Manager, Quality Assurance - Wellness Center

Role: Manager, Quality Assurance Reports to: Director, Clinical Quality Assurance Program: 9007-Quality Assurance & Comp Department: Admin Location: Wellness Center - 345 S. San Pedro Street, Los Angeles, CA 90013 Setting: Not 100% Onsite Schedule: Monday - Friday, 8:00am - 4:30pm Status: Full-time/Exempt/Management Benefits: Medical, Vision, Dental, Life Insurance, 403(b) Retirement plan, Employee Assistance Program (EAP), etc. Openings: 1     Summary: The People Concern is funded through the Los Angeles County Department of Mental Health (LAC DMH) and LA Care to deliver Mental Health and Enhanced Care Management (ECM) services. These programs provide mental health treatment, case management, and care coordination to individuals experiencing homelessness, transitioning into permanent supportive housing, or residing in permanent housing. In collaboration with the Clinical Quality Assurance Leadership team, the Quality Assurance Manager will ensure adherence with The People Concern’s philosophies and current standards for quality of care and other requirements as defined by Los Angeles County Department of Mental Health (DMH) and LA Care. This position will oversee the supervision of the Quality Assurance Specialists and provide project management, leadership and training to all staff around quality assurance standards. The ideal candidate is technically savvy, detail-oriented, able to work independently, collaborative with team members and staff, demonstrates initiative and leadership in designing new protocols and policies, and serves as a data champion and support to staff at all levels throughout the organization.   Essential Duties and Responsibilities: Ensure the agency’s adherence to Los Angeles County Department of Mental Health (LAC DMH) and LA Care Enhanced Care Management (ECM) policies and procedures. Assist with the preparation of federal, state, county and/or city audits. Coordinate, develop, and assist with delivery of ongoing trainings and resources to Mental Health staff on Los Angeles County Department of Mental Health (LAC DMH) and LA Care Enhanced Care Management (ECM) documentation standards and EHR workflows.  Supervise Quality Assurance Specialists through weekly structured supervisions and providing ongoing support, growth and accountability of staff. Responsible for data collection and reporting. Manage, monitor and train DMH program staff on Service Request Tracking System (SRTS). Reconcile internal and external data sources to remain in compliance with DMH policies and procedures. Responsible for the maintenance of Network Adequacy Provider & Practitioner Administration (NAPPA) monthly and as needed. Assist with processing records request received by the Agency. Assist with the administration of Electronic Health Record, EYXM/Credible. Identify and lead implementation of process improvement projects. Complete monthly and as needed file reviews for COS and Mental Health charts. Collaborate and consult effectively with all levels of staff in Clinical Quality Assurance, Billing, Mental Health and any other staff/programs to ensure adherence to policies and procedures. Attend scheduled and as-needed internal and external trainings and meetings. Adhere to The People Concern personnel policies. Other duties not specified in the position description as requested by the Director or Assistant Director of Clinical Quality Assurance.   Qualifications: High School Diploma or GED or Equivalent  Minimum of three (3) years’ experience ensuring adherence to Los Angeles County and State standards to chart documentation for respective funding sources, specifically Medi-Cal and LA County DMH Excellent written and oral communications skills, ability to develop and conduct training sessions and ability to assist with developing policies and procedures: (i.e., data entry/support services) Knowledge of HIPAA standards and practices Knowledge of Electronic Health Record  Possess attention to detail, ability to be thorough and accurate Able to work effectively both individually and as part of a team Strong communication, interpersonal and team building skills Possess the ability to be a skilled trainer, perform virtual (Zoom) and in-person training presentations, and develop effective training materials. Outstanding organizational and project management skills, with thorough knowledge of nonprofit service provision and administration Demonstrated ability to handle multiple tasks simultaneously and to work independently and creatively Must possess a valid California Driver’s license and maintain an insurable driving record   Preferred Qualifications: Bachelor’s Degree Two (2) years of leadership/management experience in a supervisory role Knowledge of Exym or Credible   Work Environment: Primarily indoor office environment Walk or drive to different local sites at least 25% of the time Regularly required to sit, stand, bend; occasionally lift or carry up to 35 lbs. On occasion walk or drive to different local sites. May necessitate working in busy and loud environments. May be exposed to elements like cold, heat, dust, noise and odor. May need to bend, stoop, twist, and sit throughout the day.