Find & Apply For Clinical Quality Manager Jobs in Fresno, California

Associate Director, Quality Support Pacific Clinics - 3.3 Fresno, CA Job Details $83,260 - $102,399 a year 3 hours ago Benefits Health insurance Dental insurance Vision insurance 401(k) matching Qualifications Master's degree in social work Data integrity assurance Medical performance measurement report preparation Quality control experience within healthcare industry Clinical compliance checks Utilization review Accreditation standards (regulatory compliance area) Electronic health records (EHR) management Quality of care (regulatory compliance area) Team leadership HIPAA implementation Master's degree in psychology Data summary reports Quality reports Quality control data reporting Data quality management Juvenile justice system Health information performance improvement Records management Contractual compliance checks Social service program quality assurance Clinical training Health information data integrity Team training Counseling Clinical program data analysis Psychology Child & family services Master of Arts Health record chart audits

Full Job Description General Information:

Schedule:

Monday through Friday, from 8am to 5pm Compensation We Offer The initial compensation for this position ranges from $83,260 to $102,399 per year; depending on experience, location, and internal equity considerations. Benefits We Offer Benefits Eligibility starts on day ONE We provide a robust benefits package which includes medical, dental, vision, See our Benefits Page

HERE. 401K

Employer Match up to 4%

Competitive Time Off Plans Overview:

The Associate Director Quality Support, under the supervision of the Quality Assurance, Health Information Management and Customer Services, is responsible for managing quality assurance structures in large geographic regions consisting of multiple counties, programs and contracts representing substantial agency revenue. The AD Quality Support develops, implements and maintains quality management structures that encompass clinical quality assurance, process and operational consistencies, cost containment, compliance and continuous quality improvement processes in alignment with agency standards. In addition, the AD Quality Support may assist in the preparation of RFP's, manage client services and HIM functions and participate in training and outcome evaluation structures.

Responsibilities:

Participates as a member of the regional leadership team. Functions as a liaison to county Quality Assurance Departments within the region. Attends relevant county meetings, receives correspondence and, otherwise acts proactively, to obtain information about changes to county quality management expectations. Develop, implement and maintain quality assurance structures that comply with federal, state, county and organization compliance and regulatory requirements. Gathers information to produce routine reports to support quality management structures. Collects and maintains data on complaints and grievances in the region. In conjunction with Outcomes and Evaluation (O&E), ensures data collection procedures in alignment with state, agency and contractual requirements. Coordinate and produce routine and special reports to internal and external sources, Conducts data analysis and identifies trends and opportunities for continuous quality improvement. Ensures the smooth interface between Information Technology (IT) and clinical documentation requirements. Ensures data integrity within the EHR. Ensure medical records adhere to the regulatory requirements of the agency and accreditation organizations. Leads regional quality improvement committees, processes and activities using a Continuous Quality Improvement - Continuous Learning Approach. Develop, implement and maintain the regional utilization review process that is consistent with federal, state, county and organizational requirements. Ensure the completion of corporate and regional audit tools. Develop and maintain working relationships with all regional county quality departments. Trains regional leadership and management on quality assurance topics. Serves as a liaison with corporate departments and county departments to ensure contractual compliance. Serves as the regional HIPAA compliance officer. Manages client services and HIM functions, as assigned. Performs other responsibilities, as assigned, to support specific department/business needs.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Master's Degree (M.A.) in Social Work, Marriage and Family Counseling, Psychology, or related field and five (5) or more years of relevant experience required, or equivalent combination of education and experience (two years of relevant experience equals one year of education) to include: Five (5) years direct clinical experience of which three (3) years' experience in the program's specialization, such as children's mental health, child welfare, and/or juvenile justice systems.