Compliance and Quality Improvement Manager (CQIM) - YAI : Job Details

Compliance and Quality Improvement Manager (CQIM)Compliance and Quality Improvement Manager (CQIM)

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This position requires travel to various sites within The Manhattan and The Bronx region.

Key/Essential Functions & Responsibilities

• Completes formal internal reviews and specialized risk assessments for YAI programs at least annually and provides feedback on the findings.
• Maintains up to date knowledge of all applicable laws and regulations governing the documentation and billing of YAI services including, but not limited to State regulatory agencies (OPWDD, Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), Department of Health (DOH)), etc. and provides training as needed.
• Provides on-site support during targeted annual OPWDD DQI and OFPC surveys.
• Supports regional leadership with identifying compliance risks, completing an annual risk assessment, and developing an annual compliance plan for the region.
• Participates in planning meetings related to the development of new certified sites and programs throughout the organization to provide feedback from a person-centered, quality perspective and to ensure consideration of OPWDD DQI regulations.
• Acts as a liaison between program leadership and oversight entity/external agency staff, as needed.
• Assists program leadership with developing a Plan of Corrective Action in response to any formal Statement of Deficiencies received and completes appropriate follow-up visits to ensure implementation.
• Assists program leadership with developing safety plans prior to the initiation of any construction or repairs in certified settings that may impact the health and safety of people supported.
• Uses education and internal auditing to ensure that programs deliver individualized services, provide choices, and protect the rights of people supported while protecting their health and safety and adhering to all applicable regulations and documentation requirements.
• Provides guidance and support related to reportable incidents and occurrences as well as compliance and HIPAA concerns.
• Monitors incidents in IRMA and assists program staff with appropriate and timely entry of information.
• Participates in various agencywide committees, such as Incident Review, Human Rights, Informed Consent, and Policy Committees; may act as chairperson for committees, as requested or appropriate.
• Attends monthly regional leadership meetings and provides updates on regulations, risk areas, identified trends, and survey activities throughout the regions.
• Performs all other duties as assigned.
• Bachelor's degree in human services, business, compliance, or a related field and three (3) years of experience in providing services, oversight, and support, preferably in healthcare, social services and/or with the I/DD population; or
• Satisfactory equivalent combination of education, training and/or experience.
• Excellent written and verbal communication and interpersonal skills.
• Strong commitment and passion for the organization's mission.
• Unquestionable ethics and integrity, high emotional intelligence and well-developed independent thinking and analytical skills, with commitment to objectivity.
• Ability to maintain confidentiality and security of sensitive information and files.
• Ability to work well independently and in a team environment, and to manage one's time effectively.
• Ability to travel regularly to locations across assigned region(s).
• Working knowledge of Microsoft Office Suite and ability to quickly learn new software and/or electronic systems.
• Strong attention to detail and organizational skills, with ability to work well under pressure and prioritize to meet tight deadlines.

Preferred Qualification Requirements (desired requirements beyond MQRs above)

• Master's degree in any field indicated above
• Certification in Healthcare Compliance (CHC) or related training/certification
• Experience completing audits and/or reviews of internal systems to ensure compliance with policies, procedures and regulations
• Knowledge of NYS OPWDD rules and regulations
• Advanced knowledge of IRMA
• Valid driver's license

Schedule: Monday to Friday 9am to 5pm

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeFull-time

Job function

• Job functionAdministrative
• IndustriesNon-profit Organizations and Health and Human Services

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Disability insurance

Tuition assistance

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