Mental Health Quality Improvement Coordinator

Full Job Description

Mental Health Quality Improvement Coordinator (VQSF-2026A)

Why Join Contra Costa Health?

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.

We are looking for someone who:

• 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

What you will typically be responsible for:

• 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

A few reasons why you might love this job:

• 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

A few challenges you might face in this job:

• 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

Competencies Required:

• 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.

Qualifications

License Required: Possession of a valid California Motor Vehicle Operator's License, possession of one of the following professional licenses: either

1. a valid license as a Clinical Social Worker issued by the State of California, Board of Behavioral Science Examiners, or
2. a valid license as a Marriage and Family Therapist issued by the State of California, Board of Behavioral Science Examiners, or
3. a valid license as a Psychologist issued by the State of California, Board of Medical Quality Assurance, Psychology Examining Committee, or
4. a valid License as a Registered Nurse in the State of California.

Applicants are required to attach a copy of their license to their application.

Experience: Four (4) years of full-time or its equivalent experience administering quality management and improvement activities in a Human Services program.

Desirable Qualifications:

• Possesses strong documentation skills, significant experience in quality management, utilization review, quality improvement activities
• Is knowledgeable of specialty mental health/substance use disorder Medi-Cal billing
• Is knowledgeable of MHP & DMC-ODS requirements
• Experience using applications such as Microsoft Access, Word, Excel, and Powerpoint, Electronic Health Record (EHR) systems (e.g., Epic), and billing systems (e.g., Sharecare).
• Is trained or certified in the area of compliance
• Experience developing policies, and procedures
• Experience supervising subordinate staff

Additional Information

1. Application Filing and Evaluation: Applicants will be required to complete a supplemental questionnaire at the time of application. Applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.
   
   

Training & Experience Evaluation: Candidates who clearly demonstrate that they possess the minimum qualifications will have their training and experience evaluated.

The responses to the supplemental questions, at the time of filing, will be evaluated to determine each candidate's relevant education, training, and/or experience as presented on the application and supplemental questionnaire.

(Weighted 100%)




The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices.




CONVICTION HISTORY

After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI).

The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer.

If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances.

Having a conviction history does not automatically preclude you from a job with Contra Costa County.

If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment.




DISASTER SERVICE WORKER

All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect.

Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.




EQUAL EMPLOYMENT OPPORTUNITY

It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.