Quality Management Clinical Services Manager (Open & Promotional)

Full Job Description

San Mateo County Health’s Behavioral Health & Recovery Services (BHRS) Division is seeking an experienced and strategic leader to serve as a Quality Management Clinical Services Manager I/II within the Quality Management (QM) Unit.

The Clinical Services Manager (CSM) I/II – Mental Health classification series provides leadership and oversight within comprehensive behavioral health programs and is flexibly staffed at the I or II level depending on qualifications and experience.

The Quality Management Unit provides countywide oversight of clinical quality, regulatory compliance, documentation standards, credentialing, site certification, audit readiness, performance monitoring, and implementation of new state and federal behavioral health requirements.

The unit partners closely with executive leadership, program managers, IT, medical staff, and contracted providers to translate regulatory and clinical standards into practical systems that strengthen accountability and improve care delivery across BHRS.

This position serves as the highest-level leader within the QM Unit and reports directly to a member of the Executive Team.

The incumbent provides expert guidance on quality, compliance, and system improvement matters while working in partnership with operational leaders who retain implementation responsibility.

This role offers the opportunity to shape countywide standards for clinical quality and regulatory integrity within a large and complex public behavioral health system.

The successful candidate will help safeguard member rights, strengthen accountability, and guide the organization through an evolving regulatory landscape.

At the same time, the role requires balancing strict compliance requirements with operational realities, managing multiple concurrent audits and high-visibility regulatory reviews, and driving system improvement through collaboration and influence rather than direct operational authority.

The current vacancy is located in San Mateo, CA and requires travel throughout the County and occasional attendance at meetings or trainings outside the County.

Key Responsibilities

The Quality Management Clinical Services Manager will:

• Provide leadership and oversight of BHRS Quality Management functions, including compliance monitoring, documentation standards, credentialing, site certification, audit coordination, grievance and appeal tracking, and risk mitigation.
• Interpret and translate state and federal behavioral health regulations (e.g., CalAIM, DMC-ODS, timely access standards) into organizational guidance and monitoring frameworks.
• Lead audit readiness and response efforts, including preparation for DHCS compliance reviews, External Quality Review, and corrective action plan development and tracking.
• Oversee credentialing and re-credentialing processes and coordinate Credentialing Committee functions.
• Provide oversight of grievance, appeal, NOABD, and State Hearing tracking and reporting to ensure compliance with regulatory timelines and member rights protections.
• Oversee incident reporting and state breach processes, ensuring appropriate system-level review, follow-up, and mitigation.
• Direct site certification and re-certification activities for County-operated and contracted providers.
• Provide consultation, training, and technical assistance to managers and providers to support sustainable regulatory compliance.
• Partner with IT and MIS to align clinical documentation and regulatory requirements with electronic health record workflows.
• Monitor and analyze compliance data using electronic health records and data tools to inform decision-making and performance improvement.
• Supervise and develop Quality Management staff and ensure timely completion of reporting and regulatory deliverables.

The ideal candidate will bring:

• Strong knowledge of state and federal behavioral health regulations and experience translating regulatory requirements into operational guidance.
• Demonstrated experience leading quality assurance, compliance monitoring, audit preparation, clinical documentation review, and corrective action planning within behavioral health settings.
• Experience preparing reports, analyzing compliance data, and advising senior leadership on regulatory and quality trends.
• Strong analytical and organizational skills, including experience utilizing electronic health records and data tools (e.g., Excel, Smartsheet) to monitor performance, assess trends, and support decision-making.
• Experience in designing and delivering training and technical assistance aligned with regulatory requirements and system improvement goals.
• Experience supervising or leading teams and fostering accountability, performance improvement, and professional development.
• Ability to collaborate across clinical, fiscal, IT, contracting, and medical staff functions to ensure policy and workflow alignment.
• Experience advancing culturally responsive and equitable behavioral health practices within policy, supervision, and program design.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Requirements

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

• Managing core Quality Management processes, including credentialing, site certification, clinical documentation review, grievance and appeal tracking, and incident reporting.
• Developing and maintaining tracking systems, dashboards, and reports to monitor compliance trends and corrective action progress.
• Coordinating preparation for external audits and regulatory reviews and ensuring timely follow-up.
• Interpret state and federal behavioral health regulations and provide guidance to program managers and senior leadership regarding organizational implications and compliance expectations.
• Reviewing compliance findings and collaborating with program leadership to implement corrective actions.
• Providing written guidance, policy interpretation, and training to support regulatory implementation.
• Utilizing electronic health records and data platforms to analyze documentation and performance trends.
• Supervising QM staff and overseeing workflow, timelines, and deliverables.
• Performing related duties as assigned.

Qualifications

Licensure/Certification:

Education and Experience:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

• Clinical Services Manager I – Mental Health: Two years of experience in a mental health or related health services program that included responsibility for program planning, client services, program evaluation, budget administration, or community resource coordination, of which at least one year included responsible supervisory experience.

• Clinical Services Manager II – Mental Health: Three years of increasingly responsible experience in a mental health or related health services program, including at least two years of significant responsibility for one or more of the following: program and budget development, funding, utilization, coordination of community resources or program evaluation.

Knowledge of:

Skill/Ability to:

Additional Information

Open & Promotional. Anyone may apply.

Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions.

Candidates who pass the application screening will be invited to a panel interview (weight: 100%) which may include a performance exam.

Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification.

All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination.

All examinations will be given in County of San Mateo, California and applicants must participate at their own expense.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the “Apply” button.

If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply.

Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form.

A resume will not be accepted as a substitute for the required application materials. Online applications must be received by the Human Resources Department before midnight on the final filing date.

About the County
San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.

The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment.

The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply.

Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer. We seek to hire, support, and retain employees who reflect our diverse community.

We encourage applicants with diverse backgrounds and lived experiences to apply.