Quality Improvement Specialist

SPECIFIC RESPONSIBILITIES

• 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.
• Conducts thorough incident investigations as directed according to Justice Center, OMH and Part 524 guidelines.
• Provides detailed written reports using Justice Center and OMH 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.
• Affix with Incident monitoring and Trend Analysis.
• Affix with maintenance of agency incident data base.
• Complete entries into OMH Incident Report Database (NIMRS) as needed.
• Prepare agenda and document minutes of discussion.
• Affix with Program and other Quality Improvement Specialists to comply with Council on Accreditation (COA) standards.
• Affix with Case Record Review; Administration of Consumer Satisfaction Survey,
• Track and review of Behavior Management Training and Restrictive Behavior Management Interventions.
• Affix with Internal Audits as required by COA Standards.
• Prepare detailed Quarterly and Annual Reports.
• Participate in Agency wide Quality Council meetings.

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, COA), and Outcomes measurement is desirable.