Mental Health Quality Improvement Coordinator

Overview

Mental Health Quality Improvement Coordinator (VQSF-2026A)

The Contra Costa Health Services Behavioral Health Division, in partnership with consumers, families, staff and community-based agencies, provides welcoming and integrated services for mental health, substance abuse, and other needs that promote wellness, recovery, and resiliency while respecting the complexity and diversity of the people we serve.

Contra Costa Behavioral Health Services is offering an excellent employment opportunity as a Mental Health Quality Improvement Coordinator. This position is assigned to the Quality Improvement & Quality Assurance Unit in the Contra Costa Behavioral Health Division located in Martinez, California. Behavioral Health Services provides Specialty Mental Health Services (SMHS) and Drug Medi-Cal-Organized Delivery System (DMC-ODS) services and programs to children, adolescents, young adults, adults, and older adults of Contra Costa County.

The Mental Health Quality Improvement Coordinator is responsible for planning, developing and coordinating the quality management/quality improvement programs through the Behavioral Health Services Division and their community-based contracted organizations.

• Communicates effectively with various stakeholders both orally and in writing
• Prepares clear and concise correspondence and reports
• Problem-solves complex situations with clients and agencies
• Leads and manage others through influence and collaboration

• Quality improvement in the areas of SMHS/DMC-ODS beneficiary grievances, MHP unusual occurrences, change of provider, and sentinel reviews
• Upholding beneficiary rights & privacy protections, supporting the review, investigation, coordination and reporting of Mental Health Plan (MHP)/(DMC-ODS) grievances, requests for state fair hearings, HIPAA breaches/violations, and quality of care concerns (non-grievance related)
• Monitoring compliance with all quality management and quality improvement standards, regulations, and policies throughout the Division
• Serving as a resource to all quality management and quality improvement functions and committees and coordinates their development and administrative support
• Training MHP/DMC-ODS staff and providers on areas of quality assurance and compliance including fraud, waste, and abuse
• Coordinating, notifying, and reporting on quality assurance mandates to Department of Health Care Services (DHCS) for the MHP/DMC-ODS such as on fraud, waste and abuse, notice of adverse benefit determination (NOABDs), beneficiary appeals and expedited appeals
• Chairing both the Behavioral Health Policy and Forms Committees
• Audit preparation and supervising administrative staff

• Excellent opportunity to contribute to quality management and quality improvement in Behavioral Health Services and for beneficiaries living with severe mental illness and, or alcohol and other drug issues
• Working collaboratively with providers and staff divisionally and cross divisionally
• Constantly learning both clinical and administrative aspects of behavioral health services
• Supporting the Behavioral Health Division in a highly unique and specialized role
• Being a part of the planning, development, and implementation of emerging policies, programs and initiatives

• Working collaboratively with other County departments on complex incidents and, or matters
• Learning complicated regulatory and legal requirements
• At times high variance and lack of predictability to plan overall workload
• Boundary setting for what is the job of the QIC versus the role of other staff/agencies

• Decision Making
  :
  Choosing optimal courses of action in a timely manner
• Fact Finding
  :
  Obtaining facts and data pertaining to an issue or question
• Legal & Regulatory Navigation
  :
  Understanding, interpreting, and ensuring compliance with laws and regulations
• Professional & Technical Expertise
  :
  Applying technical subject matter to the job
• Adaptability
  :
  Responding positively to change and modifying behavior as the situation requires
• Attention to Detail
  :
  Focusing on the details of work content, work steps, and final work products
• Self-Management
  :
  Showing personal organization, self-discipline, and dependability
• Informing
  :
  Proactively obtaining and sharing information
• Oral Communication
  :
  Engaging effectively in dialogue
• Writing
  :
  Communicating effectively in writing
• Handling & Resolving Conflict
  :
  Managing interpersonally strained situations
• Managing Organizational Complexity
  :
  Maneuvering through complex political situations and functions within the organization

To read the complete job description, please visit the website.
www.cccounty.us/hr

The eligible list established from this recruitment may remain in effect for six months.