabilization report to the County.
Provide new-hire training on documentation, billing, direct service delivery practices, client care, time management, agency policies and procedures, and quality assurance systems.
Provide ongoing training to ATLAS staff on documentation, billing, service delivery practices, time management, agency policies and procedures, and quality assurance systems; update training content as County and DHCS guidance changes.
Perform other duties as necessary or directed.