Correctional Officer - Entry

The Napa Valley

The County of Napa has an immediate vacancy for a Senior Quality Management Specialist in the Quality Management (QM) division of the Health & Human Services Agency. Under minimal supervision from the QM Director or Assistant Manager QM, incumbent will review, evaluate, and assess Public Health, Alcohol & Substance Abuse program service delivery in a collaborative manner with a goal toward continuous quality improvement of services.

Distinguishing Characteristics This position does not provide direct services, although, in monitoring the delivery of services provided, the position may have client contact. This classification is distinguished from the Principal QM Specialist in that case reviews performed by the Principal are primarily clinical in nature and of greater complexity than those cases assigned to the Senior QM Specialist and vary amongst programs while the case reviews assigned to the Senior QM Specialist typically involve Social Service programs. The Senior QM Specialist is responsible for obtaining and reviewing data, including but not limited to charts, electronic records or other client files, reviewing and applying relevant audit criteria, analyzing the data, making findings, recommending action plans and preparing reports for management. Incumbents may review the work of program supervisors as well as line staff, and are part of a collaborative resolution process with management, supervisors and line staff. Incumbents may also be responsible for reviewing program eligibility determinations and verifying accuracy in applying various rules and regulations relating to conditions of participation and/or reimbursement; and perform other specialized analytical duties as assigned with minimal supervision.

Supervision Received And Exercised Direct supervision is provided by the Quality Management Director or Assistant Manager - Quality Management.

No supervision is exercised over others.

Education And Experience To qualify for this position, an individual must possess any combination of experience and education that would likely produce the required knowledge and abilities. A desirable combination would be: A Master’s Degree in Social Services, Human Services, or a closely related field AND One year of full-time experience performing duties comparable to a Social Worker II, Alcohol & Drug Counselor II, Registry & Training Specialist, Public Health Nurse, Mental Health Counselor, or a closely related position.

OR A Bachelor’s Degree from an accredited college or university AND two years of full-time experience performing duties comparable to a Social Worker II, Alcohol & Drug Counselor II, Registry & Training Specialist, Public Health Nurse, Mental Health Counselor, or related position.

OR A registered nurse with two years of experience performing healthcare duties in a public health setting.

License Or Certificate Possession of a valid California Driver's License.

Napa County as an Employer

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

Work collaboratively with relevant program staff when conducting programmatic reviews.

Develop and maintain competency and knowledge of subject matter area including regulatory requirements, quality assurance applications and relevant audit criteria.

Review documentation to determine compliance with funding sources, criteria, Agency policy and procedure, and state and federal guidelines.

Respond to various external audits requests.

Gather, assemble, and analyze data pertaining to quality control.

Identify trends or potential problem areas resulting from compliance or program reviews needing a plan of action; develop and issue written quality management reports; work with program staff to develop and/or revise procedures and operational guidelines, as necessary, to achieve a plan of action.

Perform home visits involving in-depth interviews to substantiate or resolve discrepancies pertinent to eligibility determinations and service authorizations.

Research case files or client records to compare against information entered into various computer reporting systems.

Provide technical and analytical support to supervisors and staff concerning regulations and protocols.

Participate in staff meetings to provide information regarding documentation and pertinent quality management issues;

Perform retrospective, concurrent and prospective reviews to assist in evaluating the level of adherence to audit criteria and quality management outcomes.

Review cases to determine accuracy, consistency of findings and inter-rater reliability between supervisor’s finding and Quality Management findings.

Gather data and assist in program evaluation and research; identify trends to be used as indicators for quality care.

Assist in maintaining, revising and updating divisional policies and procedures as a result of regulatory or operational changes in protocol affecting compliance.

Develop and maintain expertise in the relevant audit criteria for the program reviews assigned, including a comprehensive understanding of the governing regulations.

Assist in providing training to divisional or program staff on new policies and procedures or regulatory changes.

Compile and analyze data related to activities and functions and develop audit reports for programmatic and divisional use.

Attend required internal and external training to enhance knowledge base.

Research and review pertinent literature in specialty area and share with peers.

Operate a computer terminal to input, access, and print data, reports and projects.

Perform related duties as assigned.

Develop knowledge of resources within the community.

Represent Napa County at Statewide meetings or workgroups.

Conduct Quality Management meetings concerning specific program areas assigned.

Conduct training on compliance review procedures and corrective action plans; identify and assess training needs and goals necessary to ensure corrective action.

Conduct a variety of special projects and/or surveys involving research, data collection, analysis; make appropriate recommendations; prepare and maintain reports on assigned projects.

Provide information and referral services to providers regarding available client community services; Provider evaluation results.

Work closely and collaboratively with the Program Manager(s) (e.g., Public Health, Mental Health, Alcohol & Substance Abuse, and/or Social Service programs) for the program areas assigned.

Assist in development of audit criteria, tools and protocol, including developing policies and procedures governing Quality Assurance reviews.

Consult with State representatives, as needed, to obtain regulatory guidance, as needed.

The Position

Knowledge Of Rules and regulations governing Public Health, Alcohol & Substance Abuse, Mental health, and/or Social Service programs (e.g., Child Welfare Services, Comprehensive Services for Older Adults, In-Home Supportive Services).

Practices and procedures for quality assurance/quality control reviews in any of the administered programs.

Interviewing and record keeping techniques.

General goals and functions of an integrated health and human services agency.

Public and community resources available to applicants and recipients.

Standard office practice and procedures, including basic electronic data processing systems.

County documentation standards and report procedures.

Principles and techniques of quality assurance, including: developing standards and practices, conducting reviews and audits, and reviewing processes.

Principles, objectives, and techniques of the following services: Public Health, Alcohol & Substance Abuse, Mental Health, and/or Social Service programs (e.g., Child Welfare Services, Comprehensive Services for Older Adults, In-Home Supportive Services).

Individual and group behavior, human growth & development, and family relationships.

Socio-economic factors affecting individuals and families.

Principles of a comprehensive monitoring system.

Ability To Work independently with minimal supervision, reason logically and accurately and use sound judgment in the performance of duties.

Research applicable laws and regulations.

Evaluate and interpret complex regulations to County employees and co-workers.

Perform statistical calculations.

Communicate effectively both orally and in writing and establish cooperative working relationships with those contacted in the course of work.

Prepare and present formal written and/or oral presentations.

Analyze and apply procedures, policies and plans.

Explain policies and procedure to staff.

Provide effective training, as requested.

Evaluate program activities and participate in root-cause analysis, problem resolution, or other corrective actions.

Collect, review, and compile data to establish/identify errors; create reports and communicate findings effectively with staff at all levels.

Handle multiple quality review cases concurrently.

Prepare and maintain clear, concise, and comprehensive records, reports, and correspondence.

If assigned, professionally and competently represent the County in administrative hearings.

Interact with clients professionally and appropriately.

Work cooperatively with co-workers and other agencies.

Coordinate and prioritize quality assurance-related activities.

Interpret complex laws and regulations.

Conduct complex reviews and produce written reports.

Identify issues, develop recommendations for corrective action as necessary.

Example of Duties

For positions within the County’s Health and Human Services Agency, the County of Napa is precluded from hiring applicants that are determined to be “Ineligible Persons,” defined as an applicant who is: a) currently excluded, suspended, debarred or otherwise ineligible to participate in Federal health care programs, or b) has been convicted of a criminal offense related to the provision of health care items or services and has not been reinstated in the Federal health care programs after a period of exclusion, suspension, debarment or ineligibility. Applicants will be asked prior to an offer of employment to verify that they are not an “Ineligible Person.” Public Services Employees Benefits Information SALARY - Salaries are based on a five-step range. Appointments are usually made at the beginning step with advances occurring at six months and the completion of each year thereafter. Salary rates are reviewed annually.

Additional Benefits Info - Click here for additional benefits information for Public Services Employees: https://www.countyofnapa.org/DocumentCenter/View/7508/Benefits-Summary---Public-Service-Employees-PSE

These Benefits Do Not Apply To Extra Help Positions EMPLOYMENT INFORMATION PHYSICAL STANDARDS - Certain designated County positions require a candidate to pass a physical examination prior to appointment. Offers of employment are conditional upon successful completion of this examination.

FINGERPRINTING - All employees hired into allocated positions or extra help positions will be fingerprinted.

SELECTION PROCESS - FOR POSITIONS IN THE DEPARTMENT OF CORRECTIONS AND THE PROBATION DEPARTMENT - The selection process will include an oral board interview, psychological assessment, background investigation, and a pre-employment physical exam.

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