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Behavioral Health Quality Assurance Specialist

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Behavioral Health Quality Assurance Specialist

Salary

$71,094.40 - $109,553.60 Annually

Location

and may be required to travel throughout Ventura County, CA

Job Type

Full-Time Regular

Job Number

1707HCA-24AB (NW)

Department

Health Care Agency

Division

Behavioral/Mental Health

Opening Date

05/09/2024

Closing Date

5/30/2024 5:00 PM Pacific

• Description

• Benefits

• Questions

Description

Under general direction of the Senior Manager of Quality, the Quality Assurance Specialist is responsible for operations of various areas of focus to ensure the efficacy of the overall program services, attaining the utmost standards in customer satisfaction, and maintaining all State required quality and legal mandates.

The ideal candidate for this healthcare role possesses a wide understanding of regulatory compliance, quality improvement methodologies, and patient safety protocols. They excel in conducting audits and implementing evidence-based practices to drive measurable outcomes. With strong communication and collaboration skills, they foster a culture of continuous improvement and work effectively with interdisciplinary teams to uphold the highest standards of quality, safety, and patient-centered care.

The Quality Assurance (QA) and Utilization Review (UR) units ensure accurate and appropriate clinical documentation, implements regulatory changes from both the state and federal governing entities, and resolves, tracks, and monitors grievances, appeals and Notices of Actions. This position continually collaborates with Utilization Review staff regarding chart/documentation reviews and to support providers with clinical best practices.

PAYROLL TITLE/APPROXIMATE SALARIES:

Staff/Services Specialist I - $34.18 - $48.98 per hour

Staff/Services Specialist I I - $36.88 - $52.67 per hour

EDUCATIONAL/BILINGUAL INCENTIVE: Incumbents may be eligible for educational incentive of 2.5%, 3.5%, or 5% based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill.

DEPARTMENT/AGENCY: Health Care Agency – Behavioral Health

Staff/Services Specialist I/II is represented by the Services Employees International Union (SEIU) and is eligible for overtime compensation.

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only, There is currently one (1) Regular vacancy.

NOTE: If appointed at the lower level, incumbent may be promoted to the higher level without further examination upon meeting the minimum requirements, demonstrating satisfactory performance, and in accordance with the business needs of the department.

TENTATIVE SCHEDULE

OPENING DATE: 5/9/24

CLOSING DATE: 5/30/24 at 5:00 p.m.

Examples Of Duties

Duties may include, but are not limited to the following:

• Develops, implements, and monitors quality assurance processes and tools for behavioral health services, ensuring compliance with regulations, best practices, and organizational policies;

• Oversees audits and reviews clinical documentation, treatment plans, and service delivery to identify areas for improvement and ensure compliance;

• Provides comprehensive feedback and recommendations to clinical staff and leadership based on quality assurance findings;

• Monitors and tracks the timeliness of behavioral health services, ensuring prompt delivery and seamless care coordination;

• Determines medical necessity and appropriate level of care using evidence-based criteria across inpatient, outpatient, and intensive services;

• Maintains accurate tracking systems for quality assurance activities, utilization review decisions, and outcomes;

• Generates data reports and analyzes utilization trends and quality metrics to support performance improvement;

• Ensures compliance with regulatory requirements for documentation, reporting, and client information confidentiality;

• Provides training and ongoing education to clinical staff on quality assurance principles, documentation standards, and regulatory requirements;

• Offers guidance and support to clinicians in developing and implementing effective treatment plans aligned with best practices; and

• Performs other related duties as required.

Typical Qualifications

These are entrance requirements to the exam process and assure neither continuance in the process nor placement on an eligible list.

EDUCATION, TRAINING, and EXPERIENCE:

Considerable progressively responsible operations, project or staff experience related to the reporting level, complexity of work performed, and other requirements leading to the acquisition of knowledge, skills and abilities of the position. At the higher level, some significant related lead, supervisory, project management, grant or contract administration experience may be required.

Staff/Services Specialist I: Two (2) years of experience in healthcare quality assurance or related activities.

Staff/Services Specialist II: F our (4) years of experience in healthcare quality assurance or related activities with the ability to plan, organize, and supervise the work of others.

Necessary Special Requirements:

• Must possess and maintain a valid California driver license as a condition of continued employment

• Must have intermediate skill with Microsoft Word, Excel, PowerPoint, SharePoint, and Outlook

• Must have some skill with Adobe Acrobat for form development

• Must have experience with healthcare policies and procedures

• Must be able to communicate effectively in writing, demonstrated in the completion of the employment application and supplemental questionnaire responses

  DESIRED:

Any one of the following:

• Licensed Professional Clinical Counselor (LPCC)

• Licensed Marriage Family Therapist (LMFT)

• Licensed Clinical Social Worker (LCSW)

• Psychologist, Registered with the Board of Behavioral Science/Board of Psychology

Knowledge, Skills, and Abilities:

Working ( Staff/Services Specialist I) to considerable ( Staff/Services Specialist II) knowledge of:

• principles and practices of effective supervision

• the use of automated systems

• planning, organizing and directing work to meet workload demands

• project and time management techniques and tools

• work processes/methods related to the specific assignment

• budget preparation and monitoring

• researching and interpreting codes, regulations and policies related to the agency/department and those related to public/customer relations techniques

  Working ability to:

• exercise independent judgment

• explain department policies and procedures and serve as departmental resource and liaison

• develop and implement necessary work processes and related procedures

• perform statistical analysis and data interpretation and reports

• assist in developing or enhancing office automation applications

• manage projects, grants or contracts

• understand the unit's goals

• draw logical conclusions and make appropriate recommendations or adjustments as needed

• organize and prioritize work assignments

• read and interpret technical material

• complete required forms accurately and completely

  Considerable ( Staff/Services Specialist II) ability to:

• plan, organize, and supervise the work of others

Recruitment Process

FINAL FILING DATE: Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on Thursday May 30, 2024.

To apply on-line, please refer to our web site at ventura.org/jobs (https://www.governmentjobs.com/careers/ventura?sort=PositionTitle%7CAscending) . If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura, CA 93009.

Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.

LATERAL TRANSFER OPTION: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here (http://vcportal.ventura.org/CEO/HR/docs/Lateral_Transfer.pdf) for additional information. Omit for INT and EH; exclude Dept Promo

SUPPLEMENTAL QUESTIONNAIRE – Qualifying: All applicants are required to complete and submit the questionnaire for this exam at the time of filing The supplemental questionnaire may be used throughout the exam process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION – Qualifying: All applications will be reviewed to determine whether the stated requirements are met. Those individuals meeting the stated requirements will be invited to the written examination.

TRAINING & EXPERIENCE EVALUATION: include Oral Exam language

A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to the supplemental questionnaire. The T&E is NOT a determination of whether the candidate meets the stated requirements; rather, the T&E is one method for determining who are the better qualified among those who have shown that they meet the stated requirements. In a T&E, applications are either scored or rank ordered according to criteria that most closely meet the business needs of the department. Candidates are typically scored/ranked in relation to one another; consequently, when the pool of candidates is exceptionally strong, many qualified candidates may receive a score or rank which is moderate or even low resulting in them not being advanced in the process.

ORAL EXAMINATION - 100%: A job-related oral examination may be conducted to evaluate and compare participating examinees' knowledge, skills, and abilities in relation to those factors which job analysis has determined to be essential for successful performance of the job. Examinees must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.

NOTE: The selection process may consist of an Oral Exam, which may be preceded or replaced with the score from a Training and Experience Evaluation (T&E), contingent upon the size and quality of the candidate pool. In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation.

If there are three (3) or fewer qualified applicants, a T&E and/or an Oral Examination will not be conducted. Instead, a score of seventy percent (70%) will be assigned to each application, and each applicant will be placed on the eligible list.

Applicants successfully completing the exam process may be placed on an eligible list for a period of one (1) year.

BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, and driving record may be required for this position.

For further information about this recruitment, please contact Nathan Wood by e-mail at nathan.wood@ventura.org or by telephone at (805) 677-5232.

EQUAL EMPLOYMENT OPPORTUNITY

The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.

YOUR BENEFITS AS A COUNTY OF VENTURA EMPLOYEE

Service Employees International Union (LOCAL 721)

(SEIU)

To learn more about Benefits, Retirement, and the Memorandum of Agreement (MOA), see links below.

• Benefits website (https://hr.ventura.org/benefits) or you may call (805) 654-2570.

• Retirement FAQ's (https://vcportal.ventura.org/CEO/benefits/docs/RETIREMENT%20-%20FAQs.pdf)

• Memorandum of Agreement

Union Codes: UPA, UPC, UPE, UPH, UPI, UPJ, UPT, UWS

01

Using proper grammar and complete sentences, describe your progressive responsible operations, project or staff experience related to Quality Assurance. Please include the following in your response:

• Name of employer(s)

• Dates of employment reflected as MM/YYYY to MM/YYYY or Present

• Number of hours worked per week

• Position title

• Specific duties you performed

  NOTE: Do not copy and paste a response to another question. Do not refer to an attached document.

NOTE: This experience must be included in the Work History section on your application.

If you do not have this experience state, "No experience."

02

Do you possess and can you maintain a California driver license as a condition of continued employment?

• Yes

• No

  03

  Please rate your proficiency level using Microsoft Word.

• Basic

• Intermediate

• Advanced

• None

  04

  Please rate your proficiency level using Microsoft Excel

• Basic

• Intermediate

• Advanced

• None

  05

  Please rate your proficiency level using Microsoft PowerPoint.

• Basic

• Intermediate

• Advanced

• None

  06

  Please rate your proficiency level using Microsoft SharePoint.

• Basic

• Intermediate

• Advanced

• None

  07

  Please rate your proficiency level using Microsoft Outlook.

• Basic

• Intermediate

• Advanced

• None

  08

  Do you have past experience using Adobe Acrobat to create forms?

• Yes

• No

  09

  Describe your experience with supervision, planning, organizing, directing work, exercising independent judgment, and supervising the work of others. include any experience leading teams, setting goals, allocating resources, and ensuring that work is completed efficiently and effectively. Please include the following in your response:

• Name of employer(s)

• Dates of employment reflected as MM/YYYY to MM/YYYY or Present

• Number of hours worked per week

• Position title

• Specific duties you performed

  NOTE: Do not copy and paste a response to another question. Do not refer to an attached document.

NOTE: This experience must be included in the Work History section on your application.

If you do not have this experience state, "No experience."

10

Please check all that apply:

• I am a Licensed Professional Clinical Counselors (LPCC)

• I am a Licensed Marriage Family Therapist (LMFT)

• I am a Licensed Clinical Social Worker (LCSW)

• I am a Psychologist, Registered with the Board of Behavioral Science/Board of Psychology

• I have none of the above credentials

  Required Question

Agency

Ventura County

Address

800 S. Victoria Avenue LOC. #1970 Ventura, California, 93009

Phone

(805) 654-5129

Website

http://hr.ventura.org

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