Quality Assurance And Improvement Specialist
Job Summary : Under the general supervision of the Vice President QA / QI, the Quality Assurance and Improvement Specialist promotes conformance to standards and quality improvement in ICL and affiliate programs through ongoing monitoring, evaluation, consultation, education, and the development of quality-related products and processes.
Essential Job Functions : Monitoring and Evaluation Activities
- Conduct quality audits of ICL and affiliate program sites on a monthly, quarterly, annual or as needed basis to determine conformance to regulatory agency, accrediting agency, and ICL standards for service
- Conduct clinical case or business record
- Conduct physical plant
- Conduct employee
- Conduct recipient
- Conduct billing compliance audits; and
- Conduct contract compliance audits as
- Conduct audits of the implementation of plans of corrective action that have been developed by programs in response to statements of deficiencies pursuant to regulatory agency program
- Assist in the administration of various department quality assurance and improvement information systems where administration includes responsibility for data entry, reliability of database records, and statistical and other reports that produced from the database including but not limited Consumer evaluation
- Participate in reviews and analyses of quality-of-care-related data and program-performance data to determine progress toward stated goals
- Participate in ICL and affiliate incident management programs
- Conduct special investigations of serious reportable incidents and allegations of
- Participate in the maintenance of ICL and oversight agency databases by entering data from incident reports and producing reports from the databases; and
- Participate in the design, production, and use of quality assurance and improvement instruments (e.g. internal audit tools) and quality improvement products (e.g. manuals, training guides); and
- Issue requested management reports on identified quality assurance and improvement performance and outcome
- Generate Incident Review Committee meeting agenda and other reports on an as needed basis
- Participate in the design, production, and use of quality assurance and improvement instruments (e.g. internal audit tools) and quality improvement products (e.g. manuals, training guides); and
- Issue requested management reports on identified quality assurance and improvement performance and outcome indicators
Consultant Activities
Assist ICL and affiliate program managers and staff in preparation for accreditation andAssist ICL and affiliate program managers with achieving conformance to Federal, State, City, and accreditation agency standards through participation in planning activities and development of quality and compliance-related products andParticipate in development of ICL and affiliate electronic clinical information systems, providing consultation to program staff in use of the agency's EHR to construct assessments, treatment plans, and quality audit products; andEngage in problem-solving activities with program managers and / or staff to improve program effectiveness and the quality of careEducational Activities
Participate in design and delivery of workshops and other educational materials to program managers and staff that provide knowledge and information on accrediting, regulatory, and professional standards and practices that pertain to evidence-based service delivery and quality of care for existing and newRepresent the agency at relevant conferences by designing and presenting educational materials and activities that promote continuous qualityParticipate in or conduct or coordinate root cause analyses on sentinel and other significant events in programs on an as-needed basisRelationships with Others in the Agency
Consult with program directors and residence managers to develop and execute quality improvement plans, including plans of corrective action (POCAs) for certification visits and internal agency auditParticipate in program planning projects and meetings to provide input on development of quality control and program evaluationConduct or participate in management meetings with service-delivery program managers to establish, delineate, and review program organizational policies, to coordinate functions and operations between departments, and establish responsibilities and procedures for attaining objectives and assist with the implementation of new programsPerform other related duties as assignedEssential Knowledge, Skills, and Abilities
Committed to the active promotion of ICL values and goalsKnowledge of Federal, New York State, and New York City regulations pertaining to the operation of programs that provide mental health and / or intellectual / developmental disabilitiesKnowledge of psychiatric rehabilitation interventions and accepted practices for documenting related servicesAuditing skillsEffective organizational skills (e.g. planning, scheduling, prioritizing tasks)Ability to meet all deadlinesEffective presentation skills (e.g. prepare and deliver a written or spoken presentation with supporting materials)Effective problem-solving skillsEffective interpersonal skillsStrong analytical skillsThe ability to interpret legal requirementsThe ability to accurately interpret and implement regulatory standardsAn ability to gather, analyze and evaluate facts and to prepare and present concise oral and written reportsAbility to express self clearly both verbally and in writingAbility to work as a member of a teamAbility to work independentlyAbility and interest in working with diverse employees and recipients of servicesConsultation experienceExperience designing and presenting training workshopsReport-writing skillsKnowledge of computer-based software including Microsoft Office componentsQualifications and Experience
Bachelor of Arts in psychology, education, social work, or related field and at least three years' experience working in a behavioral health setting (preferably in residential services)For positions auditing IDD programs, the experience must be working in a setting providing services to individuals with intellectual and / or developmental disabilitiesFor positions auditing mental health programs, the experience must be working in a setting providing services to individuals with mental illnessA Master's degree in a related field may be substituted for two years of the above experienceNYS driver's license very desirableEqual Opportunity Employer