"Alerted.org

Clinical Quality Lead - Quality Assurance

Share: share to e-mail

Save JobSaved

Description

Salary: $68,000 Annually

Hours: Monday-Friday 8:00AM-4:30PM HYBRID Schedule

Licensure Required: LMSW, LCSW, LMHP, LMFT, LAC, or RN

OVERVIEW OF PRIMARY RESPONSIBILITES:

This position leads and supports a Quality Team which is responsible for: Incident Management, Internal Regulatory Audits, Utilization Reviews and Quality Improvement Activities. The Quality Lead is critical to the successful expansion and transformation of the agencies Quality Assurance and Quality Improvement efforts to enhance the services we provide to all of our clients. All work is completed in compliance with all local, state and federal rules and regulations including but not limited to those mandated by NY State, OMH, OASAS, and the NY State Justice Center.

PRIMARY FUNCTIONS:

+ Leading a Quality Team in all aspects of quality, personnel, administrative and regulatory requirements

+ Preparing and publishing QA/QI/UR monthly reports

+ Conducting and supervising incident investigations including tracking, coordinating with programs directly and preparing regulatory reports. Ensures that all team members are fully trained and up to date on all regulations, policies, protocols and procedures.

+ Assisting the Annual Program Review Meetings and updating and managing Billing Grids.

+ Developing and delivering training including but not limited new employee orientation, annual in-services, lean six sigma improvement tools and methods, regulation updates, Proactive Risk Assessments, compliance standards and regulatory requirements

+ Conducting and supervising Proactive Risk Assessments

+ Conducting and supervising Utilization Reviews, audits and chart reviews in accordance with relevant regulatory guidelines

+ Administrative management of protocols, policies, forms and records

+ Assisting teams, programs and departments with Annual Reviews

+ Leads quality improvement events and projects. Supervises and supports team members to ensure they are competent and confident in leading improvement activities including but not limited to: Root Cause Analysis, Process Mapping, data collection and analysis, pareto diagrams, run charts, Daily Management System and strategy deployment

+ Assisting with IRC and Compliance Committee meeting preparation and facilitation

+ Developing and managing tracking tools

+ Additional duties may be assigned to support the overall quality efforts of the organization.

ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT:

+ Establishes and maintains effective communication and relationships with assigned programs/services.

+ Serve on agency-wide committees as assigned.

QUALIFICATIONS AND ATTRIBUTES:

+ Minimum of 2 year supervisory experience

+ Excellent interpersonal and communication skills

+ Working knowledge of applicable local, state and federal regulations and guidelines (including but not limited to: OPWDD, CMS, OMIG, DOH, NYS Justice Center)

+ Advanced skill in Microsoft Office products (Word, Excel, PowerPoint)

+ Critical thinking skills with the ability to trend and analyze data

+ Organized with the ability to pay attention to details

+ Personal dedication to continuous improvement both personally and for the organization

EDUCATION AND EXPERIENCE:

+ Minimum of 2 year supervisory experience with excellent interpersonal and communication skills

+ Working knowledge of applicable local, state and federal regulations and guidelines (including but not limited to: (OMH, CMS, OASAS, CARF)

+ Skilled in Microsoft Office products (Excel, PowerPoint, Access)

+ Organized with the ability to pay attention to details

+ Excellent verbal and written communication skills

+ Education Requirements: Licensed Professional Staff: LMSW, LCSW, LMHC, LMFT

PHYSICAL CHARACTERISTICS:

+ Must be capable to sit or stand in front of a computer for long-periods of time.

+ Work alongside co-workers within 3 feet.

EEO Employer

IND2024

Share: mail