Quality and Compliance Coordinator

Serv Behavioral Health System • Ewing Township, NJ

386d

About The Position

The Quality and Compliance Coordinator at SERV is responsible for ensuring compliance with regulations and standards in behavioral healthcare. This role involves promoting a culture of compliance, facilitating collaboration with operations, and managing alignment with organizational goals and quality improvement plans. The position requires a proactive approach to compliance monitoring and risk management to enhance service delivery and safety for consumers and employees.

Requirements

• Familiarity with New Jersey mental health, DDD and/or DCF regulations.
• Ability to comprehend and interpret complex regulations.
• Ability to respond with flexibility and efficiency to frequent changes in task focus, competing priorities, and multiple deadlines.
• Commitment to maintaining confidentiality and protecting sensitive information.
• Ability to research, formulate logical conclusions and/or alternatives, make recommendations, and implement solutions.
• Superb analytical and comprehension skills.
• Excellent verbal and written communications skills and presentation skills.
• Ability to work quickly and accurately under minimum supervision with close attention to detail.
• Computer skills including MS Office (Word, Excel, PowerPoint); experience with contract management software strongly preferred.
• Ability to make independent decisions and sound judgments.
• Ability to work a flexible schedule including nights and weekends.
• Reliable transportation and the ability to travel to program sites throughout New Jersey.

Nice To Haves

• Bachelor's Degree preferred.
• Experience working with NJ DDD, DCF DMHAS, and/or CARF strongly preferred.
• Experience with compliance investigations.

Responsibilities

• Maintains up-to-date knowledge of applicable regulations and accreditation standards.
• Oversees compliance monitoring systems to measure compliance with state and federal regulations, accreditation standards, and policies and procedures.
• Supports operations to develop and monitor corrective action plans in response to adverse actions; provides technical assistance and direction.
• Conducts chart reviews, physical plant inspections, and other assigned audits.
• Assists in policy review and development, ensuring compliance with requirements and updates as needed.
• Oversees incident reporting system in accordance with established procedures.
• Ensures submission of State reportable unusual incident reports as required by law.
• Manages monthly trended incident reporting data; submits quarterly reports to operations for review and action.
• Provides support to Operations to follow through on critical events and identify methods to improve safety and minimize risk to consumers and employees.
• Leads and conducts internal investigations involving alleged abuse, neglect, exploitation, and/or other compliance-related issues; reviews relevant documents and interviews witnesses, prepares written summaries, analyses of facts and investigation reports; ensures accuracy and consistency of compliance investigations.
• Works in conjunction with the SVP of Quality and Compliance to investigate deaths and/or higher level incidents.
• Provides oversight of the SERV Safety Manual procedures and practices throughout the organization. Monitors for compliance and proactively identifies areas for improvement.
• In partnership with Operations and the SVP of Quality and Compliance, assists with writing and reviewing the annual CQI plan and performs ongoing analyses to support organizational goals.
• Supports Operations with monitoring process/system improvement activities to improve service delivery.
• Implements and maintains systems and processes for effective CQI communication with operations.
• Responsible for receiving and disseminating CQI data and reports at the program level.
• Ensures consumer, family and other stakeholders input is gathered for quality improvement activities.
• Collaborates with operations to design the strategy for completing the satisfaction survey process, and assists with developing improvement plans in response to surveys.
• Responsible for monitoring implementation and sustainability of quality systems across programs.
• Collects and verifies data for key performance indicators and outcomes measures.
• Analyzes data and proactively identifies opportunities for improvement; partners with operations and the SVP of Quality and Compliance to develop and implement strategies towards improvement.
• Assists in the identification and presentation of outcome measures; participates in the design, execution and analysis of evaluation measures and key performance indicators.
• Additional duties as assigned or as needed to support departmental or organizational goals.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Nursing and Residential Care Facilities
• Education Level: Associate degree