JOB ID: 1365
Quality Assurance Department Scope:
Essential activities under the Quality Assurance and Compliance (QAC) umbrella include: Risk Assessment and Management, Program Implementation, Internal Auditing and External Audit Coordination, Reporting, Performance Evaluation and Document Management.
Quality Assurance and Compliance Specialist Summary:
Under the direction of the Associate Director, this position is responsible for providing QAC support to a portfolio of programs, inclusive of behavioral and mental health care focused programs within PATH providing the following activities:
The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.
Responsibilities: Program Implementation
- Support the ramp-up and implementation of new programs, inclusive of behavioral and mental health focused programs
- Draft and distribute contract summary sheets for all new contracts
- Ensure existing documents are shared or otherwise created for program use
- Train staff when needed on new processes and systems
- Support program directors with project management activities to ensure implementation tasks are completed
- Maintain expert knowledge of new and existing contracts and provide guidance to program staff to ensure contract compliance.
Internal and External Auditing
- Facilitate and coordinate internal and external QA audits of PATH programs
- In collaboration with program leadership develop external audit response and corrective action plans.
- Conduct assessments, site visits and desk monitoring reviews of internal programs to verify accuracy of records documenting outcomes, compliance with standards, laws, and regulations, and implementation of policies and procedures.
- Compile monitoring findings, finalize and communicate results and recommendations for improvements to systems, procedures and quality care.
- Complete internal audits for PATH programs to ensure services are being rendered in accordance with agency and contract standards
- Provide guidance to program leadership and staff on best practices related to quality care and clinical documentation
- Develop internal monitoring reports
- Assist in the assessment of PATH programs and sub-recipients to ensure risk of liability for PATH is mitigated.
- Assist in the identification of any contractual risks to PATH and work with the team to mitigate any risk or liabilities.
Reporting and Performance Evaluation
- Monitor and analyze data on programmatic goals and outcomes
- Collect and summarize program outcomes goal achievement
- Report on program evaluation elements by collecting information and reporting to department leadership
- Conduct program evaluations by utilizing qualitative and quantitative data analysis
- Produce quarterly performance reports for all program departments
- Assist with the development and implementation of data collection instruments for surveys and focus groups
- Support program staff in interpreting and using analysis for program improvement
- Manage a system of collecting, revising and implementing policies and standard operating procedures for programs
- Provide support to program leaders when drafting program manuals/handbooks and clinical guidelines
- Provide training when necessary on universal program policies or procedures, including clinical documentation
- Maintain up-to-date policies, procedures, forms and templates concerning the functional areas stated above
- Assist with the creation of universal program forms, templates and miscellaneous documents
- Represent PATH at meetings, workshops and conferences in the community as requested
- Assist the organization and administrative departments as requested
- Master’s degree in related field preferred, with a minimum of 3 years of related job function or industry experience in quality assurance, compliance or program development with an active clinical license in social work, marriage and family therapy or professional clinical counseling required
- Experience providing clinical review and monitoring of behavioral health or mental health programs required
- Experience with Medi-Cal compliance including documentation and operational standards required
- Experience with reviewing and monitoring homeless service contracts and programs required
- Experience with monitoring local, state and federally funded contracts and grants required
- Must be able to analyze problems and perform needs assessments
- Must demonstrate the ability to use judgement in adapting broad guidelines to achieve desired results
- Must exercise independent judgement within accepted practices and make appropriate recommendations as needed
- Must be able to manage multiple tasks and priorities simultaneously
- Proficiency with Microsoft Office Suite and Mastery of Microsoft Word and Excel and database systems
- Administrative, reporting, troubleshooting experience with homeless services and health records management databased required (i.e. HMIS, EHR, etc.)
- Project management experience required
- Must have time management skills, be highly organized and detail- oriented
- A confident self-starter who can develop effective business relationships, both internally and externally while brokering buy-in from all stakeholders.
- Must have strong written and verbal communication skills as well as interpersonal skills
- Must be proficient in data collection, analysis, evaluation and reporting
- Employment eligibility verification
- Tuberculosis test
- Successful completion of background screening and drug test.
- Driving is an essential function of this position
- Must have Valid CA Driver's License
- Must provide proof of insurance coverage
- Must be able to qualify for PATH insurance coverage
The employee may be in contact with individuals and families in crisis who may be ill, using alcohol and drugs, and who may not be attentive to basic personal hygiene, health and safety practices. The employee may experience a number of unpleasant sensory demands associated with the client’s use of alcohol and drugs, and lack of personal hygiene. The employee must be ready to respond quickly and effectively to many types of situations, including crisis situations and potentially hostile situations. The noise level in the work environment is usually moderate in an office setting. Sometimes work may become stressful when working under pressure.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, sit, walk, stoop, talk, hear, reach above and below shoulders; use hand and finger dexterity, keyboarding and making and receiving telephone calls. The employee may be required on occasion to lift and or carry up to 20 lbs.
PATH (People Assisting The Homeless) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, PATH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
How to apply:
Please visit the Path Career Site
to apply online. Search for Job #1365
to submit your application. A resume is required.