Qualified Professional (QP), I/DD

Covenant Case Management Services • Raleigh, NC

2d • 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 Raleigh 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