Quality Compliance, Incident Specialist

Role Summary: The Quality Compliance, Incident Specialist (QCIS) with the support of the Vice President of Quality Improvement and Corporate Compliance and the Director of Quality Improvement and Corporate Compliance, supports the integrity and effectiveness of agency documentation and investigative process. This role is responsible for coordinating the review of billing-related Life Plans/Staff Action Plans, CFA/Hab Plans, and ensuring all documentation meets regulatory standards

Salary $20/h -$22/h

Role Responsibilities:

· Trains assigned day and residential programs of new Quality and Compliance initiatives and projects.

· Provides management with support and training on new documentation requirements as well as eVero and Life Plan/SAP/CFA/Res Hab training for Program Managers.

· Acts as an additional liaison to the Care Coordination Agencies.

· Coordinates and attends regular meetings with CCOs to support management and address issues as needed.

· Maintains and makes necessary changes to management procedures and training materials as needed based on OPWDD ADMs and evaluations of staff efficiency.

·Facilitates meetings with onsite teams to provide input and advice and communicates outcomes with Program Managers/Assistant Directors.

·Conducts Desk Audits of assigned caseloads reviewing Staff Action Plans, Life Plans, CFA’s, Hab Plans and Plans of Protective Oversight on eVero/on-site and ensures support plans are compliant with billing standards, regulatory requirements under the HCBS Waiver, and Person-Centered Planning.

·Reviews program files for accuracy and organization on site and completes desk audits of samples of monthly required documentation and Staff Action Plans.

·Assists with agency investigations as assigned, in full compliance with NYCRR Title 14 Parts 624 and 625.

Assists with onsite quality and compliance reviews

·         Three years of experience with Program Planning documentation preferred.

• Proficiency in Microsoft products, electronic data systems and web-based systems
• Must have or be able to complete and pass Incident Investigator certification

·         High School Diploma or GED

·         New York State Drivers License

Must be able to display a high level of discretion and understand the sensitive nature of confidential employee information with superior emotional intelligence

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance