Compliance, Quality Improvement, & Accreditation Coordinator
About The Position
Compliance and Quality Improvement Ensure the agency maintains full adherence to the regulatory policies and procedures to maintain its stellar reputation of promoting and protecting the human rights of individuals with intellectual and developmental disabilities. Specifically: Proactively anticipates, reviews and analyzes all relevant state and federal statutes and regulations and waiver manuals to monitor changes in and communicate those changes to relevant staff within the organization; Assists with investigations as needed and ensures that all reporting for the agency is submitted in a timely manner; Assists in the implementation of audit processes to ensure compliance with federal and state statutes and regulations and program guidance for all lines of business, with duties including but not limited to: (a) conducting audits, analyzing information, identifying deficiencies, developing reports and formulating recommendations for corrective action, (b) Informing the Chief Compliance and Quality Improvement Officer of situations of non-compliance, and (c) Working with department directors and managers to implement corrective action plans in situations of non-compliance, monitor progress and ensure completeness; Responds in a timely fashion to external requests for information, with duties including but not limited to; (a) Responding to audit requests, (b) Coordinating responses from appropriate department directors and managers, and (c) Assisting in the preparation of corrective action plans; Reviews all General Event Reports, requests further information and notifications from directors and supervisors as needed; Submits Unusual Incident Reports to ORM Unit as needed in a timely manner, with accurate, complete and thorough details; Submits Follow up Unusual Incident Reports to DDD; Assists the Compliance and Quality Improvement Director with completing and submitting investigation reports, as needed. Training Assist with ensuring that staff are adequately trained to provide consistent, timely and accurate documentation that is in compliance with state agencies while maintaining a comprehensive record of the care provided to individuals. Therap Database Management Monitor aspects of the Therap database in accordance with agency policies and external regulations while ensuring users have appropriate access and knowledge needed to capture comprehensive records related to the care of individuals served.
Requirements
- Bachelor’s Degree
- Must be proficient in the use of Therap
- Must have knowledge of NJ Community Care and Supports Program
Nice To Haves
- Knowledge of Department of Vocational Rehabilitative Service preferred
Responsibilities
- Proactively anticipates, reviews and analyzes all relevant state and federal statutes and regulations and waiver manuals to monitor changes in and communicate those changes to relevant staff within the organization
- Assists with investigations as needed and ensures that all reporting for the agency is submitted in a timely manner
- Assists in the implementation of audit processes to ensure compliance with federal and state statutes and regulations and program guidance for all lines of business, with duties including but not limited to: (a) conducting audits, analyzing information, identifying deficiencies, developing reports and formulating recommendations for corrective action, (b) Informing the Chief Compliance and Quality Improvement Officer of situations of non-compliance, and (c) Working with department directors and managers to implement corrective action plans in situations of non-compliance, monitor progress and ensure completeness
- Responds in a timely fashion to external requests for information, with duties including but not limited to; (a) Responding to audit requests, (b) Coordinating responses from appropriate department directors and managers, and (c) Assisting in the preparation of corrective action plans
- Reviews all General Event Reports, requests further information and notifications from directors and supervisors as needed
- Submits Unusual Incident Reports to ORM Unit as needed in a timely manner, with accurate, complete and thorough details
- Submits Follow up Unusual Incident Reports to DDD
- Assists the Compliance and Quality Improvement Director with completing and submitting investigation reports, as needed
- Assist with ensuring that staff are adequately trained to provide consistent, timely and accurate documentation that is in compliance with state agencies while maintaining a comprehensive record of the care provided to individuals
- Monitor aspects of the Therap database in accordance with agency policies and external regulations while ensuring users have appropriate access and knowledge needed to capture comprehensive records related to the care of individuals served
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What This Job Offers
Job Type
Full-time
Number of Employees
251-500 employees
