Assist Program staff to meet and maintain regulatory compliance with Local, NY State and Federal codes and regulations.
Conduct internal audits and inspections annually and as needed.
Prepare detailed written reports of findings and deficiencies.
Ensures thorough and independent Investigation of Reportable Incidents as defined by Part 524 and Part 836.
Conducts thorough incident investigations as directed according to Justice Center, OMH, OASAS and Part 524 and Part 836 guidelines.
Provides detailed written reports using Justice Center and OMH/OASAS approved format within required time frames.
Must complete Justice Center and OMH approved Incident Investigation Certification Program and maintain certification as investigator
Participate in Incident Review meetings.
Assist with Incident monitoring and Trend Analysis.
Assist with maintenance of agency incident data base.
Complete entries into OMH Incident Report Database (NIMRS) as needed.
Prepare agenda and document minutes of discussion
Assist Program and other Quality Improvement Specialists to comply with Council on Accreditation (COA) standards.
Assist with Case Record Review;
Administration of Consumer Satisfaction Survey,
Assist with Internal Audits as required by COA Standards.
Prepare detailed Quarterly and Annual Reports
Participate in Agency wide Quality Council meetings.
Perform all other duties as assigned.
Iii. Relationship With Others
In addition, employees need to possess the following characteristics:
Be team players and able to interact in a positive manner with Administrative, Managerial, Supervisory, and line staff as well as person’s receiving services and their family members
Have a strong sensitivity to cultural differences present among staff and clients within our organization and among the people we serve and their families.
Ability to set limits, maintain role, work collaboratively and respectfully to intervene appropriately as a quality improvement staff person.
Qualifications
Bachelor’s degree required.
Master’s degree preferred in Human Services, Social Work, Health Care Administration, Public Administration or similar field.
One year’s experience in quality improvement/program evaluation and/or administration in not-for-profit settings, preferred.
Experience with computer database and word-processing programs such as MS-Office Suite–Word, Excel, Electronic Health Records create and maintain databases, track and analyze information and data, desirable.
Experience with audit preparation, accreditation/survey activities (especially CMS, OMH, OASAS, COA), and Outcomes measurement is desirable.
Seniority level
Entry level
Employment type
Full-time
Job function
Quality Assurance
Industries
Individual and Family Services
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