QA Specialist RN Auditor

Overview

Provide ongoing medical/nursing oversight, support, and direction to programs via internal audit process. Evaluate and assess how a program’s medical service is functioning, ensuring quality of care and adherence to regulatory requirements and agency policy and procedures.

Responsibilities

• Completes and/or reviews investigations, internal events, special audits, and internal control audits as assigned by Quality Improvement Manager, Associate Director of Compliance and Quality Improvement.
• Acts as a resource for information and/or assistance to all programs to ensure quality services and compliance in medical/nursing areas.
• Completes audits for assigned programs and support departments per established schedule, utilizing established audit tools and protocols.
• Implements agency satisfaction survey process; maintains agency survey database.
• Provides guidance to programs and departments as needed.
• Reviews new regulations and provides recommendations to program to ensure compliance.
• Updates audit tools as necessary to ensure regulatory compliance and quality care.
• Provides reports and recommendations to supervisor regarding significant issues, audit trends and systemic issues.
• Adheres to audit policy and procedures and regulatory requirements.
• Serves on committees as assigned.
• Performs all other duties, tasks and projects as assigned.

Essential Academic And Experience Requirements

• Bachelor’s degree in Nursing and/or current NYS RN license.
• Four years nursing experience. At least two of the years in OPWDD system, preferred.
• Must have knowledge of state regulations as related to QI, Nursing/Medical, and experience in policy and procedure development and implementation.
• Must be at least 18 years of age.
• Reliable transportation (NYS Drivers’ Licensed required).
• Ability to work independently and motivate others.
• Ability to communicate effectively, both orally and in writing.
• Ability to lift at least 50 lbs. dead weight.
• Maintain all required certifications/training by State regulations and CDS Monarch policy.

Corporate Qualifications

• Adhere to all CDS Monarch policies and procedures.
• Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards.
• Attend mandatory Education and Training modules as scheduled, obtains, and maintains required certifications.
• Perform all other duties relevant to the position as assigned by supervisor.