Quality Improvement Specialist

SCO Family of Services • Dix Hills, NY

1d

About The Position

The Quality Improvement Specialist will assist Program staff to meet and maintain regulatory compliance with Local, NY State and Federal codes and regulations. This role involves conducting internal audits and inspections, preparing detailed reports, and ensuring thorough investigations of Reportable Incidents. The specialist will also participate in Incident Review meetings, assist with incident monitoring and trend analysis, and maintain the agency incident database. Additionally, the role supports compliance with Council on Accreditation (COA) standards, assists with case record reviews, consumer satisfaction surveys, and behavior management training tracking. The position requires collaboration with various staff levels and a sensitivity to cultural differences. The ideal candidate will be a team player, able to set limits, maintain their role, and work collaboratively.

Requirements

• Bachelor’s degree required.
• One year’s experience in quality improvement/program evaluation and/or administration in not-for-profit settings, preferred.
• Experience with computer database and word-processing programs such as MS-Office Suite–Word, Excel, Electronic Health Records create and maintain databases, track and analyze information and data, desirable.
• Experience with audit preparation, accreditation/survey activities (especially CMS, OMH, COA), and Outcomes measurement is desirable.
• Be team players and able to interact in a positive manner with Administrative, Managerial, Supervisory, and line staff as well as person’s receiving services and their family members.
• Have a strong sensitivity to cultural differences present among staff and clients within our organization and among the people we serve and their families.
• Ability to set limits, maintain role, work collaboratively and respectfully to intervene appropriately as a quality improvement staff person.

Nice To Haves

• Master’s degree preferred in Human Services, Social Work, Health Care Administration, Public Administration or similar field.

Responsibilities

• Assist Program staff to meet and maintain regulatory compliance with Local, NY State and Federal codes and regulations.
• Conduct internal audits and inspections annually and as needed.
• Prepare detailed written reports of findings and deficiencies.
• Ensures thorough and independent Investigation of Reportable Incidents as defined by Part 524.
• Conducts thorough incident investigations as directed according to Justice Center, OMH and Part 524 guidelines.
• Provides detailed written reports using Justice Center and OMH approved format within required time frames.
• Must complete Justice Center and OMH approved Incident Investigation Certification Program and maintain certification as investigator.
• Participate in Incident Review meetings.
• Assist with Incident monitoring and Trend Analysis.
• Assist with maintenance of agency incident data base.
• Complete entries into OMH Incident Report Database (NIMRS) as needed.
• Prepare agenda and document minutes of discussion.
• Assist Program and other Quality Improvement Specialists to comply with Council on Accreditation (COA) standards.
• Assist with Case Record Review; Administration of Consumer Satisfaction Survey, Track and review of Behavior Management Training and Restrictive Behavior Management Interventions.
• Assist with Internal Audits as required by COA Standards.
• Prepare detailed Quarterly and Annual Reports.
• Participate in Agency wide Quality Council meetings.
• Perform all other duties as assigned.

What This Job Offers

• Career Level: Mid Level