Sr Coordinator Risk Management / QA/Compliance

Job Details

Job Location

Main Office - Riverhead, NY

Position Type

Full Time

Salary Range

$70000.00 - $75000.00 Salary

Description

Job Responsibilities:

• The primary role is prevention of abuse/neglect for the individuals we support by training and empowering team members. Always maintains a high level of confidentiality.

• Another primary role is to ensure internal support visit are occurring as well as billing audits.

• This position requires multi-tasking, prioritizing tasks, and effective communication.

• When assigned it is your responsibility to complete thorough investigations and to always maintain professionalism and confidentiality.

• Provides supervision of QI/Compliance Coordinators with Director.

• Generates assigned thorough investigative reports- upload final reports to varying databases timely and ensure CAP sections are uploaded, minutes, and documents including statement and documentary evidence.

• Complete satisfaction surveys on annual basis and during internal support visits.

• Participate in the quarterly OPWDD and MH occurrence meetings.

• Maintains all fields within the IRMA, NIRMS and WISR data bases. Starts investigation and completes investigations thoroughly, including preliminary and final reports timely.

• Types up reports and ensures thorough investigations and safeguards are implemented at the onset of the investigation.

• Foster’s and maintains professional contact(s) with OPWDD, OMH, JC liaison, Law Enforcement, etc.

• Provides support and at times onsite trainings on prevention abuse/neglect, incident reporting HIPPA, and Corporate Compliance.

• 24/7 on call availability for the immediate triage and investigation of deaths, serious reportable incidents, allegations of abuse/neglect. You are expected to be available to respond to calls within a reasonable short timeframe (no more than 20 minutes) and be ready to report to location if deployment is required.

• Maintains an agency phone for on call and off hours triage needs.

• Participates in monthly Quality Assurance task force meetings and Compliance Alliance Meetings.

• Chairs the Human Rights Committee meetings.

• This position will also require some cross training on internal support visits and compliance matters.

• This position requires flexing hours based on the needs of the department. Working evenings and at times weekends must be able to be flexible.

• All other duties as assigned by the Director of Quality Improvement/CCO.

• Conduct regular internal support audits of clinical records, care plans and program operations.

• Collaborate with program staff to ensure documentation is accurate, timely and compliant.

• Ensure adherence to OPWDD, OMH, DOH, and HIPAA and other applicable regulations.

• Oversee the agency internal and external audit processes.

• Support leadership in creating a proactive risk prevention strategy.

Qualifications

• Bachelor’s degree in healthcare administration, Social Work, Human Services, or a related field (master’s preferred).

• Minimum5-10 years of experience in QA, Compliance, or Risk Management, preferably in a nonprofit setting.

• Strong knowledge of OPWDD, OMH, DOH and Compliance and HIPAA regulations.

• Experience conducting audits and developing corrective action plans.

• Proficiency in Microsoft Office (Excel, Word, PowerPoint) and electronic health record (EHR) systems.

• OPWDD and MH trained investigator.

• Must have familiarization with IRMA, NIRMS, WISR SLMS, - and OPWDD, OMH, DOH, & ICF regulations