Job Description

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Commensurate with Experience
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Days, 8 hrs/day, Monday-Friday

As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.

#115970 Manager, Quality Improvement and Risk Management

Extended Review Date: Tue 8/2/2022

For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy

Special Selection Applicants: Apply by 05/13/22. Eligible Special Selection clients should contact their Disability Counselor for assistance.


The Student Health and Well-being (SHW) cluster of the UC San Diego, which reports through UC San Diego Health System, plays a leadership role in creating a strong and active well-being culture that enables all students to flourish in body, mind and spirit. Under the oversight of the executive director, the SHW cluster includes the departments of Student Health Services (SHS), Health Promotion Services (HPS), Counseling and Psychological Services (CAPS) and SHW Administration.

CAPS delivers campus-based mental health services to over 42,000 registered UCSD undergraduate, graduate, and professional school students. CAPS' multicultural, multidisciplinary, and student-centered staff strives to deliver trauma informed, culturally proficient counseling and psychiatric services, psycho-educational preventive outreach and early intervention programming, consultation, research, and training opportunities.

In collaboration with Student Affairs and Academic Affairs, CAPS services support the academic mission of the University aimed at student success, retention and wellbeing, and works toward the maintenance of a just, inclusive and healthy living and learning environment for individuals to flourish as they pursue their academic, career, and personal goals. CAPS is accredited by the International Accreditation of Counseling Services (IACS) and the Post-doctoral Resident Training Program is affiliated with the Association of Psychology Postdoctoral and Internship Center (APPIC). CAPS is fully committed to self-examination, peer review, and quality improvement through the utilization of metrics, data, clinical outcomes, client experience measurements and feedback.

The Manager of Quality Improvement and Risk Management provides vision and leadership, coordination and oversight of quality improvement, compliance, and risk management of CAPS clinical services, programming and operations. Uses skills as a seasoned, experienced mental health professional and specialized knowledge of Healthcare Quality, to develop, implement and monitor the CAPS Department's Quality Improvement Plan and related policies and procedures, to ensure the quality of the delivery of mental health care to UCSD students. As a recognized quality data analysis and improvement (QI) expert, applies comprehensive knowledge of professional concepts and industry practices to lead complex projects of large size and scope that have critical impact throughout CAPS.

Utilizes a full understanding of industry practices and university policies and procedures to develop and apply local practices related to Patient Safety Practices, including Professional Peer Review, Credentialing and Privileging, Proctoring, Incident Reporting, Process Improvement; EMR Documentation standards, Privacy and Best Practices. Works in consultation with UCOP, UC San Diego Health Risk, Compliance and Privacy Officers.

Requisite psychological tasks include assessing students with academic, vocational, psychosocial and developmental difficulties, performing psycho-diagnostic evaluations and testing as needed, developing treatment plans and interventions, referrals, or other dispositions as indicated; providing individual (short-term), couples, family, and group psychotherapy as well as crisis intervention and management. Training and supervision of clinical staff and postdoctoral residents, as needed.

Manages operations for center providing behavioral health services. Consults with director on policy, program formulation, budget development and grant submission. Develops, recommends and/or evaluates policies, and priorities to improve program operations.

CT: Supervises licensed clinicians and/or counselors providing counseling and assessment services, crisis intervention, individual and group therapy and/or testing. Assists in ensuring the quality of treatment delivery. Assists with the administration and management of personnel, fiscal, and material resources.


  • Masters degree in psychology, social work, or other behavioral health discipline from accredited program.

  • Minimum of three (3) years licensed experience in a behavioral health counseling discipline. Experience in University Counseling Center setting incorporating evidence- based psychological practices

  • Demonstrated knowledge of behavioral health counseling methods and techniques, crisis intervention, treatment planning and case management. Advanced knowledge and applied background in behavioral health counseling methods and techniques, crisis intervention, treatment planning and case management. Advanced academic and experiential knowledge of psychotherapeutic process and procedures. Knowledge of scientific inquiry and methods.

  • Ability to deliver full array of direct clinical services including individual, couples, and group counseling and psychotherapy. Ability to conduct or refer for psychological tests accordingly, perform psych diagnoses, plan, and implement a variety of dispositions for complex cases, including those who are difficult and severely disturbed. Successful collaboration with treatment teams and external constituents. Ability to relate warmly, humanely, sensitively, and empathetically to clients and others.

  • Strong knowledge of applicable federal, state and local laws, rules and regulations. Expert knowledge of the methods, concepts, systems, and operational issues in clinical QI.Expert knowledge of QI models, tools, and techniques, including collection, abstraction, validation, analysis, reporting of data, and the development and application of performance and benchmark indicators. Ability to apply policy knowledge to suggest improvements to potential regulatory issues. Understands responsibility with respect to conflicts of interestand behaves in ways consistent both with law, ethics and University policy. Report abuse and comply with CA Laws & Regulations. Skilled judgment in using access to sensitive and/or not yet public university related information only in the performance of the responsibilities of position and exercising care to prevent unnecessary disclosure to others.

  • Strong supervisory skills to guide behavioral health providers on treatment methods. Ability to develop and maintain policies and procedures to ensure adherence to the highest clinical standards, applicable state and federal statutes, local health and safety laws and regulations, University risk management policies and professional code of ethics.Highly developed skills and expertise in project management, with demonstrated ability to initiate projects and lead teams, prioritize tasks, and direct projects successfully from inception to completion on task and on schedule. Demonstrated ability to actively foster a positive, welcoming climate, and value, include and support all in the UC San Diego community.

  • Effective interpersonal skills to create and maintain a climate for effective communication and collaborative decision making. Highly effective interpersonal skills in general, and specific to mental health consultation, as well as to positively represent CAPS across diverse communities; Ability to work in a highly collaborative manner and interact effectively with both health care professionals and non-professionals regarding mental health concerns, including supervisees and supervisors. Expert ability to collaborate effectively with staff, management, and clinicians at all levels and across departments.

  • Expert ability to use highly developed critical thinking and problem-solving skills to manage multiple levels of information and responsibilities, and to quickly diagnose and resolve extremely complex issues, and to develop and implement timely and effective solutions.

  • Ability to brainstorm and work collaboratively with staff to maintain timely access to services, problem solving and adjusting operations accordingly, including improved rendering of services, enhancing resources to place students at adequate level of care- stepped care, and working with staff to support initiatives from online platforms to new psychotherapies, advanced case management, group interventions, and consultation single sessions to maximize counseling sessions to serve all students well.

  • Verbal and written communication skills to effectively communicate. Demonstrated active listening, persuasion and counseling skills. Highly developed ability to effectively convey complex clinical, technical, and educational information both verbally and in writing, and to produce high quality reports, documentation, and presentations.

  • Working knowledge of human resources management practices and policies. Proven ability to effectively manage, lead and motivate employees. Strong conflict resolution skills. Advanced abilities toward creating a positive and respectful workplace defined by personal and professional competence, integrity, and collaboration. Understanding and contribution to implementation of departmental and institutional goals for achieving non-discrimination and creating respectful, inclusive, equitable and fair environment that is supportive of diversity. Provide interventions that reflect multicultural competence.

  • Experience providing administrative and clinical supervision, including training, support, communication of expectations, evaluation, and applying HR policies and procedures and bargaining units agreements towards enforcement, and executing remedial plans towards termination, when needed.

  • Proven ability to prioritize and meet deadlines in a complex, challenging environment. Strong decision-making and organizational leadership skills. Ability to engage in data analysis and data informed decision making, knowledge of current trends in collegiate mental health services. Knowledge and expertise with mental health issues in higher education. Ability to develop, implement, and evaluate models of client services. Strong skills associated with program development, management, and evaluation. Highest level decision-making, conflict resolution, and organizational leadership skills.

  • Proficient Knowledge of business software, specialized applications and EHR systems used in behavioral health centers/clinics. Experience and competency with standard business equipment, computer technologies and a variety of software including system and networking software, Microsoft Office suite, email and a variety of web-based programs and browsers, with the willingness and ability to update and increase skills as needed to meet the goals of the unit and the division. Demonstrated experience in using electronic medical records and understanding of medical record management.

  • At all times, demonstrate the characteristics of professionalism in attire, attitude, conversation, behavior and attentiveness to others. All staff members are required to uphold the UCSD Principles of Community and to promote a positive and collaborative team environment. Ability to adhere to and practice the mandatory University Core Values & Safety Standards of performance.

  • Complete and pass test/quiz for all required training assigned by UCOP, UCSD, CAPS and SHW on a timely basis.

  • Ability to use discretion, maintain utmost confidentiality and comply with all requirements in use of computer systems and access to any and all patient, student, employee and University data, in electronic and hard copy formats, in compliance with University, state and federal guidelines, including, but not limited to Health Insurance Portability and Accountability Act (HIPAA) and Family Educational Rights and Privacy Act (FERPA).

  • As appropriate, submit incident reports into the UCSD SHW Incident Report System, RL Datix or current system in use, to report near-misses, process problems or patient or employee injury events. Attend required trainings and refreshers for use and proper steps to follow.

  • Ability to at all times adhere to UCSD Health Medical Center (C.A.R.I.N.G.) Standards of Performance, and demonstrate the characteristics of professionalism in attire, attitude, conversation, behavior and attentiveness to others. All staff members are required to uphold the UCSD Principles of Community and to promote a positive and collaborative team environment.


  • Doctoral degree preferred (Ph.D. or Psy.D)
  • Current UC San Diego employee
  • Current/recent experience within the University of California system
  • Licensed behavioral health experience within the state of California


  • Employment is subject to a criminal background check and pre-employment physical.
  • Current, valid and unrestricted California license in Behavioral Health discipline
  • Must successfully complete credential verification and background check in order to be granted and maintain practicing privileges.
  • Must be available evenings and weekends for after-hours emergency coverage, as needed
  • This position is a mandated reporter of known or suspected child abuse or neglect, according to the California law, Child Abuse and Neglect Reporting Act (CANRA).
  • Flu vaccination are required annually.
  • COVID vaccination or approved exemption required.
  • Occasional travel may be required.
  • Must have access to reliable transportation to travel to off-site meetings and events.
  • Ability to telecommute for work, if/when needed and operationally feasible, as determined by department.
  • Job offer is contingent upon satisfactory clearance based on Background Check results.
  • Job descriptions are reviewed periodically and may be revised, if deemed necessary.
  • This job description is not intended to be all-inclusive. Employee may perform other related duties commensurate with the level and scope ofthis position as required to meet the ongoing needs of SHW and CAPS.

Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see:

UC San Diego is a smoke and tobacco free environment. Please visit for more information.

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