Quality Assurance Manager

1 month ago

Fairfield, United States Turning Point Community Programs Full time
Job DescriptionJob Description

GENERAL PURPOSE

Under the administrative supervision of the Program Director or designee, this at-will administrative position within a program direct service position is responsible for ensuring that the program remains in compliance with all necessary guidelines.

ESSENTIAL DUTIES AND RESPONSIBILITIES – (ILLUSTRATIVE ONLY)

The duties listed below are intended only as illustrations of the various types of work that could be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this class.

  • Provides oversight for critical incident management.
  • Investigates Risk Management issues and makes recommendations to the Program Director.
  • Assists staff with prioritizing and completing paperwork.
  • Monitors and evaluates staff documentation to ensure programs follow State and County Medi-Cal Guidelines.
  • Conducts documentation training for all new staff. Updates internal documentation tools to reflect State and County Medi-Cal guidelines.
  • Attends all County Utilization Review meetings and implements recommendations.
  • Is responsible for conducting monthly on-site Internal Utilization Reviews.
  • Acts as representative at County Medication Monitoring Committee.
  • Attends County Documentation Trainings. Communicates and implements new information at site.
  • Reviews and signs charts in accordance with UR and Medi-Cal billing.
  • Responsible for maintaining internal staff caseloads and referral tracker by utilizing Excel format.
  • Monitors and produces monthly billing productivity and program revenue for programs. Regularly updates Program Directors.
  • Oversees timelines and submission of required County Documents needed to maintain compliance with Medi-Cal billing and authorizations.
  • Reviews and evaluates performance outcome and satisfaction data.
  • Ensures the safety, health, and well-being of the clients.

QUALIFICATIONS

MINIMUM:

A typical way of obtaining the knowledge, skills and abilities outlined above is through graduation from an accredited college or university with a master’s degree in and license eligibility as an ACSW, AMFT, or APCC verified through the Board of Behavioral Sciences (BBS); two (2) years of varied experience providing mental health services.

LICENSES; CERTIFICATES; SPECIAL REQUIREMENTS

  • BBS license eligibility
  • California driver’s license & current vehicle insurance/registration if driving; and,
  • Reliable means of transportation capable of passing vehicle safety inspection if more than five years old excluding all modes of two-wheeled transport inclusive of bicycles, mopeds and motorcycles.

Schedule: Monday-Friday

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