Behavioral Health Auditing and Monitoring Manager

Employment Type

: Full-Time


: Miscellaneous

Position Information Bring your behavioral health experience to the County of Sonoma's Department of Health Services! Starting salary up to $57.56/hour ($120,134/year), a cash allowance of $600/month, and a competitive total compensation package!* What We Offer Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to excellent benefits* including: * An annual Staff Development/Wellness Benefit allowance up to $1,700 and ongoing education/training opportunities * Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year * Significant portion of health care premiums paid by the County and access to several health plan options * County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance/benefits * Retirement fully integrated with Social Security * May be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment * Eligibility for a salary increase after 1,040 hours (6 months when working full-time) for good work performance; eligibility for a salary increase for good performance every year thereafter, until reaching the top of the salary range The Position The Auditing & Monitoring Team (AMT) Manager will work in the Behavioral Health Division's Quality Assessment & Performance Improvement (QAPI) section. The AMT Manager reports directly to the QAPI Section Manager, and currently has two direct reports in the job class of Behavioral Health Clinical Specialist. The AMT Manager is responsible for the oversight of all Mental Health Plan & Substance Use Disorder program audits. Responsibilities include: * Managing the audit schedule to ensure all programs are audited within required timeframes * Facilitating and tracking annual, periodic, and special audits and monitoring reviews, including developing audit parameters, facilitating entrance and exit conferences, finalizing audit and monitoring reports, and ensuring accuracy with any fiscal recoupments and compliance deficiencies * Developing and updating audit tools to ensure accuracy with state and federal regulations, program practices, and special audit conditions * Reporting to the QAPI Section Manager significant compliance deficiencies that require immediate action, and developing corrective actions and timelines for audits and monitoring reviews The ideal candidate for this position will possess the following skills: * Knowledge of State and Federal regulations pertaining to Medi-Cal behavioral health services, including CCR Title 9 and CCR Title 22 * Familiarity with Medi-Cal, Medicare, Drug Medi-Cal, and Substance Abuse Prevention and Treatment Block Grant documentation requirements * The ability to work independently and research/interpret complex Federal and States rules and regulations * The ability to write accurate and complete audit reports and corrective action plans * Familiarity with Department of Health Care Services' monitoring practices and information notices * An understanding of the Behavioral Health System of Care * An eye for detail and an aptitude for managing and prioritizing multiple responsibilities and tasks * Ability to monitor and track all tasks The Department of Health Services (DHS) DHS is one of the County's largest and most complex departments. The departments Administration, Behavioral Health, and Public Health Divisions are driven by their mission to promote, protect, and ensure access to services that support the health, recovery, and well-being of all in Sonoma County. The following ideas are the basis for how DHS operates and delivers services: * Excellence - Strive to create a culture of learning, innovation, and data-driven practices in order to guide internal operations, improve performance, and build staff expertise * Collaboration - Engage and work collaboratively with partners, communities, and staff to maximize its impact across the County * Equity - Work to reduce disparities and ensure fairness, compassion, and social justice For further information regarding the department and its programs, services, and partnerships, please visit the DHS website. This recruitment is being conducted to fill one full-time position in DHS. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. Qualified County employees who wish to be considered for future positions should consider applying to this recruitment. The Civil Service title for this position is Patient Care Analyst. * Salary is negotiable within the established range. Benefits described herein do not represent a contract and may be changed without notice. Additional information can found in the Salary Resolution and our Employee Benefits directory. APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED. Minimum Qualifications Education: Academic work which directly relates to the knowledge and abilities listed. Normally, graduation from an accredited school nursing, academic course work in health care, hospital or nursing administration, medical records, psychology counseling or social work or a related field will meet these required knowledge and abilities. Experience: Any combination of training and experience that will provide an opportunity to acquire the knowledge and abilities listed. Normally, three years of experience in an acute care hospital or other equally responsible health profession experience including some training or experience in performing patient's rights advocacy, utilization review or quality assurance or infection control or experience analyzing health care or nursing systems and programs could provide this opportunity. License: Possession of a valid California license as a Registered Nurse or license, registration or certification in another related health discipline. Knowledge, Skills, and Abilities Thorough knowledge of: relative importance of problems effecting the respective areas of responsibility. Considerable knowledge of: various methods of assessing professional care and services; the applicable laws, rules, regulations and regulatory agency requirements related to assigned area of responsibility; medical terminology, hospital routines, and policies and procedures. Working knowledge of: the various specialty areas within the Resource Management Program. Knowledge of: appropriate financial reporting and statistical design, methodology, presentation and interpretation; the principles and practices of consultation and training. Ability to: recognize resource management and patient care problems or potential problems in their early stages; utilize various methods of assessing the utilization and quality of services and care provided; communicate effectively with persons of varying backgrounds; influence physicians, staff, other managers into accepting changes required by the resource management program; advocate on behalf of patients and clients using behavior that will provide the best opportunity for a reasonable resolution of the complaint; establish and maintain cooperative working relationships with other hospital and Mental Health Department personnel and others who have an interest in quality patient care; exercise responsibility, initiative, ingenuity, independent analysis and judgment in solving medical, administrative and management problems; write comprehensive reports; analyze problems accurately and to take effective course of action; give and follow oral and written directions of a technical and professional nature in detail; interact with patients and professional staff sympathetically and tactfully in difficult and sensitive situations; establish and maintain cooperative working relationships with other hospital personnel; interpret medical charts, records and reports. Selection Procedure & Some Helpful Tips When Applying * Your application information and your responses to the supplemental questions are evaluated and taken into consideration throughout the entire selection process. * You should list all your employers and positions held within the last ten years in the work history section of your application and should be as thorough as possible when responding to the supplemental questions. * You may include history beyond ten years if related to the position for which you are applying. If you held multiple positions with one employer, list out each position separately. * Failure to follow these instructions may impact your competitiveness in this process or may result in disqualification. Please visit Getting a Job with the County of Sonoma to review more detailed information about the application, examination, and department selection processes. APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED. Responses to supplemental questions will be scored using position-specific criteria. Please provide specific and detailed responses of a reasonable length to allow for thorough assessment of your qualifications. Responses which state 'See Resume' or 'See Application' may be considered insufficient and therefore may not be scored. The selection procedure will consist of the following examination: An Application & Supplemental Questionnaire Appraisal Examination (weight 100%) may be conducted to evaluate each applicant's application and supplemental questionnaire for satisfaction of minimum qualifications (pass/not pass); and for educational coursework, training, experience, knowledge, and abilities which relate to this position. Each applicant will be evaluated based on the following criteria: * Relevance of work history, related experience, and achieved level of education and/or training as described in the application and responses to the supplemental questions. Candidates demonstrating possession of the minimum qualifications will be placed on an employment list in order of most qualified to least qualified based on the achieved score received in the Application & Supplemental Questionnaire Appraisal Examination. Scores may be adjusted based on such factors as number of candidates, anticipated vacancies, past practice, and natural breaks in the scores achieved by this group of candidates. ADDITIONAL INFORMATION A background investigation is required prior to employment. Candidates referred to departments for a selection interview are typically required to sign authorization and release forms enabling such an investigation. Failure to sign prescribed forms will result in the candidate not being considered further for that vacancy. Reference information will not be made available to applicants. Additional requirements, such as successful completion of a physical exam, drug screen, etc., may apply, depending on the duties and responsibilities of the position. If you receive a conditional job offer for the position, the requirements upon which the offer are contingent will be outlined in the conditional job letter. You may also review the Job Classification Screening Schedule to determine the requirements for this position. HOW TO APPLY Applications are accepted on-line at: Paper applications may be submitted by person, fax (707-565-3770), email, or through the mail. All applications and appropriate supplemental information as outlined in the job bulletin must be RECEIVED by the time and date specified on the first page of this job announcement. Applications received after the recruitment closes will not be accepted. The County of Sonoma prioritizes and is committed to continuously providing a workplace where equal employment opportunity is afforded to all people. Please view the County's Equal Employment Opportunity Policy for further information. HR Analyst: DP HR Technician: KC

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