Correctional Health Quality Care Improvement Manager
3 weeks ago
The County of Santa Barbara is seeking a highly skilled and experienced Correctional Health Quality Care Improvement Manager to join our team. As a senior-level manager in the Civil Service system, you will report to the Chief Correctional Healthcare Medical Advisor and be responsible for evaluating and monitoring the quality of healthcare services within the County Jails and Juvenile Hall.
Key Responsibilities- Establish and evaluate policies and procedures for quality management and improvement activities as well as utilization review.
- Develop and maintain current quality management and improvement plans used by the Contractor, Public Health Department, Department of Behavioral Wellness, Sheriff's Office and Probation in delivering appropriate and high-quality clinical care in County Jails and Juvenile Facilities.
- Analyze existing quality improvement activities and develop the Quality Management/Utilization Management Plan, Annual Quality Improvement Work Plan and Quality Assessment and Performance Improvement Plan.
- Monitor compliance with Medi-Cal and other standards and requirements of the California Code of Regulations.
- Review and analyze findings of internal program reviews and external audits to identify problem areas.
- Identify new components or activities required in the Quality Improvement Plan.
- Reviews and analyzes data to identify trends and issues across the County Jail Health System and makes recommendations.
- Maintains and compiles statistical records and profiles of quality improvement activities.
- Serves as a member of the Care Quality Improvement (CQI) committee, Medical Audit Committee (MAC) and Mortality Review Committee, Leadership, or other committees, task forces, or groups, as necessary.
- Provides consultation to both County and Contractor on quality management and improvement matters.
- Monitors and reviews the work of clinical staff assigned to perform care delivery and quality improvement duties in the County Jail and Juvenile Facilities.
- Works with the Contractor to develop and implement policies and procedure to ensure compliance with all applicable standards and clinical protocols.
- Collaborates with Contractor and County departments, specifically Behavioral Wellness, Correctional Staff and external healthcare providers to facilitate coordinated and integrated healthcare services.
- Participates in interdisciplinary meetings to address complex healthcare cases and coordinate care transitions.
- Performs regular audits of health records and review of reports as needed to ensure adherence to quality measures and deliverables as required from the Contractor.
- Oversees system-wide quality improvement monitoring processes including, but not limited to, medical records review, site reviews, peer reviews, medication monitoring, serious incident reporting, and utilization review.
- Possession of a valid license as a Registered Nurse (RN) issued by the State of California.
- Three years of post-licensure experience in utilization review, quality improvement or related experience in a hospital or health care setting, including one (1) year of supervisory experience; OR
- A combination of training, education, and experience that is equivalent to the employment standard listed above and that provides the required knowledge and abilities.
- Experience in clinical and/or managed care planning and oversight preferably in a correctional setting.
- Strong leadership abilities.
- Experience supervising multidisciplinary teams.
- Strong background in mental health assessment, education and collaboration.
- Demonstrated ability to develop and maintain sound working relationships with people of diverse backgrounds and personalities.
- Experience managing and monitoring regulations.
- Experience in utilization review.
- Experience and/or education in substance misuse, alcohol and other drug disorders.
- Excellent verbal and written communication skills and the ability to interact with all levels of internal and external stakeholders.
- Ability to handle multiple projects with competing priorities, with a strong attention to detail.
- Organizational skills, with the ability to prioritize work and meet deadlines.
- Generous County Defined Benefit Plan.
- Eligible to participate in 457(b) Deferred Compensation Plan.
- Retirement Reciprocity with CalPERS, CalSTRS, and 1937 Act plans.
- Choice of dental, vision and medical plans.
- On-Site Employee Health Clinics in Santa Barbara and Santa Maria which provide ongoing and episodic services to eligible employees and their eligible dependents.
- Employee Assistance Program (EAP) offers free, confidential assistance with personal and workplace problems to employees and their immediate family members.
- Healthcare Advocacy Program to help employees navigate the complexities of health plan benefits.
- Available Health Care and Dependent Care Flexible Spending Accounts, Health Savings Account (HSA), Supplemental Term or Whole Life Insurance, Personal Accident Insurance, Critical Illness Insurance, Accident Insurance and more.
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San Francisco, California, United States County of Santa Barbara, CA Full timeAbout the PositionThe County of Santa Barbara is seeking a highly skilled and experienced Correctional Health Quality Care Improvement Manager to join our team. As a senior-level manager in the Civil Service system, you will report to the Chief Correctional Healthcare Medical Advisor and be responsible for leading others and modeling behaviors that exemplify...
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