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.
- 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.
- 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.