Quality Assurance Supervisor

Children's Institute•Los Angeles, CA

10d•$84,641 - $103,262

About The Position

The Quality Assurance Supervisor is responsible for the integrity of quality assurance activities for assigned programs, including compliance and program performance, chart and program documentation, program reporting, and preparation for agency audits. The role ensures that work is consistent with relevant legal, ethical, contractual, and agency requirements and expectations. The supervisor serves as the primary liaison to the Department of Mental Health (DMH) for agency needs, including clarifying policies, contracts, and agreements. The role manages quality assurance review activities and tracking systems, produces and reconciles reports, supports staff training, leads audit preparation and quality assurance meetings, and develops and maintains relevant policies and procedures. The position collaborates with agency leadership, program staff, the Family Engagement Team, Health Information Management, the Custodian of Records, and external stakeholders. The position supervises up to 10 staff and is responsible for their direction, coordination, and evaluation, including hiring, training, work assignments, performance reviews, and resolving complaints or problems. It also ensures confidentiality and appropriate maintenance of client records in accordance with HIPAA, agency policies and procedures, and licensure regulations. The role requires a master's or doctoral degree in psychology, social work, child development, or a related field; four years of managerial or supervisory experience in behavioral health or a related field; and four years of program, quality assurance, billing, or service navigation experience. Current and valid licensure, registration, or waiver with the Board of Behavioral Sciences or Board of Psychology is required. Extensive travel of more than 50% of the time is required.

Requirements

Four years of managerial or supervisory experience in a behavioral health or related field.
Four years of program, quality assurance, billing, or service navigation experience.
Master's or doctoral degree in psychology, social work, child development, or a related field.
Current and valid licensure, registration, or waiver with the Board of Behavioral Sciences (BBS) or Board of Psychology (BOP).
Valid driver's license and state-required auto insurance.
Ability to travel extensively, more than 50% of the time.
Ability to work with minimal supervision and handle confidential information.
Ability to maintain patient privacy, safeguard the integrity and availability of protected health information, and limit its use and disclosure to authorized individuals and entities.
Sensitivity to the cultural and socioeconomic characteristics of the service population.
Excellent verbal and written communication skills.
Punctual and dependable attendance.
Free from alcohol and drug abuse.
Understanding of CII’s basic philosophy and willingness to participate fully in carrying out its mission.
Intermediate proficiency with computer programs in a Windows environment, including Word, Excel, and email.
Knowledge of database, internet, spreadsheet, word processing, and presentation software.
Proficiency in an Electronic Health Records system.
Completion of New Hire Orientation, AB-1825 Sexual Harassment Prevention training, and Mandated Reporter training.
Satisfactorily meet the listed contingencies: influenza immunization or declination; COVID-19, MMR, and Tdap immunizations; education verification; reference check; fingerprint background clearance (FBI, DOJ, CACI) conducted by the California Department of Social Services; drug and alcohol screening; and tuberculosis screening.

Responsibilities

Serve as the primary agency liaison to the Department of Mental Health, obtain clarification on policies, contracts, and agreements, and share information with agency leaders and relevant departments for review.
Establish and maintain professional, collaborative working relationships with agency staff and external stakeholders.
Manage and monitor quality assurance reviews, including detailed review of client service chart documentation for quality, timeliness, and compliance with contractual and agency expectations.
Produce accurate and timely reports for leadership, program senior leadership, supervisors and managers, and DMH; monitor, disseminate, and reconcile reports.
Collaborate with the Family Engagement Team, Health Information Management Team, Custodian of Records, and program managers and supervisors to support communication and the agency’s values and mission.
Manage systems that track reviews and provide detailed, accurate, and timely accounting in coordination with relevant team members and departments.
Support training and other activities that help staff, supervisors, and managers understand and meet contractual and agency quality-of-care and documentation expectations.
Identify staff training needs and develop and maintain training manuals and webinars.
Lead preparation for external and internal program audits in coordination with quality assurance leadership, HIM, FET, the Director of Compliance, and staff.
Lead meetings supporting ongoing quality assurance activities and standardization of compliance.
Develop, implement, and amend relevant policies and procedures.
Promote integrated and effective care, a one-CII culture, and adherence to agency values.
Complete responsibilities professionally and collaboratively through in-person, email, and phone communication, including necessary follow-up.
Promote professional development and staff wellness.
Ensure confidentiality and proper maintenance of client records in compliance with HIPAA, agency policies and procedures, and licensure regulations.
Maintain knowledge of program standards and policies established by the agency, licensing bodies, and other governing bodies; pursue professional knowledge through workshops, publications, networks, benchmarking, and in-service programs.
Produce reports for management to promote the integrative services model.
Maintain knowledge of contract requirements and quality assurance practices through reading, seminars, educational opportunities, and professional contacts or memberships.
Perform other duties and special projects as assigned.
Direct, coordinate, and evaluate direct reports; interview, hire, train, assign and direct work, appraise performance, reward or discipline employees, address complaints, and resolve problems.
Manage internal and outgoing reporting information.
Protect patient privacy and limit the use and disclosure of protected health information to authorized individuals and entities.
Participate in, conduct, and sustain performance quality improvement activities according to designated role and responsibilities.

Benefits

Generous paid PTO, 10 paid holidays, and closure between Christmas and New Year.
Medical, dental, and vision insurance for eligible employees and qualified dependents.
403(b) retirement plan with employer contribution for eligible employees.
Tuition reimbursement up to $4,500 per calendar year.
Eligibility for the Public Service Loan Forgiveness program.
Flexible Spending Account (FSA) and Health Savings Account (HSA).
Employer-paid life and AD&D insurance.
Voluntary supplemental insurance.
Opportunity for growth and advancement.
Professional development and continued training.
Company-sponsored team-building and bonding events and activities.