Sheriff Health Compliance Manager

Full Job Description

• Provides consultation to the Sheriff's Office and contracted program staff on QA/QI issues.
  
  
• Monitors quality improvement for the jail medical and behavioral services contract, including creating and monitoring the quality improvement work plan and QI committee.
  
  
• Assists the Department in preparation for various audits, including legally mandated External Quality Review (Remedial Plan) and Medi-Cal County Inmate Enrollment Program (MCIEP) oversight review.
  
  
• Reviews and analyzes data and findings from internal program reviews and external audits to identify problem areas and makes recommendations for improvement.
  
  
• Maintains and compiles statistical reports related to legally mandated External Quality Review (Remedial Plan); identifies new components or activities required by the Remedial Plan.
  
  
• Develops, implements, and maintains infrastructure and procedural systems to track and improve outcomes, quality monitoring activities, business processes and care for incarcerated persons.
  
  
• Assists in the development and implementation of clinical processes, including medication monitoring and peer/supervisory review; oversees QI work plan activities, performance improvement projects, and contract management.
  
  
• Consults with the Sheriff’s Office administration regarding program needs, policies, and procedures, and prepares plans to ensure quality medical care and organizational efficiency.
  
  
• Conducts utilization and quality assurance reviews of medical records to ensure appropriate care and case management services.
  
  
• Reviews and assesses complex cases to ensure appropriate care and coordination of services to incarcerated persons.
  
  
• Reviews grievances and audits all records regarding the delivery of health care services to ensure contracted vendor compliance.
  
  
• Serves as liaison between medical staff and department executive management.
  
  
• May prepare and/or supervise the preparation of reports, correspondence, special studies, and research.
  
  
• Plan, negotiate and monitor agreements and contracts with plan care and review providers.
  
  
• Initiate, develop and revise written policies and procedures for the compliance program.
  
  
• Work with Sheriff Correction’s Compliance Unit to closely monitor and review critical incidents involving the medical contractor inside the correctional facilities.
  
  
• Ensure medical contractor facilitation of required facility accreditations including Board of State and Community Corrections, Public Health, Behavioral Health and National Commission on Correction Health Care.

Requirements

Experience:
Four (4) years of full-time, paid work experience as a Registered Nurse, one (1) year of which must have involved experience in quality improvement, medical audits, medical record/chart review in a healthcare setting or one (1) year of correctional nursing experience.

License:
Valid Registered Nurse license issued by the State of California, Department of Consumer Affairs, Board of Registered Nursing.

Possess and maintain a valid California driver’s license.

SUBJECT TO CRIMINAL HISTORY BACKGROUND CHECK PURSUANT TO THE HUMAN RESOURCES RULES AND REGULATIONS, SECTION 2,B.

Desirable qualifications:
Certified Correctional Health Professional (CCHP) certification offered by the National Commission of Correctional Health Care (NCCHC).

Qualifications

• Operate a personal computer and other office equipment.
  
  
• Establish effective working relationships.
  
  
• Communicate effectively with others in person, in writing and over the telephone.
  
  
• Analyze data, interpret directions, procedures and regulations; develop appropriate conclusions.
  
  
• Coordinate projects and prepare oral and written reports in a clear and concise manner.
  
  
• Establish effective quality review programs and written policies and procedures.
  
  
• Maintain confidential information in accordance with legal standards and/or County regulations.
  
  
• Meet deadlines under stressful conditions, and complete multiple projects with conflicting deadlines.
  
  
• Establish, implement, and achieve goals and objectives.
  
  
• Train, evaluate, and supervise staff; respond appropriately to situations.
  
  
• Frequent use of depth perception, peripheral vision and color perception.
  
  
• Frequently lift, carry, reach, push, pull, twist and manipulate large and small objects.
  
  
• Frequent use of hand-eye coordination; normal dexterity, frequent holding and grasping.
  
  
• Frequent use of data entry device including repetitive hand and arm motion.
  
  
• Occasionally lift and carry up to 40 pounds.
  
  
• Regular attendance is an essential function.
  
  
• May be required to work variable days and/or shifts.

Knowledge of:

• Federal, state, and local laws, rules, and regulations applicable to the administration of medical and behavioral health care services in detention facilities.
  
  
• Principles, practices and legal requirements of quality management systems, managed care, and client care.
  
  
• Principles and practices of health programs.
  
  
• Quality measurement techniques, including study design, criteria development and statistical analysis.
  
  
• Effective research methods and resources.
  
  
• Practices and techniques of report preparation.
  
  
• Personnel management practices, including staff development, supervision, interviewing, selecting, training, evaluating, promoting, and disciplining.
  
  
• Problem solving, conflict management and team building techniques.

Ability to:

• Interpret, apply, and communicate complex regulations.
  
  
• Develop and implement QA/QI principles.
  
  
• Plan, organize, direct, and evaluate the day-to-day activities of one or more jail medical programs.
  
  
• Review medical records, recognize and resolve discrepancies.
  
  
• Maintain a productive work environment and ensure achievement of goals.
  
  
• Remain knowledgeable and proficient in health practices through reading, research, professional organizations and academic training.
  
  
• Collect, organize, analyze, and interpret statistical data.
  
  
• Effectively manage multiple work assignments, set priorities, and meet established deadlines.
  
  
• Communicate effectively, both orally and in writing.
  
  
• Establish and maintain effective working relationships at all organizational levels, as well as with other agencies, vendors and the public.
  
  
• Demonstrate and maintain a high degree of initiative, integrity, accountability, and good judgement.