Job Description

Job Title: Senior Manager of Quality Improvement

Dept/Pgm: Quality Assurance 

Reports to: Executive Director

Classification: Regular, Full-Time, FLSA Exempt

Location: Berkeley Office

Position Summary:

The Senior Manager of Quality Improvement (QI) is responsible for developing, implementing, and monitoring quality improvement initiatives across all the organization's programs. The Senior Manager of QI will work collaboratively with department directors and program managers to identify opportunities for improvement, develop plans to address those opportunities, and track and report on progress. Heading a team of specialists, this includes coordination of multiple program workstreams, ensuring the program is progressing and meeting milestones, and identifying and addressing barriers to achieve the program outcomes. This position will implement and further develop an intense quality assurance and compliance program, ensuring high standards of quality and compliance with standards of practice, applicable county, state and federal laws and regulations and organizational policies and procedures, as well as continuous quality improvement to align results with strategic initiatives and goals. As the team leader, this position supports and develops clinical training curriculum and oversight for a team of specialists who provide staff training, CQRT, EHR support, and supervision of peers, students and associates.

The ideal candidate for this position will have a high level of clinical acumen and experience leading quality improvement initiatives in a mental health setting, as well as experience with accreditation standards. He or she will be a strategic thinker with the ability to develop and implement plans, as well as the ability to track and report on progress. The Senior Manager of QI will be a team player with excellent communication and interpersonal skills.

· Build and implement agency-wide quality assurance strategy working with diverse programs with different needs.

· Maintains current knowledge of accreditation, billing and licensing requirements

· Manage day-to-day operations of the Quality Improvement Department

· Collaborate with multiple external and internal partners to identify and support program evaluation needs related to specific grants and organizational priorities.

· Developing and implementing procedures for collecting, analyzing, and reporting data related to quality improvement efforts.

· Establish protocols, systems, documentation quality standards, practice guides and outcome measures and training activities to assist staff to learn and comply with contractual, regulatory accreditation and excellent practice and standards.

· Provide leadership and staff management for the quality assurance team

· With the Senior Director, develop policies and procedures to ensure agency compliance with industry standards and government regulations.

· Utilize various means and methodologies to create a foundation and sustained, up-to-date, comprehensive Quality Assurance Plan with procedures for maintaining quality control in all aspects of operations.

· Lead the CQRT process, including internal audits of client records and any other relevant documents to ensure accuracy, consistency and attainment of all compliance requirements.

· Analyze data to identify trends and recommend corrective actions, including responsive action to critical incidents and unusual occurrences. Develop staff training as necessary to correct deficiencies.

· Evaluating onboarding and staff training needs and developing and executing training plans to meet those needs.

· Prepare reports, presentations and other analyses that communicate programmatic impacts, successes, weaknesses and opportunities using a mix of qualitative and quantitative data.

· Collaborate with leadership to develop program and outcome evaluations that incorporate reporting requirements, ensuring data collection, management, analysis, and reporting is smooth and effective.

· Train and guide staff on program/outcomes evaluation, quality improvement methodology, and comprehensive practice improvement steps, creating an understanding of our services' positive impact.

· Using data analysis and observation techniques, develops plans to continuously improve quality through research and implementing new methods, making small changes to improve processes and outcomes.

· Develop and be accountable for effective and efficient use of department resources.

· Become a system administrator for the agency EHR database, developing expertise in Medi-Cal billing processes.

· Act as the compliance and regulatory information resource, point of contact and spokesperson for internal and external inquiries.

· Attend management meetings.

· Provide clinical or student supervision when needed

· Other duties as assigned by the Senior Director.

Education and Experience:

· Masters or Doctorate degree in Clinical Psychology, Social Work, Counseling or a related field

· A minimum of five (5) years’ experience working in a community mental health program with demonstrated quality Improvement mandates.

· Must be licensed with a current, unrestricted valid California license (LCSW, LMFT, LPCC) for the California Board of Behavioral Sciences (BBS). LCSW strongly preferred.

· At least two (2) years’ post licensure experience supervising staff focusing on clinical practice and adherence to compliance and quality assurance systems.

· Must have completed a minimum of 15 contact hours in supervision training prior to the commencement of supervision required for supervisors of Associate Clinical Social Workers (ASW’s).

· Familiarity with (or ability to quickly learn) evidence-based practices such as Motivational Interviewing, WRAP, Seeking Safety, Solution Focused Therapy, CBT, and DBT.

· Experience providing constructive, timely feedback identifying strengths and areas of development to practitioners.

Required Qualifications:

· Excellent verbal and written skills and the ability to present information effectively; Solid written skills to meet the required documentation standards and provide direct feedback on and about documentation standards to staff consistent with Medi-Cal, ACBHD and Agency requirements.

· Must demonstrate basic computer skills.

· Must demonstrate a high level of professionalism with the capacity to set boundaries kindly and consistently with a diverse staff and client population.

· Must be able to effectively prioritize competing demands and meet deadlines.

· Must demonstrate enthusiasm, flexibility and be able to work amicably with multiple team members.

· Must demonstrate a work ethic that encompasses diversity and inclusion within the workforce.

· Must be able to provide critical incident debriefing and plans to increase program safety.

· Knowledge of and the ability to adhere to a professional code of ethics.

· Ability to coach in various Clinical Modalities, Harm Reduction, Stages of Change, Trauma-Informed Care, and Motivational Interviewing.

· Strong supervisory and leadership skills.

· Excellent interpersonal, negotiation, and conflict resolution skills.

· Strong analytical and problem-solving skills.

· Ability to prioritize tasks and to delegate them when appropriate.

· Must demonstrate an ability to work both independently and as a member of the team.

· Experience in CQRT and knowledge of Medi-Cal SMHS experience.

· Demonstrated proficiency in the use of Electronic Health Record (E.H.R.) systems.

· Must be able to meet the Immigration Reform Act of 1986 requirements.

· Must have a valid California Driver License and a driving record acceptable by the agency’s insurance company.

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