Compliance and Quality Improvement Manager - Education Services

YAI • New York City, NY

52d • Hybrid

About The Position

This role is responsible for completing formal internal reviews and specialized risk assessments for YAI Network’s affiliate agencies MSA and iHOPE or other assigned programs at least annually, providing feedback on findings. The position also offers on-site support during external audits and surveys, and assists leadership in identifying and mitigating quality and compliance risks, as well as identifying opportunities for training and staff development. The manager participates in planning meetings for new sites and programs, offering a person-centered, quality perspective to ensure applicable regulations are considered. They act as a liaison between leadership and oversight entities/external agency staff as needed, and assist program leadership in developing Plans of Corrective Action for external audit findings, including follow-up visits to ensure implementation. The role utilizes education and internal auditing to ensure programs deliver individualized services, protect the rights of individuals supported, and maintain their health and safety while adhering to all applicable regulations and documentation requirements. Guidance and support are provided for reportable incidents, occurrences, compliance, and HIPAA concerns. The manager monitors compliance with incident reporting requirements (e.g., NYSED, DDD) for substantiated allegations of abuse and neglect. They serve as the primary investigator for incidents and sensitive situations, collecting information from multiple sources and ensuring thorough and timely investigations in accordance with regulations and internal standards. The role involves writing and submitting complete investigative reports for review by the Incident Review Committee, maintaining a tracking system for incidents, and performing data analysis on investigations and trends. Participation in agency-wide committees such as Incident Review, Human Rights, Informed Consent, and Policy Committees is expected, with the possibility of chairing committees. Billing or other audits may also be completed, with feedback provided on findings. All other assigned duties will also be performed.

Requirements

• 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 education, healthcare, social services and/or with the I/DD population as applicable to assigned setting(s); 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 associated with assigned setting(s) and to other YAI locations, as requested.
• 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.

Nice To Haves

• Master’s degree in any field indicated above
• Experience completing audits and/or reviews of internal systems to ensure compliance with policies, procedures and regulations
• Previous experience conducting investigations in education and/or social service settings, based on assigned setting(s)
• Knowledge of State, Local or Regulatory Agency rules and regulations applicable to assigned setting(s), such as New York State Education Department (NYSED) and NYC Department of Education (DOE) or NJ Division of Developmental Disabilities (DDD)
• National Center for START Services Certification in Healthcare Compliance (CHC) or related training/certification
• Successful completion of investigator training and/or related certification

Responsibilities

• Completes formal internal reviews and specialized risk assessments for YAI Network’s affiliate agencies MSA and iHOPE or other assigned programs at least annually and provides feedback on the findings.
• Provides on-site support during external audits and surveys.
• Supports leadership with identifying and mitigating quality and compliance risks and identifying opportunities for training and staff development.
• Participates in planning meetings related to the development of new sites and programs to provide feedback from a person-centered, quality perspective and to ensure consideration of applicable regulations.
• Acts as a liaison between applicable leadership and oversight entity/external agency staff, as needed.
• Assists program leadership with developing a Plan of Corrective Action in response to any external audit findings received and completes appropriate follow-up visits to ensure implementation.
• Uses education and internal auditing to ensure that programs deliver individualized services 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.
• Provides guidance on and monitors compliance with applicable incident reporting requirements (e.g. NYSED, DDD, etc.) for substantiated allegations of abuse and neglect for assigned setting(s).
• Serves as the primary investigator for all incidents and other sensitive situations for assigned setting(s), collecting information from multiple sources and ensuring investigations are completed thoroughly and timely, in accordance with applicable regulations and internal standards.
• Writes and submits complete investigative reports to be reviewed by the appropriate Incident Review Committee.
• Maintains a tracking system for incidents and performs data analysis relating to investigations and trends in incident classifications and substantiated/ founded incidents.
• 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.
• May complete billing or other audits, including regularly recurring audits and provide feedback on the findings.
• Performs all other duties as assigned.

Benefits

• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a Vietnam or disabled veteran.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level