Quality Reviewer

Description

Briljent is seeking a Quality Reviewer to conduct quality reviews of organizations that provide services for people with intellectual and developmental disabilities (I/DD) receiving state and/or federal Medicaid funding.

Duties: 

• Ensures quality supports are aligned with person-centered principles.
• Strives to fulfill the BQIS mission with the following values: integrity, innovation, purpose, strength-based and person-centeredness.
• Champions the continued implementation of person-centered practices and the Life Course Framework in support of all people to live, love, work, play and pursue their life aspirations in their community.
• Provides technical assistance and delivers training to providers to address issues identified within individual reviews, investigations, or through aggregation and analysis of information over time.
• Conducts interviews with individuals with I/DD, their families, case managers, and provider staff.
• Conducts exit interviews with providers that give feedback of strengths of their program and any deficiencies or issues that need to be addressed.
• Provides technical assistance and delivers training as needed as part of the review and corrective action planning process.
• Conducts follow up reviews on-site and via telephone within required time frames.
• Inputs results of reviews into database and forms accurately and within required timeframes.
• Submits written reports that are complete and within required timeframes.
• Achieves and maintains set standards of inter-rater reliability on all reviews conducted in the assigned areas of responsibility. The expectation is to achieve and maintain an 85% inter-rater reliability score for each review/survey tool.
• Recommends referrals to Bureau of Quality Improvement Services, per established protocols when review results indicate need.
• Attends regular meetings with other staff and supervisor as scheduled.
• Reports any witnessed or suspected cases of abuse or neglect discovered during onsite reviews according to established FSSA policy.
• Communicates regularly with Review Manager and management staff through a variety of activities including notification of issues, problems and successes as they occur.
• Travels to service and provider sites for reviews, necessitating reliable transportation.
• Ensures quality supports are aligned with person-centered principles.
• Strives to fulfill the BQIS mission with the following values: integrity, innovation, purpose, strength-based and person-centeredness.
• Champions the continued implementation of person-centered practices and the Life Course Framework in support of all people to live, love, work, play and pursue their life aspirations in their community.
• Performs other duties (not outlined above) as assigned by Employer.

Requirements

•  Bachelor’s degree in a relevant field such as social work, psychology, education, criminal justice, etc.
• Fluency in both English and Spanish is highly desirable.
• Effective communication skills – non-defensive, fact-based, clear and concise speech.
• Demonstrated skills in interviewing techniques.
• Accuracy in gathering and interpreting information.
• Independence in organization and implementation of work.
• Flexibility with scheduling.
• Knowledge of best practices in at least one area of community-based services.
• Experience with I/DD; CMS Home and Community Based Services (HCBS); Quality Improvement; and Indiana 460 IAC Article 6 and 7 is preferred.
• Working knowledge of person-centered practices with children and adults who have an intellectual or other developmental disability, including an understanding of the Life Course Framework, is highly desirable.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee is regularly required to sit and use hands to handle, or feel objects, a keyboard and other office equipment. The employee frequently is required to sit in meetings for long periods of time. The employee will utilize technology tools such as a laptop computer for extended periods of time. The employee must be able to reach with hands and arms and talk or hear. Specific vision abilities required by this position include close vision, color vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.

Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.