Whole Health Clinical Quality Manager- Tompkins County NY

TYPE OF EMPLOYMENT: Full Time

THE FINAL DATE TO FILE APPLICATIONS: 10/25/26

RESIDENCY WAIVED

Tompkins County Whole Health is seeking a Clinical Quality Manager to lead clinical quality improvement and utilization review activities across the Department’s licensed mental health and public health programs. This is a 35-hour-per-week position with a hire rate of $35.51 per hour and a working rate of $38.51 per hour after nine months.

The Clinical Quality Manager reviews clinical records and service data to evaluate documentation quality, medical necessity, person-centered care, regulatory compliance, and Medicaid billing requirements. This position coordinates external audits and program reviews, monitors changes in OMH, DOH, Medicaid, HIPAA, and other requirements, and translates those requirements into practical policies, workflows, documentation standards, and staff training.

The role also leads cross-functional quality-improvement projects and develops recommendations and corrective-action plans to strengthen care and reduce organizational risk. The ideal candidate combines knowledge of clinical practice and healthcare regulation with strong analytical, communication, and project leadership skills. They should be comfortable fostering collaboration and quality improvement within a multidisciplinary team, working independently, interpreting complex requirements, communicating sensitive findings, and handling confidential information with sound judgment and integrity.

MINIMUM QUALIFICATIONS: Masters Degree in Social Work, Mental Health Counseling, Psychology, Healthcare Administration, Nursing, or a related field AND two (2) years of related experience in healthcare, behavioral health, social services or insurance; OR 1. Bachelor’s Degree in Social Work, Mental Health Counseling, Psychology, Healthcare Administration, Nursing, or a related field AND four (4) years of related experience in healthcare, behavioral health, social services or insurance; OR 2. Registered Nurse (RN) AND four (4) years of experience in healthcare, behavioral health, social services or insurance; OR 3. 4. An equivalent combination of training and experience as defined by the limits above.

SPECIAL REQUIREMENTS: Pre-Employment Screenings: Final appointment to this position is contingent upon successful completion of all required pre-employment screenings, which may include a criminal background check, Staff Exclusion List clearance, and any required OCFS check(s), as applicable to the position. Candidates must authorize and cooperate with these reviews as part of the hiring process.

Tompkins County Government centers diversity, equity, and inclusion. We are committed to the empowerment of employees and residents to dismantle systemic barriers that inhibit inclusive governance and the provision of government services to all. Guided by our values of Respect, Accountability, Integrity, Equity, and Stewardship, we strive to build a workplace and community rooted in trust, belonging, and opportunity for all. Learn more about our Strategic Plan and Institutionalizing Equity Report, which embed equity across our operations.

DISTINGUISHING FEATURES OF THE CLASS: The Clinical Quality Manager is responsible for planning, administering, and evaluating Whole Health’s clinical quality and utilization review program across licensed Mental Health and Public Health services. The incumbent ensures clinical documentation, billing practices, and service delivery meet federal, state, and local regulatory requirements, including NYS Office of Mental Health (OMH), Department of Health (DOH), Medicaid, HIPAA and county policy standards. Work involves collaboration with clinical, administrative, fiscal, and compliance personnel to improve service quality, reduce audit risk, and promote adherence to evidence-based and person-centered care. Work is performed under the general supervision of the Quality Assurance and Improvement Coordinator, within Operational Support Services at Tompkins County Whole Health. The incumbent exercises high autonomy and independent judgement, interpreting broad, detailed and distinct sets of regulations as they are applied to clinical practice, documentation, and organizational processes. The position entails complex judgement to discern how quality care measures are being met, and includes initiation of new policies, practices, and processes to meet organizational goals. The incumbent leads cross-functional workgroups and clinical quality improvement projects; establishes project objectives and timelines, coordinates assignments, monitors implementation, resolves project-level issues, and evaluates results

Please visit Personnel | www.tompkinscountyny.gov for the full job description and application.

Candidates must complete the online application for consideration.