Qualified Professional (QP), I/DD

Covenant Case Management Services • Currie, NC

1d • Hybrid

About The Position

Covenant Case Management Services is seeking an energetic and compassionate Qualified Professional with experience in intellectual and developmental disabilities (I/DD) to support individuals in the Currie area. You will help ensure high-quality service delivery, build positive relationships, and advocate for the people we serve.

Requirements

• Qualified Professional: Meet the North Carolina definition of a Qualified Professional.
• Experience: Have at least five years of supervisory and management experience and/or five years of experience working within human services.
• Skills: Demonstrate excellent communication, leadership, adaptability, and problem-solving skills.
• Resources : Have reliable access to internet and cell phone and reliable transportation
• Knowledge: Have a working knowledge of the behavioral sciences and allied disciplines related to I/DD.
• Physical Requirements: Be able to lift up to 50 pounds.
• Hold a license, provisional license, certificate, registration, or permit issued by a governing board regulating a human service profession.
• Have a graduate degree in a human service field with one year of experience.
• Have a bachelor's degree in a human service field with two years of experience.
• Have a bachelor's degree in any field with four years of experience.

Responsibilities

• Staffing, Caseload, and Team Leadership
• Own staffing for your team and caseloads; recruit and fill open roles to ensure adequate coverage.
• Manage a caseload of 25–30 active cases (not counting cases held for coverage); match staff to cases based on skills and fit; ensure timely staffing and policy compliance.
• Oversee direct care staff to ensure they follow CCMS policies and best practices; hold monthly DSP supervision meetings and provide ongoing training.
• Compliance, Documentation, and Care Planning
• Maintain DHHS/state rule, Medicaid/state waiver, MCO requirements, and CCMS policy compliance; champion policy adoption and ethical practice.
• Conduct person-centered assessments, set measurable goals, and develop individualized support plans (ISPs) that are clinically accurate and medically necessary.
• Review and approve ISP documentation, assessments, progress notes, and related documentation; sign off on new/updated ISPs; coordinate with Medical Records to ensure timely review and upload.
• Ensure documentation supports regulatory and program standards; correct and resubmit notes as needed; liaise with Medical Records for review and upload.
• Monitor underutilized reports and coordinate actions as needed to optimize service delivery and resource use.
• Review note reports on a daily basis to ensure compliance with staff completed service notes.
• Along with providing training on how to complete service notes to staff members, approve notes or provide corrections to staff, ensuring timely and accurate documentation.
• Incident Management, Risk Reduction, and Quality Assurance
• Promptly report all incidents to QM via the Incident Reporting (IR) process; support IR/IRIS entries for level 2 & 3 incidents.
• Partner with QM to identify risks, incidents, or service gaps; participate in risk reduction activities and assist with Plans of Correction (POC) development, implementation, and monitoring.
• Lead and participate in internal audits and CARF-related activities; collaborate with QM to prepare documentation and responses for auditors; assist Clinical Directors with documentation as needed.
• Documentation Quality, Audits, and Regulatory Readiness
• Review data and billing for accuracy and compliance; monitor quality indicators and performance metrics.
• Prepare and submit documentation for audits; coordinate with QM, Clinical Directors, and Medical Records as needed.
• Ensure ongoing regulatory readiness across programs; support QM in preparing for MCO and regulatory reviews.
• Monitor authorization status monthly and ensure alignment with service delivery and billing requirements.
• Complete service limit sheets for every authorization received to support utilization management and accountability.
• Client Engagement, Consent, and Community Collaboration
• Obtain consents from individuals and legally responsible persons; support annual client consents when necessary.
• Build positive relationships with MCOs, collaborating agencies, families, and CCMS leadership; represent CCMS in community activities and interagency meetings.
• Manage administrative tasks including authorizations, progress reports, audits, and overall documentation review to ensure regulation-ready records.
• Training, Supervision, and Staff Development
• Train staff on client needs, ISP requirements, and related information; lead staff development initiatives to ensure policy compliance.
• Provide guidance and accountability for DSP performance; administer corrective actions per policy; facilitate ongoing policy updates and communications.
• On-Call Support and Ethics
• Be available for on-call crisis services as needed; uphold quality and ethical standards to improve program performance and ensure compliance with policies and laws.
• SCS and Nursing Collaboration
• Collaborate with the SCS Director on any service changes that a members that is assigned SCS services or if they add SCS services to their treatment plan.
• Working together with Nursing to ensure that all members have documented medications on records and that they are meeting compliance standards for company policy.
• Assisting with medication administration documentation collection along with updating periodically physician orders changes with the Nursing team.
• Documenting and reporting any side effects or hospital visits to the Nursing team for further support.
• Leadership Support
• Collaborate with Clinical Directors and leadership to aid with mentoring of newly hired staff and QPs.
• Assist with special projects, training, shadowing and one on one development of staff as requested.
• Additional duties and responsibilities as requested.

Benefits

• Generous Total Rewards Plan – including health insurance, 401k match, and career benefits
• Diverse and inclusive community focused on growth, compassionate care, and a supportive work environment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1-10 employees