Position Title: Quality Management Specialist
Program: Adult/Adolescent Alcohol and Drug Treatment Program
Classification: Non-exempt, Full Time
Summary and Range of Authority: Under the direction of Lead Counselors, the Quality Management Specialist will assist in Programs quality management, monitoring, and improvement activities.
- Essential Duties and Responsibilities:
- Assist in contractual compliance with requirements, including but are not limited to, County Statement of Work, SUDPOH, State DMC ODS System of Care, and other State and Federal regulations related to the services,
- Conduct client files and medical record reviews for compliance with documentation standards which include, but are not limited to, ASAM principles, evidence-based practice requirements, substantiation of medical necessity and care coordination and case management activities,
- Monitor consumer informing materials requirement including a Notice of Adverse Benefit Determination (NOABD “denial” letter),
- Ensure client consent, authorizations, release of information forms are appropriately completed and filed,
- Assist in completion of Monthly/Quarterly Status Report (MSR/QSR),
- Participate in the Quality Assurance Review (QAR),
- Conduct QAR program self-reviews,
- Assist in reviewing and preparing documentation for all site visits and audits by County and State,
- Assist in preparing client files for Medical Director reviews,
- Assist in all correction processes as deemed necessary and appropriate,
- Assist in collecting Client Satisfaction Survey,
- Attend relevant meetings including those held by County BHS as assigned such as County QAR meetings as assigned,
- Complete County and internal trainings as required,
- Assist Program Managers and Lead Counselors in various reports as assigned.
- Conduct gender-specific, observed drug testing to clients as mandated by the referral source and/or the individual treatment plans followed by proper documentation and reporting. Alcohol and drug testing may include patch, urine analysis, and Breathalyzer,
- Other duties and responsibilities as assigned.
Education, Certifications/Licenses and Language/Cultural Skills:
- Must have BA or MA in psychology or related fields,
- Certified by one of the DHCS-approved certifying organizations (OR)
- Registered by one of DHCS approved certifying organization (OR)
- From the date of registry, counselors have five (5) years to become certified. If counselor fails to become certified after being registered for 5 years, the counselor will not be permitted to provide counseling services to clients and therefore will no longer be employed.
Minimum Experience and Qualifications Required:
- If recovering, must be clean and sober and stable in the recovery process for at least 1 year.
- Must be free of probation or parole supervision for a minimum of one year.
- Excellent organizational and time management skills as well as meticulous attention to detail; ability to manage multiple tasks simultaneously, prioritize, and successfully bring them to fruition.
- Excellent interpersonal skills and ability to work well in a multicultural environment, including tact, diplomacy, patience, and professionalism in dealing with individuals from a variety of backgrounds.
- Ability to function well as a member of an interdisciplinary team.
- Knowledge and experience to organize and transmit substance abuse treatment information.
- Ability to maintain professional and ethical integrity.
- Ability to maintain strict confidentiality regarding sensitive or proprietary information or materials.
- Ability to meet deadlines and work well under pressure.
- Proficiency in Microsoft Word, Excel, Power Point, Internet browsers, and Outlook.
- Excellent written and verbal communication skills.
- Must have flexibility to work some evening and weekend hours during scheduled client activities.
- Must be drug tested prior to hire and drug test results shall be negative for illegal drug use, including marijuana.
- Must have TB clearance.
- Must have certified First Aid and CPR training (including infant CPR).
- Will not be debarred or excluded from participation in Federal programs by the General Services Administration and/or the Department of Health and Human Services of the Inspector General
- Must pass background check (Live Scan Fingerprint).
- Must have successful completion and maintenance of the San Diego County credentialing,
- Must be able to drive (when needed) for business purposes to other program locations in San Diego County. If employee drives his/her personal automobile for UPAC business, employee must have valid California driver’s license and comprehensive automobile insurance coverage, as required by law.
Additional Preferred Education or Qualifications:
- Knowledge and experience of DMC ODS System of Care documentation requirements
- Familiar with SanWITS data systems.
- If recovering, must be stable in the recovery process for 2 years.
- Familiar with county, state and federal requirements and regulations.
- Knowledge of DMC Title 22 regulations and requirements.
- Familiar with QAR process coordinated by a selected contractor by the County.
Physical Demands and Work Environment:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Spends approximately 70% of work time sitting and meeting with others or working at a desk and/or computer. Spends approximately 30% of work time standing or walking within the work area or outside the office at meetings and events, also bends, twists, stoops and reaches. Ability to communicate in writing and verbally. Regularly required to sit and talk or hear. Frequently is required to use hands to touch, handle or feel and reach with hands and arms. Occasionally lifts and/or moves up to 25 pounds. Working conditions are normal for an office environment and event venues. The noise level is usually moderate.
Management has the right to revise this Job Description at any time. Periodically, government entities and funding agencies may change the requirements for any of the job positions such as required licensure, certifications, experience level and/or other required qualifications with or without notice. Should this happen, the employee will be required to comply with any new requirements specified by the government entity or funding agency. The Job Description is not a contract for employment and either you or the employer may terminate employment at any time for any reason, with or without notice.