NEOGOV · 6 days ago
Mental Health Quality Improvement Coordinator
Martinez, CA
Full-time
Onsite
Mid, Senior Level
$119K/yr - $145K/yr
4+ years expContra Costa Health Services is seeking a Mental Health Quality Improvement Coordinator to join their Behavioral Health Division. The role involves planning, developing, and coordinating quality management and improvement programs while ensuring compliance with standards and regulations throughout the Division.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Quality improvement in the areas of SMHS/DMC-ODS beneficiary grievances, MHP unusual occurrences, change of provider, and sentinel reviews
Upholding beneficiary rights & privacy protections, supporting the review, investigation, coordination and reporting of Mental Health Plan (MHP)/(DMC-ODS) grievances, requests for state fair hearings, HIPAA breaches/violations, and quality of care concerns (non-grievance related)
Monitoring compliance with all quality management and quality improvement standards, regulations, and policies throughout the Division
Serving as a resource to all quality management and quality improvement functions and committees and coordinates their development and administrative support
Training MHP/DMC-ODS staff and providers on areas of quality assurance and compliance including fraud, waste, and abuse
Coordinating, notifying, and reporting on quality assurance mandates to Department of Health Care Services (DHCS) for the MHP/DMC-ODS such as on fraud, waste and abuse, notice of adverse benefit determination (NOABDs), beneficiary appeals and expedited appeals
Chairing both the Behavioral Health Policy and Forms Committees
Audit preparation and supervising administrative staff
Qualification
Required
Possession of a valid California Motor Vehicle Operator's License
Possession of one of the following professional licenses: either a valid license as a Clinical Social Worker issued by the State of California, Board of Behavioral Science Examiners, or a valid license as a Marriage and Family Therapist issued by the State of California, Board of Behavioral Science Examiners, or a valid license as a Psychologist issued by the State of California, Board of Medical Quality Assurance, Psychology Examining Committee, or a valid License as a Registered Nurse in the State of California
Four (4) years of full-time or its equivalent experience administering quality management and improvement activities in a Human Services program
Preferred
Possesses strong documentation skills, significant experience in quality management, utilization review, quality improvement activities
Is knowledgeable of specialty mental health/substance use disorder Medi-Cal billing
Is knowledgeable of MHP & DMC-ODS requirements
Experience using applications such as Microsoft Access, Word, Excel, and Powerpoint, Electronic Health Record (EHR) systems (e.g., Epic), and billing systems (e.g., Sharecare)
Is trained or certified in the area of compliance
Experience developing policies, and procedures
Experience supervising subordinate staff
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
Company data provided by crunchbase