"Quality Improvement HC Specialist 4"

The California Department of Public Health (CDPH), Office of AIDS (OA), Quality Improvement Health Care Specialist 4, provides highly specialized nurse consultation, technical assistance (TA), training and education to CDPH/OA staff and Medi-Cal Waiver Program (MCWP) Agency personnel. Uses practical nursing knowledge, professional expertise, and sound clinical judgment to serve as the MCWP Nurse performing all MCWP clinical functions to ensure that MCWP participants receive high quality and appropriate care, that MCWP Agencies meet state and federal clinical compliance requirements, and that CDPH/OA meets Centers for Medicare and Medicaid Services (CMS) Home and Community Based Services (HCBS) 1915(C) MCWP Waiver requirements. Evaluates and certifies Nursing Facility Level of Care (NF LOC) for MCWP participants, conducts the clinical portion of Program Compliance Reviews (PCRs) through on-site monitoring and desk audits for MCWP Agencies, and documents progress on meeting CMS HCBS performance measures. Creates and facilitates clinical internal and external trainings, and writes the clinical sections of MCWP plans, reports, surveys, drills, and requests for information. Analyzes medical data and documentation, identifies trends and barriers, develops and presents recommendations to CDPH/OA management.

Must have the ability to work efficiently in a fast-paced environment, manage multiple competing tasks, be flexible with changing priorities, and monitor time efficiently to complete all deliverables. Must be able to work as an independent subject matter expert on clinical nursing tasks and collaboratively on a team with analysts, specialists, managers, and state department partners. Must be open-minded when dealing with the public, be able to communicate with difficult people, and handle public inquiries received by the HIV Care Branch. Requires outstanding verbal and written communication skills with the ability to translate complex clinical regulatory requirements and convey information to multiple audiences in an accurate, concise, and effective manner. Must maintain knowledge of HIV, case management practices, healthcare systems, Medi-Cal, and Home and Community Based Services (HCBS) waiver requirements. Required to research and communicate to their direct supervisor any new significant clinical developments, changes in nurse case management practices or requirements, and elevate clinical concerns promptly. Must have advanced knowledge and proficiency with Microsoft Office Suite, including Outlook, Word, Teams, and PowerPoint. Heavy travel required. Performs other duties as assigned.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $140,800 - $219,300 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

About University of California San Francisco: The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and high-quality patient care. It is the only UC campus in the 10-campus system dedicated exclusively to the health sciences.