QI & Contracts Specialist

Our Community Our Kids•Fort Worth, TX

16h

About The Position

The QI & Contracts Specialist works closely with the OCOK Director of Quality Improvement and Contracts to manage quality improvement across the provider network and ensure providers comply with contract terms and outcomes. The role manages the contracting process for Residential and Purchased-Services Network Providers and monitors the quality of services, including out-of-home services, protective supervision, adoption-related services, independent living, and purchased services. The specialist assists with developing and implementing performance and quality improvement plans, tracks results, monitors outcomes, and reports on provider-network contract compliance. The position coordinates and conducts internal, external, and specialized program reviews; collects, analyzes, and reports outcome and compliance data; and makes recommendations to address discrepancies or improve services. It also supports provider-network training, participates in quality improvement planning, and liaises on client concerns and complaints. The role requires maintaining confidentiality and handling records concerning personnel, children and youth, foster care and adoption, and caregivers and foster parents. The position involves contact with parents, guardians, conservators, and youth who may exhibit behavioral problems, including possible physical aggression. A personal vehicle is required for travel within and outside the contract region, including overnight stays. The specialist must have a valid Texas driver’s license and a driving record within the insurance underwriter’s guidelines. The position has no direct staff-supervision responsibilities.

Requirements

Bachelor’s degree in Social Work or a related field.
At least two years of experience in a health, social service, or other organization dealing with contractual requirements, confidential information, and/or client wellbeing.
Valid Texas driver’s license and a driving record that meets the insurance underwriter’s guidelines.
Must not have been convicted of a felony or criminal offense against a child.
Excellent written communication skills and ability to complete reports and documents in a timely manner.
Excellent communication and interpersonal skills, with the ability to work cooperatively with youth, families, collaborating agencies, outside professionals, and staff.
Ability to work independently, exercise good judgment, handle a high degree of emotional stress related to client issues, and collaborate with provider-network and TDFPS management staff.
Ability to continue learning through supervision, continuing education, and experience.
Ability to maintain confidentiality regarding personnel, child and youth, foster care and adoption, and caregiver or foster-parent records.

Nice To Haves

Master’s degree preferred.
Child-placing agency experience preferred.

Responsibilities

Help develop goals for the Quality Improvement and Contracts Department and implement strategies to achieve them.
Participate in meetings with collaborating partners and agencies, maintain working relationships with public and private agencies, and coordinate data assimilation.
Provide leadership in QCC process and planning meetings as needed to facilitate quality care.
Monitor contracts, standards, regulations, and provider programs or facilities for compliance; conduct audits and prepare reports of results.
Collect, sort, interpret, measure, analyze, track, and present outcome and performance data in support of Agency contracts and the Performance and Quality Improvement Plan.
Coordinate and conduct external reviews of client and residential-facility records, including policies and procedures, case and client records, caregiver and foster or adoptive parent records, and personnel records.
Prepare timely, professional reports describing trends, strengths, needs, and recommendations for network providers.
Review, track, and report on departmental compliance standards, including reportable critical incidents, abuse and neglect, licensing paperwork, and training requirements.
Serve as a liaison to monitor and ensure responses to client-reported concerns and complaints related to Agency-provided or purchased services.
Conduct program data evaluation and reporting and submit detailed, accurate, timely contract-status reports to management.
Participate in quality improvement activities and internal quality reviews, and recommend ways to improve compliance, efficiency, effectiveness, and services.
Coordinate outcome measurement data with the provider network and recommend action where standards are not met.
Facilitate and coordinate training for the provider network and participate in or conduct in-service training.
Collaborate with provider-network representatives, TDFPS management staff, OCOK staff, youth, families, agencies, and outside professionals to support service quality.
Attend continuing education, communicate regularly with the supervisor, and seek supervision when appropriate.
Maintain confidentiality and comply with policies governing confidential records.
Maintain ethical standards, establish respectful relationships with persons served, support their skill-building and confidence, and set appropriate limits.
Travel in a personal vehicle within and outside the contract region, including overnight stays.