Quality Management Clinical Services Manager (Open & Promotional)

Quality Management Clinical Services Manager I/II

San Mateo County Health's Behavioral Health & Recovery Services (BHRS) Division is seeking an experienced and strategic leader to serve as a Quality Management Clinical Services Manager I/II within the Quality Management (QM) Unit.

The Clinical Services Manager (CSM) I/II Mental Health classification series provides leadership and oversight within comprehensive behavioral health programs and is flexibly staffed at the I or II level depending on qualifications and experience.

The Quality Management Unit provides countywide oversight of clinical quality, regulatory compliance, documentation standards, credentialing, site certification, audit readiness, performance monitoring, and implementation of new state and federal behavioral health requirements. The unit partners closely with executive leadership, program managers, IT, medical staff, and contracted providers to translate regulatory and clinical standards into practical systems that strengthen accountability and improve care delivery across BHRS.

This position serves as the highest-level leader within the QM Unit and reports directly to a member of the Executive Team. The incumbent provides expert guidance on quality, compliance, and system improvement matters while working in partnership with operational leaders who retain implementation responsibility.

This role offers the opportunity to shape countywide standards for clinical quality and regulatory integrity within a large and complex public behavioral health system. The successful candidate will help safeguard member rights, strengthen accountability, and guide the organization through an evolving regulatory landscape. At the same time, the role requires balancing strict compliance requirements with operational realities, managing multiple concurrent audits and high-visibility regulatory reviews, and driving system improvement through collaboration and influence rather than direct operational authority.

The current vacancy is located in San Mateo, CA and requires travel throughout the County and occasional attendance at meetings or trainings outside the County.

Key Responsibilities

• Provide leadership and oversight of BHRS Quality Management functions, including compliance monitoring, documentation standards, credentialing, site certification, audit coordination, grievance and appeal tracking, and risk mitigation.
• Interpret and translate state and federal behavioral health regulations (e.g., CalAIM, DMC-ODS, timely access standards) into organizational guidance and monitoring frameworks.
• Lead audit readiness and response efforts, including preparation for DHCS compliance reviews, External Quality Review, and corrective action plan development and tracking.
• Oversee credentialing and re-credentialing processes and coordinate Credentialing Committee functions.
• Provide oversight of grievance, appeal, NOABD, and State Hearing tracking and reporting to ensure compliance with regulatory timelines and member rights protections.
• Oversee incident reporting and state breach processes, ensuring appropriate system-level review, follow-up, and mitigation.
• Direct site certification and re-certification activities for County-operated and contracted providers.
• Provide consultation, training, and technical assistance to managers and providers to support sustainable regulatory compliance.
• Partner with IT and MIS to align clinical documentation and regulatory requirements with electronic health record workflows.
• Monitor and analyze compliance data using electronic health records and data tools to inform decision-making and performance improvement.
• Supervise and develop Quality Management staff and ensure timely completion of reporting and regulatory deliverables.

The ideal candidate will bring:

• Strong knowledge of state and federal behavioral health regulations and experience translating regulatory requirements into operational guidance.
• Demonstrated experience leading quality assurance, compliance monitoring, audit preparation, clinical documentation review, and corrective action planning within behavioral health settings.
• Experience preparing reports, analyzing compliance data, and advising senior leadership on regulatory and quality trends.
• Strong analytical and organizational skills, including experience utilizing electronic health records and data tools (e.g., Excel, Smartsheet) to monitor performance, assess trends, and support decision-making.
• Experience in designing and delivering training and technical assistance aligned with regulatory requirements and system improvement goals.
• Experience supervising or leading teams and fostering accountability, performance improvement, and professional development.
• Ability to collaborate across clinical, fiscal, IT, contracting, and medical staff functions to ensure policy and workflow alignment.
• Experience advancing culturally responsive and equitable behavioral health practices within policy, supervision, and program design.

Note: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Examples Of Duties

• Managing core Quality Management processes, including credentialing, site certification, clinical documentation review, grievance and appeal tracking, and incident reporting.
• Developing and maintaining tracking systems, dashboards, and reports to monitor compliance trends and corrective action progress.
• Coordinating preparation for external audits and regulatory reviews and ensuring timely follow-up.
• Interpret state and federal behavioral health regulations and provide guidance to program managers and senior leadership regarding organizational implications and compliance expectations.
• Reviewing compliance findings and collaborating with program leadership to implement corrective actions.
• Providing written guidance, policy interpretation, and training to support regulatory implementation.
• Utilizing electronic health records and data platforms to analyze documentation and performance trends.
• Supervising QM staff and overseeing workflow, timelines, and deliverables.
• Performing related duties as assigned.

Qualifications

Licensure/Certification:

• Requires possession of a clinical license in psychology, social work, nursing, marriage and family therapy or the equivalent.

Education and Experience:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

• Clinical Services Manager I Mental Health: Two years of experience in a mental health or related health services program that included responsibility for program planning, client services, program evaluation, budget administration, or community resource coordination, of which at least one year included responsible supervisory experience.
• Clinical Services Manager II Mental Health: Three years of increasingly responsible experience in a mental health or related health services program, including at least two years of significant responsibility for one or more of the following: program and budget development, funding, utilization, coordination of community resources or program evaluation.

Knowledge of:

• Principles and practices of public administration, and program management, including planning, implementation, evaluation and reporting.
• Principles and methods of community behavioral health services, including current trends in education, research, treatment, prevention and related issues.
• Laws, codes and regulations governing community behavioral health care and knowledge of County, state and federal legislative developments applicable to contemporary behavioral health issues.
• Organizational, personnel and fiscal management within a multi-faceted, community-based program setting.
• Community resources and public/private services and funding sources.

Skill/Ability to:

• Identify and analyze complex community behavioral health issues and problems.
• Plan, organize, and coordinate programs and services on a comprehensive, county-wide level to meet community needs.
• Integrate a variety of activities and services to achieve program goals, objectives, and priorities.
• Apply principles and techniques of community organization.
• Speak effectively to diverse audiences, including clinical, professional, civic and citizen groups.
• Maintain cooperative working relationships with other program managers and staff, other agencies and the community; enlist and mobilize community support for programs.
• Prepare complex and detailed written reports, program policies, procedures and contracts.
• Train staff and coordinate activities of contractors, volunteer groups and staff.

Application/Examination

Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%) which may include a performance exam. Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination.

This is a continuous recruitment which may close at any time. The final