ICL

  • Quality Improvement Technical Specialist

    Job Locations US-NY-Brooklyn
    Position Number
    HH513602
    Department
    Pathway to Wellness
    Type
    Regular Full-Time
    FLSA Status
    Non-Exempt
    Minimum Salary
    USD $55,291.00/Yr.
    Maximum Salary
    USD $55,291.00/Yr.
  • Overview

    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.

    Responsibilities

    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 delivery;

    • 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 audits;
    • Conduct clinical case or business record reviews;
    • Conduct physical plant surveys;
    • Conduct employee interviews;
    • Conduct recipient interviews;
    • Conduct billing compliance audits; and
    • Conduct contract compliance audits as appropriate.

     

    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 surveys.

     

    Participate in reviews and analyses of quality-of-care-related data and program-performance data to determine progress toward stated goals and objectives.

     

    Participate in ICL and affiliate incident management programs:

    • Conduct special investigations of serious reportable incidents and allegations of abuse;
    • Participate in the maintenance of ICL and oversight agency databases by entering data from incident reports and producing reports from the databases; and
    • 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.

    Consultation Activities

    • Assist ICL and affiliate program managers and staff in preparation for accreditation and recertification;
    •  Assist 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 and processes;
    • Participate 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; and
    •  Engage in problem-solving activities with program managers and/or staff to improve program effectiveness and the quality of care.

    Educational 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 new programs.
    •  Represent the agency at relevant conferences by designing and presenting educational materials and activities that promote continuous quality improvement.
    •  Participate in or conduct or coordinate root cause analyses on sentinel and other significant events in programs on an as-needed basis.
    • Teach or provide oversight to assigned practicum or internship students.

    Relationships 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 audit reports.
    •  Participate in program planning projects and meetings to provide input on development of quality control and program evaluation elements.
    • Conduct 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 programs.
    • Perform other related duties as assigned.

    Qualifications

    MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS

    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 disabilities    
    • For positions auditing  mental health  programs, the experience must be working in a setting providing services to individuals with mental illness

    A Master’s degree in a related field may be substituted for two years of the above experience.   NYS driver’s license very desirable.  

     

    REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

    • Knowledge of Federal, New York State and New York City regulations pertaining to the operation of programs that provide mental health and/or intellectual/developmental disabilities services.
    • Knowledge of psychiatric rehabilitation interventions and accepted practices for documenting related services
    • Auditing skills
    • Effective organizational skills (e.g. planning, scheduling, prioritizing tasks)
    • Ability to meet all deadlines
    • Effective presentation skills (e.g. prepare and deliver a written or spoken presentation with supporting materials)
    • Effective problem-solving skills
    • Effective interpersonal skills
    • Strong analytical skills
    • The ability to interpret legal requirements

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