Posted 1mo ago

Sheriff Health Compliance Manager

@ Merced County
Merced, California, United States
$57-$69/hrOnsiteFull Time
Responsibilities:monitor quality, review data, advise stakeholders
Requirements Summary:RN with 4+ years in healthcare quality improvement and/or correctional nursing; CA RN license; valid CA driver’s license.
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Job Description

About the Department

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

Position Duties

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).

Minimum 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.