Behavioral Health Services Department Quality Director
Salary $160,865.82 - $206,388.58 Annually
Location Throughout the County of Santa Clara, CA
Job Type Executive Management
Department Behavioral Health Services
Job Number 21-A5U-B
Closing 7/19/2021 11:59 PM Pacific
Under direction, the Behavioral Health Services Department (BHSD) Quality Management Director is responsible for developing, planning, organizing and directing staff functions in the areas of Managed Care Quality and Utilization Management.
FILING PERIOD and APPLICATION PROCEDURE
The final filing date is Monday, July 19, 2021. The recruitment may be extended or closed as early as 10 days after issue date, therefore, it is critical to submit your application as soon as possible.
This recruitment requires the submission of an online application. No paper applications will be accepted. Applicants who are viewing this job announcement outside of our Santa Clara County website must go to www.sccjobs.org to apply.
To apply for this exceptional opportunity, applicants must complete the on-line application and provide the following:
- Contact information for a minimum of three references
- Letter of interest explaining why you are the ideal candidate, including specific examples from your experience. No more than 3 pages.
- Answers to the online supplemental questions
Applications submitted without these items will be considered incomplete. Please contact Quynh Truong at email@example.com or 408-315-9559 for any questions.
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- Monitors and evaluate the compliance of contract agencies associated with that component;
- Direct strategies to include incentivizing integrated Medical-Psychiatric SNF for providers and coordination with the Drug Medi-Cal waiver;
- Assess Quality Improvement (QI), and Risk Management (RM) needs and trends for SCVHHS BHSD by reviewing current practices and gathering, compiling, maintaining, and evaluating data related to employee, contract agencies, services performed, critical incidents/problems, and patient feedback; Cooperates and collaborates with other management team members in the on-going development, direction and management of the quality of care with appropriate utilization of service delivery;
- Coordinate review, preparation, update, and distribution of standards, policies and procedures to ensure that professional/licensure standards and standards of Department of Health Care Services (DHCS) and other regulatory agencies are met;
- Coordinate and collect mandatory components of the DHCS program audit, assists DHCS auditor and prepares response to final report;
- Oversee funding needs and budgetary requirements to maintain the department's annual budget;
- Oversee quality and utilization monitoring activities and care coordination;
- Oversee collaboration with inpatient rehabilitation & behavioral health quality assurance/utilization management;
- Monitor to ensure that all outpatient staff requiring licensure, certification, registration, and/or waivers have current credentials on file; obtain waivers from DHCS when necessary;
- Participate in resolving unusual or complex interdepartmental problems as they relate to the delivery of quality patient care;
- Analyze population data and utilization trends, adjusting utilization management strategies based on these analyses;
- Oversee referral management, resource management and medical necessity review of services;
- Develop and evaluates criteria for case management which defines criteria and monitors effectiveness for cost avoidance and utilization activities;
- Assure ongoing appropriate utilization of services through continuous measurement and evaluation;
- Assess responses to interventions and revise plans as needed;
- Evaluate the effectiveness of the quality and utilization management programs consistent with standards;
- Assure quality management activities regarding patient care delivery systems, policies and procedures, as well as performance and outcomes; Chairs or participates in divisional/departmental or agency-wide committees related to quality improvement, care standards, and/or safety/ risk management;
- Communicate and coordinate/act as liaison with managers and staff throughout SCVHHS, regulatory agencies, relevant professional associations, County and other county/contract agencies;
- May initiate and/or participate in research studies related to standard, quality improvement, and risk management;
- Maintain competence and knowledge of current trends in care standards and regulatory, accreditation and Quality Assurance/Improvement topic; participates in continuing education activities for professional growth, licensure and certification requirements;
- Develop, implement and evaluate continuing education/in-service training programs based on QI/RM findings and to enhance staff knowledge on various QI/RM related topics;
- Coordinate/conduct in-service training for managers and staff on changes in laws/regulations and standards;
- Select, trains, supervises, coordinates, and evaluates subordinate staff;
- May be assigned Disaster Service Worker duties as required; and
- Performs related duties as assigned.
Considerable education, training and extensive experience which demonstrates possession and application of the following knowledge and abilities:
Experience Note: The knowledge and abilities required to perform this function are normally attained through possession of a Bachelor's degree in Healthcare/Public/Business Administration and five (5) to eight (8) years of increasingly responsible experience in a leadership role within a health or behavioral health care setting developing, implementing and leading complex performance improvement projects that achieved quality improvement.
- Principles, practices and techniques of organization, budget preparation, personnel management, supervision, training and development, and employee relations;
- Technologically proficient, excellent data management and analysis skills;
- Excellent verbal and written communication and timely follow-through skills;
- Advanced interpersonal skills with ability to engage internal and external customers to achieve results in support of organization and Quality department goals;
- Excellent computer proficiency; and
- Must be able to coach and develop talent to achieve results.
- Ability to work effectively and efficiently independently and with others to achieve and exceed established benchmarks
- Interpret, explain, apply, and communicate complex clinical and business performance information clearly and concisely;
- Establish and maintain collaborative working relationships across organizational boundaries;
- Prepare clear and concise reports and maintain strong attention to detail and drive from the broad to the detailed;
- Multi-task, balance competing priorities and follow-through;
- Manage a team of report writers and data analysts; and
- Ability to direct and supervise the work of others.