Quality Assurance (QA) Analyst

COORDINATED CARE ALLIANCE NY INC • New York, NY

2d • $32 - $34 • Onsite

About The Position

The QA Analyst will stay abreast of current regulations, policies, and procedures to support the field. This position will meet specific objectives in terms of the number of reviews conducted and provide corrective action/follow up as appropriate. Completes assigned projects and initiatives for the QA Department- e.g., compiling of data relating to reviews for Life Plans, progress notes, and other documentation as well as other QA related needs. Actively utilizes QA systems including internal monitoring systems while adhering to the regulatory guidelines to ensure the highest quality standard is promoted internally.

Requirements

• A Bachelor’s degree in Human Services, Health Care Management or a related field is required.
• Specialized training, license, certification, skills in: OPWDD and DOH regulations
• Reviewing records against regulations and best practice
• Report Writing
• Experience in Quality Assurance is required.
• At least 3 years of job-related experience, specifically in OPWDD, DOH, and quality assurance programs and policies are required.
• Ability to communicate with a wide variety of individuals professionally, intelligently, and effectively: Verbally and in writing (including email, reports, memos, policies) to representatives of government agencies. To all levels of the organization including staff, individuals and families/advocates.
• Requires strong telephone and customer service skills.
• Ability to determine what the request is being made and the course of action in a calm, reassuring, and polite manner is required.
• Experience with cross organization communication on a regular basis, including controversial problems within and outside of the organization and presenting recommendations for resolutions is required.
• Basic math skills are required.
• Position constantly requires independent thought and reasoning.
• Ability to interpret complex information is required.
• Ability to obtain facts and exercise judgment in interpreting the facts presented is required.
• Must be able to analyze and identify trends and systemic problems with programs.
• Ability to work on several projects simultaneously and independent of supervision.
• Knowledge of applicable State/Federal laws and regulations – e.g., OMRDD, DOH, OCFS, Justice Center is required.
• Knowledge of investigation techniques, quality improvement literature, tools, procedures, programs is required.
• Must have strong knowledge of all regulations governing the area of incident reporting and abuse.
• Demonstrated knowledge of quality improvement literature, tools, and systemic problem-solving methods
• A strong working knowledge of regulatory websites and databases.
• Must be proficient in MS Word, PowerPoint, and Outlook.
• Must possess the ability to exercise critical thinking and collaborate with team members to ensure appropriate resolutions are met.
• Must be flexible and adaptable, able to cope with unexpected events.
• Absolute sense of integrity and personal commitment to serving people with I/DD and their families.
• Ability to work autonomously.
• Demonstrate professionalism, respect, and ability to work in a team environment.
• Must possess a valid Driver’s License from New York, or a contiguous state (i.e., Connecticut, New Jersey, Pennsylvania, and Vermont) or must have the ability to take ample public transportation to attend meetings in person in the community and in the office as needed.

Nice To Haves

• A Graduate degree (Masters, Doctorate) is preferred.

Responsibilities

• Understand and apply governmental laws and regulatory rules; keep current on trends.
• Review progress notes, Life Plans, and other documentation daily, with a goal of reviewing 5000-7000 notes monthly depending on assignment.
• Apply sound review practices as assigned, comply with regulations, laws, and CCANY’s program policies, and procedures.
• Work in conjunction with the field, make recommendations for resolution of issues, support best practices as determined by agency leadership.
• Meet review objectives.
• Track that corrective action/follow-up have been completed, timely and as prescribed.
• Maintain all documents, files, and records ensuring they are complete and secure.
• Utilize required databases to enter information timely, accurately, and completely.
• Collaborate with the Learning and Development to deliver training for employees’ areas of responsibility, as required.
• Compile statistics, perform analysis to determine trends, and generate appropriate reports, as requested.
• Protect the rights of individuals served and make sure informed consent measures are adhered to.
• Consult with employees on issues.
• Participate in committees, meetings, and presentations as assigned.
• Prepare letters, memoranda, statements, narratives, statistical reports, and agendas as requested or according to established procedures, including when redaction is required and/or recommended.
• Manage and implement projects assigned by the Assistant Director of Quality Assurance.
• Participate in special projects and all other job-related tasks as assigned by the QA Manager.
• Maintain confidentiality.
• Perform other duties, as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level