R020258 Compliance and Quality Improvement Manager (CQIM) - Queens

YAI•New York City, NY

18d•$70,000 - $70,000

About The Position

The Compliance and Quality Improvement Manager (CQIM) conducts internal reviews and risk assessments of YAI programs, advises regional leadership on compliance risks and planning, and supports programs in meeting applicable regulatory, documentation, billing, safety, and person-centered service standards. The position requires regular travel to various sites within the Queens, New York area. The CQIM provides training and guidance on applicable laws and regulations, supports programs during targeted OPWDD DQI and OFPC surveys, and serves as a liaison with oversight entities and external agencies as needed. The role also helps program leadership develop corrective action plans and safety plans, monitors incident reporting in IRMA, and participates in agency and regional committees and meetings. This position requires a bachelor’s degree in a relevant field and three years of relevant experience, or a satisfactory equivalent combination of education, training, and experience. A master’s degree, compliance certification or training, auditing experience, knowledge of NYS OPWDD regulations, advanced IRMA knowledge, and a valid driver’s license are preferred. The schedule is Monday through Friday, 9 a.m. to 5 p.m. Salary is $70,000 annually.

Requirements

Bachelor’s degree in human services, business, compliance, or a related field and three years of experience providing services, oversight, and support, preferably in healthcare, social services, or with the I/DD population; or a satisfactory equivalent combination of education, training, and 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, well-developed independent thinking and analytical skills, and commitment to objectivity.
Ability to maintain confidentiality and security of sensitive information and files.
Ability to work independently and in a team environment and manage time effectively.
Ability to travel regularly to locations across assigned regions.
Working knowledge of Microsoft Office Suite and ability to quickly learn new software and electronic systems.
Strong attention to detail and organizational skills, with ability to work under pressure and prioritize to meet tight deadlines.

Nice To Haves

Master’s degree in human services, business, compliance, or a related field.
Certification in Healthcare Compliance (CHC) or related training or certification.
Experience completing audits 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.

Responsibilities

Complete formal internal reviews and specialized risk assessments for YAI programs at least annually and provide feedback on findings.
Maintain current knowledge of laws and regulations governing documentation and billing of YAI services, including requirements from OPWDD, CMS, OMIG, and DOH, and provide training as needed.
Provide on-site support during targeted annual OPWDD DQI and OFPC surveys.
Support regional leadership in identifying compliance risks, completing an annual risk assessment, and developing an annual regional compliance plan.
Participate in planning meetings for new certified sites and programs, providing person-centered quality feedback and helping ensure consideration of OPWDD DQI regulations.
Act as a liaison between program leadership and oversight entities or external agency staff as needed.
Assist program leadership in developing Plans of Corrective Action in response to formal Statements of Deficiencies and conduct follow-up visits to check implementation.
Assist program leadership with safety plans before construction or repairs in certified settings that may affect the health and safety of people supported.
Use education and internal auditing to promote individualized services, choice, protection of rights, health and safety, and compliance with regulations and documentation requirements.
Provide guidance and support regarding reportable incidents and occurrences, compliance, and HIPAA concerns.
Monitor incidents in IRMA and assist program staff with timely and appropriate information entry.
Participate in agencywide committees, including Incident Review, Human Rights, Informed Consent, and Policy Committees, and chair committees when requested or appropriate.
Attend monthly regional leadership meetings and provide updates on regulations, risk areas, trends, and survey activities.
Perform other duties as assigned.
Travel regularly to locations across assigned regions, including sites in the Queens, NY area.