QUALITY MANAGEMENT COORDINATOR
Job Type
Full-time
Description

Program Title: Quality Management Coordinator

Program: New Leaf Recovery Center

Classification: Non-exempt, Full-time

Salary: $21-24 per hour; Commensurate with Experience 


Summary and Range of Authority: Under the direction of Assistant Program Manager, the Quality Assurance (QA) Coordinator is responsible for coordinating Program quality assurance and compliance with DMC ODS and SUDPOH with the special focuses on documentation, data and billing integrity. 


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 practices, substantiation of medical necessity and care coordination and case management activities as assigned
  • Review and assist program staff with maintenance and accuracy of client records in compliance with DMC ODS regulations
  • Provide training support to program staff, interns and volunteers as assigned
  • Assist in completing various reports including but are not limited to Quarterly Status Report (QSR), DATAR, TUOS,      and Non-billables report 
  • Participate in the Quality Assurance Review (QAR) as assigned
  • Assist in all correction processes as deemed necessary and appropriate as assigned
  • Assist in collecting Client Satisfaction Survey as assigned 
  • Attend relevant meetings including those held by County BHS as assigned such as County QAR meetings as assigned
  • Complete various trainings as required 
  • 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
  • Enter data into SanWITS accurately and in a timely manner as required by the County as assigned, including monthly DMC billing 
  • Review and file Program Follow-Up Survey Forms as assigned
  • Process client Medi-Cal eligibility through Medi-Cal Eligibility Verification System and file eligibility documentation as assigned
  • Work with Lead Counselors and Program Managers to coordinate preparation of client files for internal review by the Medical Director as assigned 
  • Review and prepare documentation for internal audits, external audits and site visits; report results of audits to Program Director as assigned
  • Assist in internal program review and evaluation as required by Program Management and county and state requirements
  • Assist in internal contact monitoring as described in written program policies and procedures
  • Other duties and responsibilities as assigned by Program Management
Requirements

  

Required Education, Certifications/Licenses and Language/Cultural Skills:

  • Bachelor’s degree in social work, psychology, counseling or human behavior from an accredited college or university

Minimum Experience and Qualifications Required:

  • Three years of experience working in the field of alcohol and drug treatment program setting
  • Three years of experience in Drug Medical Organized Delivery Systems (ODS) regulations and requirements
  • One year experience working with SanWITS data system
  • If recovering, being clean and sober and stable in recovery process for at least 1 year
  • Must be free of probation or parole supervision for a minimum of one year
  • Excellent written and verbal communication skills
  • Knowledge of DMC ODS regulations and requirements
  • Familiar with monthly or bi-monthly QAR process coordinated by a selected contractor by the County
  • Familiar with SanWITS and its timely and accurate data entry
  • Ability to function well as a member of an interdisciplinary team
  • Ability to maintain strict confidentiality regarding sensitive or proprietary information and materials
  • Excellent organizational and time management skills as well as attention to detail; ability to manage multiple tasks simultaneously, prioritize, and successfully bring them to fruition.
  • Ability to meet deadlines and work well under pressure
  • 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 assist and educate staff regarding quality assurance
  • Must have certified First Aid and CPR training (including infant CPR) within three (3) months of the date of hire
  • Must demonstrate intermediate level of computer literacy and experience using  office productivity software i.e. Microsoft Word, Excel, Power Point, Internet browsers, and Outlook
  • Must  pass background check (Live Scan Fingerprint)
  • Must  pass drug test (results shall be negative for all illegal drug use      including marijuana)
  • Must  have TB clearance
  • COVID-19 Vaccination and Booster required, unless exempted as a reasonable accommodation as allowed by the law
  • Must  be able to drive for business purposes to other program locations in San      Diego County
  • Must  have a valid California driver’s license and comprehensive automobile  insurance coverage, as required by law
  • 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

Additional Preferred Education or Qualifications:

  • Bilingual in an Asian or Pacific Islander language preferred 
  • If recovering, being clean and sober and stable in recovery process for at least 2 years preferred

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, bend, talk and 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.