Quality Assurance Specialist

Title:  Quality Assurance Specialist

Department:  Organization Culture and Quality

Reports To:  VP, Quality Management

Location:  New York, NY

Position Status:  Full Time

FLSA Status:  Exempt 

SUMMARY OF POSITION:

This position is responsible for quality assurance, accuracy and overall integrity of the care management records and documentation completed by the Health Home Department. This role is to ensure compliance with federal and state regulations and best practices through development of auditing tools. Analyzes collected audit data, identify trend for staff re-training and implementing corrective action plans in collaboration with Health Home management staff.  Provides support to Directors, Managers and Supervisors to insure that all documentation and reporting requirements are prepared and maintained in a professional and well-coordinated manner.

ESSENTIAL FUNCTIONS

·         Support the quality management program by performing QA tasks for Health Home Department pertaining to documentation of processes, including but not limited to progress note completion, case conferencing and care planning

·         Ensure necessary documentation per Health Home program guidelines is made for clients in outreach

·         Perform internal supplemental audits to verify that facility records files are in conformance to applicable Health Home program standards and regulations

·         Conduct audits of inter-departmental workflows and provide any necessary recommendations to management based on findings

·         Identify gaps in documentation and coordinate with management to arrange trainings as indicated.

·         Perform protocol, data, and report inspections to verify Health Home program compliance with federal and state regulations and best practices

·         Develop regular reports of findings and any recommendations to be communicated timely to management team

·         Other duties as assigned by Quality Management Department

The above is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of the job.  It is not to be construed as an exhaustive statement of all the job functions.            

EDUCATION/EXPERIENCE: