Overview
Quality Manager Jobs in Onaway, MI at Moran Iron Works, Inc.
At Vista Del Mar, our success is empowered by our staff, families, residents, and clients. We believe in the inclusion and liberation of marginalized communities, Vista is committed to developing a culture of healing, community care, and creating a sense of belonging. We have a fully operational mental health campus and other off-site services to help support specials needs children.
OVERALL FUNCTION:
To ensure efficient, timely, and competent performance of all quality related personnel and clerical staff in the agency as related to standards and compliance issues. This individual is responsible for assuring that the quality standards for the agency are met as measured by timely and accurate billing, compliance with outside payors and audit readiness by licensing and accrediting bodies and that these
functions are acting in a coordinated manner in the service to the clients and the Agency. This individual is responsible to the representing Vista Del Mar, Julia Ann Singer Center, Reiss-Davis Child Study Center and Family Service of Santa Monica.
ESSENTIAL JOB DUTIES include the following. Other duties may be assigned.
Distribution of work assignments, staffing, supervision, monitoring and evaluating of all staff and services under Quality and Compliance
Manages the reconciliation of the agency’s DMH contract ensuring timely reporting of revenue, monitoring the claim denials and voids. Ensures accuracy of all claims submitted regarding procedure, funding and credential codes. Provides revenue, utilization and ad hoc reports to staff and works with programs to maximize funding challenges.
Oversees Contracts Compliance Manager to ensure that contracts related to clinical services and programs are monitored for compliance, negotiation for individual client contracts with other counties and entities are completed timely, and that new opportunities are monitored and shared with staff for review and consideration.
Manages DMH Quality Assurance and Revenue Management compliance projects that include, but not limited to, Medi-Cal Certification of all program sites, Annual Quality Assurance Reporting and Void Reports. Provides claims, revenue and credential reporting back up as needed for DMH compliance reporting.
Oversee the Financial Manager ensuring revenue from all QSC responsible contracts is recorded accurately and timely to accounting, budgets for negotiated individual client contracts accurately reflect services to be provided and billed timely.
Oversee Regulatory Compliance and Health Information Manager and the responsibilities for development and maintenance of the agency’s electronic health record systems, the functions of the Quality Assurance Programs and the establishment of protocols for effective maintenance and monitoring of clinical case records. Ensures client PHI is maintained in compliance with HIPAA standards and accreditation requirements.
Oversee performance improvement tasks identified and developed around quality assurance and contract compliance issues ensuring they are developed, implemented and completed timely, that trends and results are used for program improvement, that VDM is HIPAA compliant, and that the Agency is audit ready for all contract and accreditation reviews.
Oversee the Billing Manager and the management of client information and claims submission to Insurance and Contracts accurately and in compliance with contractual obligations, including the correction and resubmission of rejected, denied and unbilled claims.
SUPERVISORY RESPONSIBILITIES: Directly supervises quality management, billing and contract staff in the department. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
OTHER SKILLS AND ABILITIES: Must have visual, physical and technical ability to do bookkeeping, to be computer literate, to independently use a photocopier, Microsoft Word and Excel and PC. Must be able to effectively verbally communicate with staff and clients. Qualifications to manage a $40 million dollar budget.
EDUCATION: College degree preferred but mandatory.
EXPERIENCE: 7 years previous related experience with contract management and revenue reporting. Experience with electronic health records transition (Cal Aim).
Salary: 100,000 to $130,000
What Can We Offer You for All Your Hard Work?
Full benefits offered (Medical, Dental, Vision)
FSA/Dependent Care and Supplemental benefits through The Standard
403(b) – 3% Employer contribution based off annual salary
4 Mental Health Days
Up to 12 Paid Holidays
Up to 25% for Cell Phone Discounts with 3 Major Carriers (AT&T, Verizon, Sprint)
Job Type: Full-time
Pay: $120,000.00 – $130,000.00 per year
Benefits:
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Professional development assistance
Referral program
Retirement plan
Vision insurance
Schedule:
Day shift
Monday to Friday
On call
Ability to Relocate:
Los Angeles, CA 90034: Relocate before starting work (Required)
Work Location: In person
Title: Quality Manager
Company: Moran Iron Works, Inc.
Location: Onaway, MI
