Clinical Quality Assurance Supervisor
Job Details
Management
Full Time
Graduate Degree
$70.00 - $75.00 Salary/year
Up to 25%
Any
Nonprofit - Social Services

POSITION TITLE:               Quality Assurance Supervisor

DEPARTMENT:                  Quality Assurance Department

REPORTS TO:                    Chief Program Officer

FLSA SATUS:                     1.0 FTE, Exempt, Non- Union

COMPENSATION:              $70,000 to $75,000 (DOE)

POSITION OVERVIEW:

The Quality Assurance Supervisor leads the daily functions and supports the strategic goals of the Quality Assurance Department. Endeavors to maintain a high level staff training in the following areas: client support, clinical and administrative documentation, training related to clinical care and documentation standards, HIPAA and contract compliance. The QA Supervisor implements and manages systems to ensure successful Utilization Review and internal audit processes. Partners with program leadership staff and administrative teams to assist programs in efficiently maximizing revenue. Supports development of agency database and activities related to outcomes and agency accreditation.


DUTIES AND RESPONSIBILITIES:

 

  • Provides client service documentation training and support on best practices in alignment with agency policy and procedures, laws, and Alameda County Behavioral Health (ACBH) standards for Substance Use Disorder (SUD)services through the Organized Delivery System (ODS) and regulations for all LFCS Programs.
  • Supervises Quality Assurance Specialists.
  • Leads Utilization Reviews, chart audits – such as the Clinical Quality Review Team (CQRT) per ACBH regulations; ensures that revenue-generating activities are properly reported; provides management with recommendations to improve processes.
  • Serves as agency HIPAA Privacy Officer and MAA Coordinator; provides HIPAA trainings to agency staff.
  • Conducts HIPAA and MediCal site certification compliance activities including site audits, staff training and best practice recommendations to management.
  • Conducts database training on best practices regarding documentation policies and procedures.
  • Provides MediCal Billing Support and acts as liaison with the ACBH’s QA staff.
  • Reviews and develops agency client database with program partners; participates in data collection processes and development for agency.
  • Assists Program Directors with data collection and other activities related to reporting and program outcomes.
  • Supports activities related to agency accreditation.
  • Supports hiring, training, development, supervision and evaluation of Quality Assurance Department staff.
  • Oversees client records system – including Clinician’s Gateway - including archiving and records requests processes.
  • Updates agency Shared Drive as needed to ensure consistency and timely information sharing.
  • Performs other duties as assigned.

QUALIFICATIONS:

  • Licensure as Psychologist, LCSW, LMFT, or LPCC required.
  • Knowledge of Medi-Cal documentation standards required; experience with CQRT processes and Alameda County standards strongly preferred; knowledge of new SUD ODS standards desired.
  • Leadership skills and presence demonstrated through management and supervision experience in a professional setting.
  • Minimum of 3 years progressive experience in a professional setting, experience to include reporting and customer service. Audit and confidential file experience required.
  • Advanced computer skills/proficiencies: email, web, MS Word Suite (including Excel, Word, PowerPoint, etc.), Google Suite, and Adobe required, as well as previous electronic health record/database experience (knowledge specifically of Clinician’s Gateway preferred).
  • Language skills that include the ability to read, analyze, and interpret complex compliance and regulation guidelines.
  • Exceptional verbal and written communication skills.
  • Ability to create and maintain positive, productive working relationships with staff of all levels.
  • Ability to work independently and as a member of a team, manage multiple projects simultaneously, track details, maintain a big picture vision, work proactively and handle/maintain confidential records and issues appropriately.
  • Valid Driver’s license, auto insurance, and access to use of an automobile.

 

OTHER REQUIREMENTS

 

  • Assumes responsibility for doing assigned work and for meeting deadlines.  Completes assigned work on or before deadlines in accordance with directives, policies, standards and proscribed procedures. 
  • Demonstrates an awareness of and sensitivity to clients including cultural and ethical beliefs; and implements care in a thorough, skillful, consistent and continuous manner.
  • Knowledge of community resources for client referrals.
  • Attends work regularly and adheres to policies and procedures regarding absences and tardiness.  Provides adequate notice to supervisor and management with respect to vacation time and time-off requests.
  • Demonstrates knowledge of legal issues including client confidentiality and risk management in all aspects of client care and department functioning.
  • Performs other duties as necessary.
  • Working Conditions and Job Setting

  • Driving and access to a car is required
  • Periodic lifting up to 25 pounds is required
  • Position involves extensive computer use and sitting
  •  
  • Other Compensation:
  • Full-time, Exempt Position
  • Excellent benefits package including medical/dental/vision benefits, vacation, sick, and holiday leave, life insurance, and 403(b) retirement plan.
  • Work life balance
  • Great working hours
  • Supportive/Collaborative work environment
  • Mileage reimbursement
  • Opportunities for Growth and Professional Development
  • Holiday and employee celebrations
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