Qualified Professional (QP), I/DD

Covenant Case Management Services•Raleigh, NC

4d•$46,000 - $60,000•Hybrid

About The Position

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

Requirements

Must meet the official North Carolina definition of a Qualified Professional (QP).
Have at least five years of supervisory and management experience and/or five years of dedicated experience working within human services.
Possess a deep, working knowledge of the behavioral sciences and allied disciplines related to Intellectual and Developmental Disabilities (I/DD).
Demonstrate exceptional communication, leadership, adaptability, and complex problem-solving skills.
Must have reliable access to high-speed internet, a functional cell phone, and reliable transportation.
Ability to sit, stand, walk, and lift up to 50 pounds as required by field conditions.

Responsibilities

Own staffing for your team and caseloads; actively recruit and fill open roles to ensure adequate coverage.
Manage a caseload of 25–30 active cases (excluding cases held for coverage). Match staff to cases based on skills, personality, and fit while ensuring timely staffing and strict policy compliance.
Oversee direct care staff to ensure they adhere to CCMS policies and best practices. Lead monthly Direct Support Professional (DSP) supervision meetings and deliver ongoing training.
Maintain strict compliance with DHHS/state rules, Medicaid/state waivers, MCO requirements, and CCMS policies. Act as a champion for policy adoption and ethical practice.
Conduct comprehensive, person-centered assessments; set measurable goals and develop clinically accurate, medically necessary Individualized Support Plans (ISPs).
Review and approve ISP documentation, assessments, progress notes, and related records. Sign off on new or updated ISPs and coordinate with Medical Records for timely system uploads.
Daily review note reports to monitor compliance with staff-completed service notes. Train staff on correct documentation practices, approve compliant entries, and issue required corrections. Monitor underutilized reports and take swift action to optimize service delivery.
Promptly report all incidents to Quality Management (QM) via the internal Incident Reporting (IR) process; fully support IR/IRIS entries for Level 2 and Level 3 incidents.
Partner with QM to identify risks, recurring incidents, or service gaps. Participate in risk-reduction activities and assist in developing, implementing, and monitoring Plans of Correction (POC).
Lead and participate in internal audits and CARF-related activities. Collaborate with QM, Clinical Directors, and Medical Records to prepare documentation and regulatory responses for auditors. Ensure ongoing, regulation-ready state across all assigned programs.
Review data and billing for precision and compliance. Monitor authorization status monthly, completing service limit sheets for every authorization received to support utilization management.
Secure valid consents from individuals and legally responsible persons, supporting annual client consent updates when necessary.
Build trusted relationships with MCOs, collaborating agencies, families, and CCMS leadership. Proudly represent CCMS in community activities and interagency meetings.
Manage ongoing administrative workflows—including authorizations, progress reports, and documentation reviews—to guarantee completely regulation-ready records.
Train staff members thoroughly on individual client needs, ISP requirements, and programmatic benchmarks. Lead staff development initiatives to maximize policy compliance.
Provide guidance and clear accountability metrics for DSP performance. Administer corrective actions in accordance with company policy and facilitate the rollout of ongoing policy updates.
Maintain availability for on-call crisis services as required. Uphold the highest quality and ethical standards to boost overall program performance and ensure compliance with federal, state, and local laws.
Collaborate closely with the SCS Director regarding any service updates or adjustments for members assigned to Supported Career Services (SCS), or those adding SCS to their active treatment plan.
Partner with the Nursing team to ensure all members have accurate, documented medications on file that meet company compliance standards.
Assist with the collection of medication administration documentation and periodically update physician order changes alongside the Nursing team.
Document and report side effects, medical changes, or hospital visits directly to the Nursing team for immediate, specialized support.
Collaborate directly with Clinical Directors and executive leadership to aid in mentoring newly hired staff and incoming QPs.
Assist with special agency projects, targeted training curriculum, job shadowing, and customized one-on-one development of staff as requested.
Complete additional operational duties and responsibilities as requested by leadership.