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Principal Quality Management Specialist (Licensed) - Extra Help, Napa, CA


Organization: County of Napa
Category: Professional
Location: Napa, CA
Date Job Posted: November 5, 2021
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COUNTY OF NAPA
Human Resources
1195 Third Street, Suite 110
Napa, CA 94559
707-253-4303
http://www.napacountycareers.com

INVITES APPLICATIONS FOR THE POSITION OF:
Principal Quality Management Specialist (Licensed) - Extra Help

An Equal Opportunity Employer

SALARY
$48.84 - $58.66 Hourly

OPENING DATE: 09/16/21
CLOSING DATE: Continuous
JOB TYPE: Extra Help
Job Category: Human and Social Services
DEPARTMENT: Health & Human Services Agency
LOCATION: 2751 Napa Valley Corporate Dr. Napa, CA 94558

THE NAPA VALLEY

PLEASE READ THIS BULLETIN IN ITS ENTIRETY

The Napa Valley - Internationally known for its fine wines, exciting restaurants and world-class resorts, is home to 140,000 residents who share a strong sense of community and a legacy of preserving and protecting our rich agricultural heritage.

Located in the heart of California's preeminent wine region, the Napa Valley is also part of the dynamic San Francisco Bay Metropolitan Area. With its sunny Mediterranean climate and proximity to the mountains and ocean, the Valley offers residents easy access to virtually unlimited shopping, dining, cultural and recreational opportunities.

The Napa Valley's strategic location, natural and cultural resources, history of responsible land use planning and attractive quality of life provide the ideal mix of small town living and big city amenities.

COUNTY OF NAPA AS AN EMPLOYER

The County of Napa is a highly respected employer within the local community as well as throughout the region. We offer rewarding and challenging work, flexible hours, competitive salaries, a comprehensive benefits package and tremendous opportunities for career growth. At the County of Napa we truly value our employees and are committed to diversity in our family-oriented environment. This is why we are the Employer of Choice for more than 1,400 employees.

As an organization, the County is dedicated to improving the lives of our citizens and reflecting the best of the community's values: Respect, Accountability, Dedication, Integrity and Innovation.

THE POSITION

This is a non-benefited, Extra Help position and is expected to work 28 hours per week.

Telework Availability - Teleworking is not permitted during the first six (6) months of employment. Should teleworking be permitted by a hiring department after the 6 month requirement, the County supports a telework schedule that consists of a maximum of two(2) days per week.

This position does not provide direct services, although, in monitoring the delivery of services provided, the position may have client contact. The incumbent is assigned to the Quality Management (QM) Division of the Health and Human Services Agency and is responsible for the review of various services provided by the Health, Alcohol and Drug, Mental Health, and/or Social Services programs. This classification is distinguished from the Senior QM Specialist in that case reviews performed by the Principal QM Specialist - Licensed are primarily clinical in nature and of greater complexity. The Principal QM Specialist - Licensed is responsible for obtaining and reviewing data, including but not limited to charts, electronic records or other client files, reviewing and applying relevant audit criteria, analyzing the data, making findings, recommending action plans and preparing reports for management. Incumbents may review the work of program supervisors as well as line staff, and are part of a collaborative resolution process with management, supervisors and line staff. Incumbents may also be responsible for reviewing program eligibility determinations and verifying accuracy in applying various rules and regulations relating to conditions of participation and/or reimbursement; and perform other specialized analytical duties as assigned.

The Recruitment Process

1. Applications will be accepted on-line on a continuous basis until current vacancies are filled.

2. Applications will be reviewed for minimum qualifications supplemental responses reviewed by subject matter experts as they are received.

3. Departmental interviews will take place at a date determined by the department. Only the most qualified candidates will be referred to the department.

The Human Resources Department reserves the right to change the recruitment process at anytime.

EXAMPLE OF DUTIES

The following duties are typical for this classification. Incumbents may not perform all of the listed duties and/or may be required to perform additional or different duties from those set forth below toaddress business needs and changing business practices.

Duties may include, but are limited to, the following:

Work collaboratively with relevant program staff when conducting programmatic reviews.

Review, evaluate, recommend and implement changes in customer care systems and the utilization of resources.

Establish and maintain procedures for continuous quality improvement; develop and recommend corrective action plans for resolving service and system issues.

Monitor and evaluate the quality and appropriateness of various service programs.

Serve as a liaison to other state, federal and/or county agencies regarding compliance review activities.

Maintain, revise and update departmental policy and procedure manual as a result of new state regulations, and policies or procedures affecting compliance.

Conduct compliance reviews in accordance with state issues guidelines and internal policies and procedures.

Identify problems/issues or potential problem areas resulting from compliance reviews needing corrective action; develop and issue written reports; develop and/or revise procedures and operational guidelines, as necessary.

Draft written annual continuous quality improvement reports that contain clear, accurate and concise information to be provided to senior management.

Draft an annual quality improvement work plan, in conjunction with program staff.

Meet with stakeholder groups, clients and personnel from all levels to participate in the continuous quality improvement (CQI) process.

Participate in conducting an organization-wide, long-term strategic planning that clarifies the strengths/weaknesses of the organization and help to identify strategies for meeting identified goals.

Participate in conducting annual short-term program planning in support of the Agency and the Quality Management Division's long-term plan.

Conduct internal monitoring by evaluating systems and procedures and using findings to improve performance;

Develop outcomes measurement system in each of its programs which evaluates individual progress and program effectiveness.

Conduct consumer satisfaction for all services.

Provide clear, accurate, and timely information regarding all aspects of the CQI process to its service recipients, policymaking bodies, personnel and other stakeholders.

Take continual action to improve services and promulgate solutions to the issues identified by its Continuous Quality Improvement (CQI) activities.

Develop and maintain competency and knowledge of subject matter area including regulatory requirements, quality assurance applications, and relevant audit criteria.

Review documentation to determine compliance with funding sources, criteria, agency policy and procedure, and state and federal guidelines.

Resolve client grievances in appeals in order to ensure quality of care standards are met.

Respond to various external audits requests.

Gather, assemble, and analyze data pertaining to quality improvement.

Identify trends or potential problem areas resulting from compliance or program reviews needing a plan of action; develop and issue written quality management reports; work with program staff to develop and/or revise procedures and operational guidelines, as necessary, to achieve a plan of action.

Provide technical assistance and support to supervisors and staff concerning regulations and protocols.

Participate in staff meetings to provide information regarding documentation and pertinent quality management issues.

Perform retrospective, concurrent and prospective reviews to assist in evaluating the level of adherence to audit criteria and quality management outcomes.

Review cases to determine accuracy, consistency of findings and inter-rater reliability between supervisor's finding and Quality Management findings.

Gather data and assist in program evaluation and research; identify trends to be used as indicators for quality care.

Oversight of the Agency's various programs subject to accreditation by the Council on Accreditation.

Chair meetings and conduct trainings.

Attend trainings, conferences, and meetings of regional and state-wide groups that focus on quality improvement issues.

Maintain and write a variety of records, reports and correspondence.

Operate a computer terminal to input, access, and print data, reports and projects.

Perform related duties as assigned.

TYPICAL QUALIFICATIONS

KNOWLEDGE OF:

Laws, regulations, policies and procedures relating to government sponsored medical care and other medical aid/assistance programs.

Theory, practice and procedures related to mental health, alcohol and drug and public health organizations.

Utilization review techniques and practices.

Evaluation and assessment techniques.

Program and departmental goals, policies, and procedures.

Principles and techniques of developing and implementing training programs.

General principles of organization, administration, and county, state and federal programs.

Statistical and research methods.

Working knowledge of the concepts of Continuous Quality Improvement.

Community programs and resources.

County documentation standards and report procedures;

Rules and regulations relating to various agency programs.

ABILITY TO:

Work independently, reason logically and accurately and use sound judgment in the performance of duties.

Analyze and apply procedures, policies and plans; develop and implement revisions.

Explain policies and procedures to management, staff, clients and providers.

Communicate effectively both orally and in writing and establish cooperative working relationships with those contacted in the course of work.

Develop and provide effecting training to staff of complex regulatory requirements.

Evaluate program activities and participate in root-cause analysis, problem resolution, or other corrective actions.

Collect, review, and compile data to establish/identify errors; create reports and communicate findings effectively with staff at all levels.

Handle multiple quality and utilization review cases concurrently.

Prepare and maintain clear, concise, and comprehensive records, reports, and correspondence.

Evaluate program activities and recommend policy and program changes.

Analyze situations and take effective action.

Establish and maintain cooperative and collaborative working relationships with management, staff, and other department and agencies.

EDUCATION AND EXPERIENCE

To qualify for this classification, an individual must possess a combination of experience and education that would likely produce the required knowledge and abilities. A desirable combination is:

Education:

A Master's Degree in Social Work, Clinical or Counseling Psychology, Nursing, or a closely related field

AND

Experience:

Four years of full-time experience performing mental health, alcohol, and drug or public health case work duties, with at least one year of experience performing in a lead capacity in the mental health or alcohol and drug field.

Desirable Qualifications:

Experience in a supervisory capacity in the mental health or alcohol and drug field.

License or Certificate:*

Possession of one of the following valid licenses issued by the State of California is required: Physician; License Psychologist; Licensed Clinical Social Worker; Licensed Marriage, Family and Child Counselor; or a Registered Nurse.

Possession of a valid California Driver's License.

*Any license, certification, or registration required for this position shall be maintained (i.e. active and in good standing) at all times during employment with Napa County. For continued employment with Napa County, you must maintain such license, certification, or registration to meet the minimum qualifications of this position.

ADA Accommodation

Applicants requiring accommodation during the application and/or selection process pursuant to the Americans with Disabilities (ADA) Act should contact County of Napa Human Resources at (707) 253-4303.

Napa County is an Equal Opportunity Employer.

APPLICATIONS MAY BE OBTAINED AND FILED ONLINE AT:

www.napacountycareers.com

OR

1195 Third Street, Suite 110,
Napa, CA 94559
EXAM #00109
PRINCIPAL QUALITY MANAGEMENT SPECIALIST (LICENSED) -EXTRA HELP LM

Principal Quality Management Specialist (Licensed) - Extra Help Supplemental Questionnaire

* 1. Instructions for Supplemental Application Questions. The following questions comprise one of the steps in the selection process for this position and are intended to assist you in presenting your qualifications. Only the information you provide in your answers to these questions will be evaluated and scored to determine the best qualified candidates to continue in the selection process for this position. Please be complete and specific in answering the questions as your score will be based on this information. Applications submitted without responses to the supplemental questions will not be evaluated.
Although your experience and education should relate back to your application, your application and or resume will not be reviewed when scoring the supplemental questions. Therefore, please be as detailed as possible in your responses to the supplemental questions. I have read and understand the instructions presented above.
Yes
No

* 2. Describe your experience auditing or reviewing documentation standards for services billable to Federal Health Care Programs (Medicare & Medi-Cal). Please include any experience specific to outpatient mental health and substance use disorder services programs.

* 3. What strategies do you use to stay informed of the latest Federal Health Care Program(Medicare & Medi-Cal) documentation standards?

* 4. Please describe any experience drafting formal reports pertaining to audit findings, including suggested plans of correction (POC) for any deficiencies identified.

* 5. Please tell us about a program, process, or procedure that you played a role in developing or modifying that you believe enhanced client access, engagement, or outcomes.

* 6. Describe your definition of diversity, and how you have incorporated equity in your profession.

* Required Question


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