IDD Quality Assurance & Compliance Director - Access : Job Details

DescriptionLocation: Middletown, NYSalary: $66,300 Annually + Benefits PackageHours: Monday-Friday 8:00AM-4:30PM, (40hrs)OVERVIEW OF PRIMARY RESPONSIBILITES :This position supervises the daily QA/QC, Quality Improvement, Regulatory, Safety and Compliance activities that support all corporate operations including reviews, investigations, audits, surveys, process improvement activities, training and risk management for the Access Network, inclusive of Access: Supports for Living, NY Families for Autistic Children, Meaningful NY, and The Guidance Center of Westchester. Ensures compliance with all local, state and federal rules and regulations including but not limited to those mandated by OPWDD and NY State Justice Center.PRIMARY FUNCTIONS :Quality ManagementLeads the development, implementation and evaluation of the monthly audit program plan, including monthly QA and UR work plan audits, ensuring quality QA audits are scheduled and completedDeveloping and managing tracking tools on QA functions, audits, regulationsWork collaboratively with staff and leaders to develop, implement and track quality work plans and plans of correction on all internal and external auditsLead QA/program annual meetings and protocol review.Leads and provides oversight on the development of Quality Assurance department activities of Internal QA regulatory review audits, QA Monthly Reports, Billing Grids, Documentation Curriculum, Program Personnel, Regulation Tracking, Annual Program Review Meetings, Forms Protocol and Tracking, Electronic Health Care RecordsLead the annual review of all program and QA protocolsAssist in developing and implementing strategic communications across departments related to rule changes, audit findings, and regulatory requests by stakeholdersAssist the Vice President Risk Management Quality and Compliance in ensuring quality related deliverables are achieved across all business segments by assessing gaps, monitoring performance, and working with key leaders to implement solutions.Lead in ensuring quality related deliverables are achieved across all IDD services for QA auditsIncident ManagementCo-Chair the Incident Review Committee meeting ensuring IDD incidents are reported, tracked, investigated, presented to committee, preparation of meeting agendas and review and approve minutesOversight/development of Quality Assurance department activities of Incident Reporting Processes, Investigations, Incident Management OPWDD (IRMA) , Monthly Incident Reports to leaders, and Maintain Incident electronic filesEstablish and maintain effective communication and relationships with legal representatives regarding incidentsFacilitate the Incident Management as to collect, organize, analyze, prepare and manage quality committee dashboards, agendas, meeting minutes and reports for committees and the Board of Directors.Initiate, provide support and monitor strategic projects managed by Quality Specialists and ancillary staffCorporate ComplianceLeads with direct oversight to the ASFL Network wide corporate compliance program.Leads the development, updating and executing all elements of the Corporate Compliance Policies, Protocols and Annual Work PlanCo-Chairs the Compliance Committee, conducting compliance investigations, publishing regulatory guidance updates, identifying compliance risk areas, conducting Rapid Improvement Events (RIEs)Ensure Corporate Compliance trainings are inclusive of all current regulations and guidances for new employees, board members and the annual compliance trainingPrepare the annual and semi-annual Corporate Compliance report for committee, Leadership and Board of Directors.AccreditationAssist in organizing and managing external reviews across the organization. This includes leading accreditation surveys (CQL, or others as applicable), monitoring reports, managing mock surveys, and conducting drills, completing audits, reviews and investigations.Train and support QA staff for all quality related tasks including Proactive Risk Assessments, A-3 Thinking, Project Management, Gap Analysis, Investigations, Data Analysis, Conducting Experiments, Utilization Reviews, and QA Audits.Attend and participate in internal and external meetings related to quality, regulatory and compliance requirements, as needed.Leadership and ManagementTrain, supervise and evaluate performance of assigned staffProvide staff with the training, mentoring and resources necessary to carry out their workEnsure adherence to department and organizational standards, policies and proceduresEnsure performance goals, expectations and standards are clearly understood by supervised staffEvaluate employees' performance on an ongoing basis and take appropriate corrective action if neededPerform talent management functions in collaboration with Human ResourcesSupports Quality Assurance Departments in:Safety and Security : Supports organizational safety and security measures for ASFL Network Safety Committee meetings, Site Safety Coordinators, monthly walk through inspection fire drills, internal and external inspections are completed and logged, After Action Review (AAR) are trained, implemented, documented and tracked. Support the implementation of all Health and Safety related standards of CARF are implemented at organizationsRisk Management : Supports the development and maintenance of the annual Risk Management Plan & Matrix. Collaborates with value streams, prepares consolidated reports, conducts SWOT analyses and risk assessments across the system. Assesses and ensures risk mitigation strategies are effectively implemented across the Safety Committee, Value Streams, QA/Compliance, Finance, Central Administration and throughout all system policies, protocols, and plans. As part of the Risk Management Team also has the following responsibilities:Privacy and Security: Support the collaboration of the Privacy Security Team, Quality Assurance and Information Technology teams, assists in building a strategic and comprehensive privacy program. Participate and support the agency Privacy Security Team and HIPAA related tasks that defines, develops, maintains and implements policies and processes that enable consistent, effective privacy practices which minimize risk and ensures the confidentiality of protected health information (PHI), paper and/or electronic, across all media types.Complaint & Grievance Management : Supports the complaint and grievance protocol and process. Collaborates with agency leadership on open reports, investigations, required pre and post letters and the closure of grievance reports.Project/Process Improvement: Identify opportunities to increase efficiency and standardize daily operations to increase revenue, reduce cost and improve the quality of support and services offered by Access: Supports for Living.General: As a leader in the Quality Assurance, Compliance and Risk Management Teams, participates in relevant huddles and meetings. May assist with leading or co-leading the Incident Review Committee, Compliance, Risk Management and/or Privacy Security meetings, including helping to chair sub-committees or complete special projects as needed. Attend and participate in internal and external meetings related to quality, regulatory and compliance requirements as needed.ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT:Additional duties may be assigned to support the overall quality efforts of the organizationQUALIFICATIONS AND ATTRIBUTES :Knowledge of OPWDD RegulationsKnowledge of New York State Justice Center RegulationsCMS and Office of Medicaid Inspector General (OMIG) Rules, Regulations and Annual Work plansKnowledge of NY State, Part 521 Compliance RegulationsKnowledge of HIPAA (the Health Insurance Portability and Accountability Act of 1996)Knowledge of HITECH and Omnibus requirementsUse of standard office equipment such as computers, cell phone, phones, photocopiers and fax machine.Moderate to advanced use of Microsoft Word, Excel, PowerPoint, Microsoft Teams, WebEx and/ or Zoom remote meeting host and participant toolsAbility to collect, analyze and report dataAbility to write semi-annual and annual reports including charts and graphsEDUCATION AND EXPERIENCE :Master's Degree of Professional/Business Studies, orLCSW or LMSW, orBachelor's degree and at least 5 years of Quality management experienceAt least 2 years of Lean or Lean Six Sigma experience, preferredPHYSICAL CHARACTERISTICS :May be subjected to long-periods of sitting or standingMay have to lift up to 10 lbs on occasionAble to work in open space floor planWork alongside co-workerEEO Employer#J-18808-Ljbffr