Quality Improvement Manager

Momentum for Health • San Jose, CA

1d • $115,000 - $130,000 • Onsite

About The Position

This role leads the Agency Quality Improvement (QI) program, focusing on the evaluation, development, implementation, and coordination of mental health and substance use programs and services. The goal is to ensure consistency and compliance with the Agency's clinical framework, established practices, contract requirements, financial goals, and applicable regulations. The position involves creating and maintaining a comprehensive Quality Improvement Plan (QIP), monitoring and revising clinical policies, developing data sources and reporting systems, analyzing data to identify needs, and recommending changes to clinical programs. It also includes designing and implementing continuous improvement activities, managing clinical documentation, overseeing risk management systems, and participating in the development of clinical pathways and utilization review systems. The role also involves developing special projects, establishing protocols and training for staff compliance, representing the agency with payors, presenting to the Board of Directors, and supervising subordinate staff.

Requirements

• Postgraduate degree in Psychology, Social Work, Quality Management or Improvement, or a behavioral science.
• Two or more years working full time in a mental health or substance use treatment setting.
• At least four years’ supervisory, line or related project management experience.
• One year full-time experience in a leadership role.
• Computer literacy; intermediate level of MS Office applications—Word; Excel; Outlook, PowerPoint; basic Internet navigation and search ability.
• Demonstrated ability to plan, implement, direct, and evaluate clinical services and compliance with applicable regulations.
• Demonstrated ability to assess systems and practices and develop data collection systems to produce useful outcomes.
• Demonstrated ability to train, direct and supervise staff and program units, especially in response to regulatory, accreditation, and outcome requirements, self-monitoring, and continuous improvement techniques.
• Demonstrated ability to organize workload and manage multiple tasks and demands on a timely basis.
• Demonstrated ability to engage and communicate effectively with others in both verbal and written English.
• Demonstrated ability to employ tact and diplomacy, exercise good judgment.
• Demonstrated ability to work collaboratively with individuals with serious mental illness.
• Demonstrated ability to work with individuals who may have cognitive difficulties and medical co-morbidities and are considered medically fragile, may be developmentally disabled, or may have long-term patterns of homelessness or relied on the services of emergency and institutional care.
• Demonstrated ability to work with populations identified as high risk and/or considered under-represented in the County Mental health and substance use system with multiple barriers.
• Demonstrated ability to exhibit exemplary customer service, compassion, and care in the execution of all duties and interactions.
• Knowledge of principles and practices of standards of care, quality assessment/improvement, risk management, and scope of practice requirements for in-patient residential, and out-patient mental health and substance use/psychiatric/psychotherapeutic services.
• Knowledge of current trends and issues in quality assessment/improvement, drug and alcohol treatment, risk management/safety for in-patient residential, and out-patient mental health and substance use care services and program management.
• Knowledge of current standards and practices of QI, Behavioral Managed Health Care, Risk Management, and Total Quality Management; resources to research legislative issues.
• Knowledge of County, state, and federal legislation, regulations, including DMH and Title 9, and requirements applicable to the care of Agency’s target population.
• Knowledge of Strengths-based, harm-reduction, social rehabilitation model.
• Knowledge of use of management information systems, contract monitoring, and budget formulation, analysis, and control; organization, personnel, and fiscal management of programs.
• Knowledge of utilization of community resources, including those required to meet mental and non-mental health and substance use needs of the target population.
• Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Momentum practices.
• Hearing and talking on telephone and in person; standing, walking, sitting, pinching and finger flexion are required constantly (over 2/3 of the workday).
• Lifting, carrying, pushing, pulling, bending, stooping, crouching, and kneeling are required occasionally (under 1/3 of the workday).
• Must be physically able to assist clients in the evacuation of program facilities in emergency situations.

Nice To Haves

• Direct experience serving individuals with serious and persistent mental illness or serious emotional disturbance.
• Current and valid licensure from the California Board of Behavioral Science (BBS) as a Marriage, Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Licensed Professional Clinical Counselor (LPCC); or licensure from the California Board of Psychology (BOP) as a Clinical Psychologist (PSY) or Licensed Clinical Psychologist (LCP), or current licensure as Licensed Psychiatric Technician, or Registered Psychiatric Nurse.
• A valid California Driver License, with access to a reliable vehicle/for driving a company vehicle, current proof of auto liability insurance, and a clean DMV record.

Responsibilities

• Lead Agency Quality Improvement (QI) program in the evaluation, development, implementation, and coordination of its mental health and substance use programs and services, ensuring consistency and compliance with Agency clinical framework, established practices and systems, contract requirements, financial goals, and applicable regulations.
• Utilize various means and methodologies to create and maintain a comprehensive Quality Improvement Plan (“QIP”); monitor and revise clinical policies and procedures.
• Develop multiple data sources, design data collection requirements, assist in development of reporting systems, analyze data to monitor emerging consumer and community needs, and recommend changes in clinical programs, services, and activities.
• Develop and implement continuous improvement activities for clinical operations, including use of outcome data for improving the quality and delivery of care.
• Design and implement systems and protocols for the management, completion, monitoring, compliance review and storage of clinical documentation/medical records.
• Design, implement, monitor, analyze and report findings from clinical risk management systems.
• Participate in the development of clinical pathways, utilization management protocols and utilization review systems.
• Develop special projects, including the development of new service content, technology or special events.
• Oversee the establishment of protocols, systems, documentation quality standards, practice guides, and outcome measures and training activities to assist staff to learn them and comply with contractual, regulatory, accreditation, and excellent practice and standards.
• Obtain, interpret, and maintain applicable, up-to-date regulations and requirements for the creation and revision of the QIP.
• Work with the Clinical Training and Supervision Department to develop protocols and training activities to teach and assist staff to develop and implement self-audit and care monitoring systems.
• Implement and evaluate continuing education/in-service training programs based on QI/RM findings and to enhance staff knowledge on various QI/RM related topics.
• Function as the Momentum contact with payor QI departments and assist fiscal and personnel determine payor requirements.
• Present to the Board of Directors on Quality initiatives and performance on an as-needed basis.
• Select, train, supervise, and evaluate subordinate staff.
• Apprise the Executive Team and the Board of updates, issues, major changes, and irregularities in the QI Plan and results of internal and external audits and the impact, positive and negative, on contracts and
• Lead Quality Improvement Committee consisting of program leaders to evaluate performance under QIP.
• Represent Momentum Quality Improvement Department at meetings and events with SCCBHSD, County Quality Improvement, local community colleges, universities, health care providers, and other external agencies.
• Chair or participate in divisional/departmental or Agency-wide committees related to quality improvement and/or care standards.
• Participate in community, Agency and team meetings, as requested.
• Network with managers and staff, representatives of regulatory agencies, relevant professional associations, County and other QI contract programs.
• Maintain competence and knowledge of current trends in care standards and regulatory, accreditation and Quality Assurance/Improvement topic; participate in continuing education activities for professional growth, licensure and certification requirements.

Benefits

• Defined contribution amount of up to $15,433.08 per year (prorated for part-time employees working less than 40 hours per week) to purchase benefits of choice on a cafeteria plan basis.
• Any amount of this defined contribution not used towards benefits will be paid as taxable earnings.
• Retirement plan with a generous employer match starting at 4% after one year of employment.
• Paid time off: vacation time accruing up to 25 days per year, 6 days of sick time per year and 12 paid holidays.
• Medical benefits – Kaiser: ranging from $0 Deductible Plan with $15 Copay to $3400 Deductible Plan with Health Savings Account.
• Sutter Health plans: available from $0 Deductible Plan to $2,500 Deductible Plan.
• Dental benefits – Guardian: 1 dental HMO and 2 PPOs.
• Vision benefits – 2 options from Guardian VSP: a standard vision plan and an enhanced vision plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager