The Quality Assurance (QA) Manager works to supervise a staff of mental health and office support involved in maintaining, both paper and Electronic Health Record (EHR) files for clients; including compliance, Medi-Cal billing and contract oversight at one or more STRTP. Primarily responsible for overseeing the Quality Assurance aspects of all programming, including compliance, Medi-Cal billing and contract oversight at one or more STRTP Behavioral Health programs. The (QA) Compliance Manager reports to the Clinical Director and/or designated supervisor. ESSENTIAL FUNCTIONS: Responsible for overseeing all billing system entries for assigned programs in coordination with program QA staff Monitor Medi-Cal documentation of behavioral health staff. Distribute necessary information to various departments within the agency as well as outside agencies. Collaborate with accounting department regarding billing and invoicing systems. Liaison with various county personnel to ensure ongoing collaboration, field concerns, and rectify any issues. Liaison with STRTP management team to ensure that both the needs of the program and the needs of QA are being met in a timely manner. Develop policies and procedures as appropriate for the role. Oversee Internal Audits of each program to assess for Medi-Cal, contract and agency compliance. Participate in the development of trainings focusing on documentation and compliance. Oversee QA development within new programs created within the agency Ensure programmatic understanding of contracts and serve as the primary point person for all contract compliance issues. Conducts annual Quality Assurance Program Element reviews at one or more STRTP, Behavioral Health programs. Consistent member of the Quality Assurance Team. Attends all integrated monitoring by the ROP Quality Assurance Team and licensing agencies. Conducts internal monitoring, auditing and periodic risk assessments at STRTP, Behavioral Health programs to ensure all employees are trained and compliant with of licensing and state regulations. Identifies potential areas of compliance vulnerability and risk; develops corrective action plans. Conducts timely reviews of STRTP, Behavioral Health policies, procedures and Medi-Cal information at one or more STRTP, Behavioral Health programs to ensure up to date. Completes required reports and documentation in a timely manner, provides management with required reports and advises of any problematic situations. Understands the basic principles of Title 22 Standards of STRTP. Ensures the highest standards are maintained to prevent illegal, unethical, or improper conduct and to ensure the program remains in compliance with The Health Insurance Portability and Accountability Act (HIPAA) and Protected Health Information (PHI) and in accordance with state licensing regulations. Assists with the correction of deficiencies and quality improvement efforts. Commits to attending all training and staff development classes in order to ensure sufficient hours of training on an annual basis. Notifies supervisor if annual training hours are deficient. Ensures the safety, health and welfare of staff and clients at all times. Models and ensures all program norms are upheld without compromise. Other duties as assigned, verbally or in written form to meet the needs of the program. Responsible for overseeing all billing system entries for assigned programs in coordination with program QA staff Monitor Medi-Cal documentation of behavioral health staff. Oversee any Medi-cal audits Distribute necessary information to various departments within the agency as well as outside agencies. Collaborate with accounting department regarding billing and invoicing systems. Liaison with various county personnel to ensure ongoing collaboration, field concerns, and rectify any issues MINIMUM QUALIFICATIONS: Preferred: Masters level degree, preferably in Social Services or related field, Minimum Bachelors level degree, preferably in Social Services or related field. High level of organizational and analytical skills. Ability to understand or learn Medi-Cal regulations and principles. Basic understanding of Title 22 principles. Extensive knowledge of multiple state childcare regulations. Must meet the requirements to be an eligible ROP driver. Must possess a current State Driver’s License and have an acceptable driving record for the past three (3) years. Ability to pass a criminal background clearance check, drug screen, physical and TB test. Ability to perform work with little or no supervision. Ability to utilize resources available to complete assigned projects. Ability to prepare written reports and correspondences. Ability to effectively communicate, verbally and in writing. Able to work in excess of 40 hours per week with the possibility of a varied schedule Must be able to maintain a high level of confidentiality. Ability to build and maintain positive internal and external relationships. Ability to provide exemplary customer service to all employees and outside constituents. Ability to function independently and as a member of a team in a multi-task environment. Must be flexible and able to handle multiple priorities, with the ability to adjust to high pressure and rapidly changing business conditions. Proficient in the use of computers and associated (EHR) and billing software. Rite of Passage is a leading national provider of programs and opportunities for troubled and at-risk youth from social services, welfare agencies and juvenile courts. For over 30 years, we have developed and operated a continuum of programs based on the needs of youth and our placing agencies. With our emphasis on evidence-based practices and positive skill development, combined with our supportive therapeutic approach, our organization is highly respected by industry experts as a highly effective solution for our youth. Rite of Passage has locations across the nation! We are an organization that has a long, proud history of improving the lives of youth. Since 1984, over 25,000 youth have entered and completed our programs. Rite of Passage has built its reputation on running life changing educational treatment programs that positively contribute to the community and valuing the contributions of its staff. Our employees are dedicated, passionate individuals that are committed to inspiring positive change. Join our qualified team and become a part of something great. Becoming a member of the Rite of Passage team is more than just a job, but an opportunity to create a meaningful career within a mission driven company.
Education Required Bachelors or better Behaviors Preferred Thought Provoking: Capable of making others think deeply on a subject Team Player: Works well as a member of a group Loyal: Shows firm and constant support to a cause Leader: Inspires teammates to follow them Functional Expert: Considered a thought leader on a subject Innovative: Consistently introduces new ideas and demonstrates original thinking Enthusiastic: Shows intense and eager enjoyment and interest Dedicated: Devoted to a task or purpose with loyalty or integrity Motivations Preferred Peer Recognition: Inspired to perform well by the praise of coworkers Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work Self-Starter: Inspired to perform without outside help Job Security: Inspired to perform well by the knowledge that your job is safe Growth Opportunities: Inspired to perform well by the chance to take on more responsibility Goal Completion: Inspired to perform well by the completion of tasks Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals Financial: Inspired to perform well by monetary reimbursement Entrepreneurial Spirit: Inspired to perform well by an ability to drive new ventures within the business Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)