Sr Coordinator Risk Management / QA/Compliance

Description

Job Responsibilities:

• The primary role is prevention of abuse/neglect for the individuals we support by training and empowering team members. Always maintains a high level of confidentiality.
• Another primary role is to ensure internal support visit are occurring as well as billing audits.
• This position requires multi-tasking, prioritizing tasks, and effective communication. 
• When assigned it is your responsibility to complete thorough investigations and to always maintain professionalism and confidentiality.
• Provides supervision of QI/Compliance Coordinators with Director.
• Generates assigned thorough investigative reports- upload final reports to varying databases timely and ensure CAP sections are uploaded, minutes, and documents including statement and documentary evidence.
• Complete satisfaction surveys on annual basis and during internal support visits.
• Participate in the quarterly OPWDD and MH occurrence meetings.
• Maintains all fields within the IRMA, NIRMS and WISR data bases. Starts investigation and completes investigations thoroughly, including preliminary and final reports timely.
• Types up reports and ensures thorough investigations and safeguards are implemented at the onset of the investigation.
• Foster’s and maintains professional contact(s) with OPWDD, OMH, JC liaison, Law Enforcement, etc.
• Provides support and at times onsite trainings on prevention abuse/neglect, incident reporting HIPPA, and Corporate Compliance.
• 24/7 on call availability for the immediate triage and investigation of deaths, serious reportable incidents, allegations of abuse/neglect.  You are expected to be available to respond to calls within a reasonable short timeframe (no more than 20 minutes) and be ready to report to location if deployment is required.
• Maintains an agency phone for on call and off hours triage needs.
• Participates in monthly Quality Assurance task force meetings and Compliance Alliance Meetings.
• Chairs the Human Rights Committee meetings.
• This position will also require some cross training on internal support visits and compliance matters.
• This position requires flexing hours based on the needs of the department. Working evenings and at times weekends must be able to be flexible.
• All other duties as assigned by the Director of Quality Improvement/CCO.
• Conduct regular internal support audits of clinical records, care plans and program operations.
• Collaborate with program staff to ensure documentation is accurate, timely and compliant.
• Ensure adherence to OPWDD, OMH, DOH, and HIPAA and other applicable regulations.
• Oversee the agency internal and external audit processes.
• Support leadership in creating a proactive risk prevention strategy.

Qualifications

• Bachelor’s degree in healthcare administration, Social Work, Human Services, or a related field (master’s preferred).
• Minimum 5-10 years of experience in QA, Compliance, or Risk Management, preferably in a nonprofit setting.
• Strong knowledge of OPWDD, OMH, DOH and Compliance and HIPAA regulations.
• Experience conducting audits and developing corrective action plans.
• Proficiency in Microsoft Office (Excel, Word, PowerPoint) and electronic health record (EHR) systems.
• OPWDD and MH trained investigator.
• Must have familiarization with IRMA, NIRMS, WISR SLMS, - and OPWDD, OMH, DOH, & ICF regulations

Salary : $70,000 - $75,000