Quality Assurance Supervisor

JOB DESCRIPTION

The Quality Assurance Supervisor will monitor and evaluate various aspects of the agency’s services, policies, and procedures to ensure that standards of quality are met. The incumbent will implement a comprehensive training program for agency staff to ensure quality of services; conduct reviews of records to ensure that agency services and documentation adheres to State, County and Federal laws and other regulations.   

WHO WE ARE

Looking to make a difference? Our mission at Interim is to provide services and affordable housing to supporting members of our community with mental illness by building productive and satisfying lives in a world in which people with mental illness are able to live, work, learn and participate fully in the community. Join our team and instill hope in the community.

WHAT WE OFFER

An exceptional benefit package including Medical/Dental/Vision/403(b) retirement plan and Life Insurance. Offers competitive vacation and sick time.

HOW TO APPLY

To learn more about Interim and to apply for this position, please go to our website at 28TUhttp://www.interiminc.org/employment/U28T.

COMPENSATION

$44.35 - $57.76 Non-exempt; 40 hours/week; Eligible for overtime. Compensation based on education and experience.

REPORTS TO

Deputy Director.

QUALIFICATIONS

The ideal candidate will have at least four years of work experience in a behavioral health program, including a minimum of two years in a program supervisory role. They should have at least two years of professional experience providing direct services or supervising services in areas such as case management mental health services, crisis residential, transitional residential treatment, or day rehabilitation, working with adults with serious mental illness. The candidate should also have strong documentation experience and be familiar with Medi-Cal rules and regulations. Excellent written and oral communication skills in English are essential, along with strong interpersonal skills and the ability to work effectively with a diverse range of individuals, regardless of ethnic, racial, religious, or socio-economic backgrounds. Additionally, the candidate should possess strong public speaking skills and be comfortable speaking and conducting training in both one-on-one and group settings.

Preferred: Master's degree in social work, psychology or related mental health field, plus be licensed (or be licensed within two years) as Clinical Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Professional Clinical Counselor;

Valid California driver's license; auto in safe operating condition; auto liability insurance; own vehicle in good operating condition or ability to provide own transportation necessary to travel to meetings and appointments in the community; good driving record; criminal record clearance; proof of authorization to work in the United States as required by Immigration and Reform Act of 1986. Ability to work independently with minimal supervision.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Supervision & Performance Management:

1. Provide direct performance supervision and support, as well as administrative tasks, to Quality Assurance Technicians and other QA staff.
2. Participates in the hiring process, orientation, and termination of direct reports within the QA department, as needed. Conduct comprehensive performance evaluations of QA staff to ensure consistent quality and promote professional development.
3. Lead correspondence with all private pay and commercial insurance inquiries, including verifying benefits through third-party services. Collaborate with licensed program staff and prescribers regarding client intakes and assessments, monitor commercial insurance contracts, and perform audits of commercial insurance and private pay clients as needed.

Audit and Compliance:

1. Conduct internal audits of client records and any other relevant documents by following the requirements and guidelines set forth by the state and county and federal sources, ensuring social rehabilitation and trauma informed care.
2. Maintain competent knowledge of the MCBH documentation and billing requirements as described in the “Clinical Documentation Guide” manual, in addition to understanding the county’s billing system requirements for reporting units and procedure codes.
3. Provide feedback and guidance to Program Directors and other managers related to documentation, billing standards, and regulatory status of program services.
4. Ensure programs are following the Interim Inc. County BHS, CCL, and DHCS policies and procedures as they relate to areas of QA/QI.
5. Reduce funding disallowances from funding sources due to improper documentation and billing. Monitor program staff documentation expectations.

Training and Development:

1. Implement agency staff training programs, including new counselor training, Medi-Cal, program, Admin staff in-service training, and independent consultant trainings.
2. In partnership with the Deputy Director, supervise and implement agency staff training programs, including new counselor training, Medi-Cal, program and admin staff in-service training, and independent consultant trainings.
3. In partnership with the QA Specialist, organize and implement all staff training for program staff in clinical areas related to psychosocial assessments, diagnostics, and Medi-Cal documentation.

Liaison & Collaboration:

1. Liaison for MCBH Quality Improvement Management team to ensure efficiency, collaboration, and relationship, including all new and existing programs and other services.
2. Act as liaison between MCBH and Interim Inc. in Avatar EMR related issues, to include training and problem-solving issues.

Accreditation & Quality Assurance:

1. Supervise and coordinate new CARF accreditation and re-accreditation processes for program and administrative CARF accreditation processes.
2. Participate in MCBH Utilization Review Meetings and develop corresponding Corrective Action Plans to address any identified issues or areas for improvement.
3. Monitor, update, and oversee the agency's Cultural Competency, Diversity, and Inclusion Plan on an annual basis, ensuring the collection and integration of regular feedback to drive continuous improvement.
4. Monitor and update the Quality Records Management Plan, ensuring ongoing accuracy, compliance, and effective management of all relevant documentation.
5. Prepare written audit reports in a detailed manner within the established deadlines.
6. Participate in agency mission, program planning, and decision-making regarding quality of services.
7. Other duties as assigned.

PHYSICAL REQUIREMENTS

Ability to: operate a motor vehicle; climb stairs; possess good communication skills; meet the requirements of the classification and have mobility, vision, hearing and dexterity levels appropriate to the duties to be performed. See well enough to read data on a computer screen and text in written documents; perform extensive computer keyboard operations. Capable of the following extended activities: walking, standing, sitting, climbing stairs. Capable of the following intermittent activities: stooping, kneeling, lifting 25 pounds or more and bending in the performance of infrequently performed office duties.

This job description is intended to have an accurate reflection of the qualifications and job duties, current management reserves the right to revise the job at any given time when circumstances change. This job description replaces all previous description for this position.

Interim, Inc. is an equal opportunity employer.

Interim, Inc. is guided by the precept that in no aspect of its programs, services or employment shall discrimination or harassment be permitted because of sex, race, color, ancestry, national origin, gender, age, creed, religion, physical or mental disability, genetic characteristics, marital status, medical condition, pregnancy, childbirth or related medical condition, citizenship status, veteran status, military status, sexual orientation, gender identity, gender expression or other characteristics protected by state, federal or local law. To comply with the Americans with Disabilities Act and other applicable laws ensuring equal employment opportunities to qualified individuals with a disability, reasonable accommodations are made for the known physical or mental limitations of an otherwise qualified individual with a disability, unless hardship, direct threat to health or safety, or other job-related consideration exists. Individuals who feel that they have been unlawfully discriminated against because of membership in one of the protected classes should contact the following: Director of Human Resources, Interim, Inc., PO Box 3222, Monterey, CA 93942. (831) 649-4522.

Salary : $44 - $58