Quality Management Specialist

Indian Creek Foundation•Souderton, PA

About The Position

The Quality Management Specialist is an ODP Certified Investigator with an ODP Quality Management certification. The role serves as assistant lead investigator for reportable incidents, conducts assigned investigations, and coordinates Administrative Reviews. The specialist partners with program staff, nurses, supervisors, and leadership to prevent incidents and improve quality, supporting safety, incident management, compliance, and thorough reporting across the agency. The position oversees the ODP Quality Management Plan, leads Quality Management Committee assurance activities, completes quarterly QM Plan reports, and supports audits, monitoring, and regulatory reviews. It also tracks incidents and corrective actions, prepares incident data and trend reports, maintains records, and provides guidance on reporting procedures and documentation. The role requires strong organization, attention to detail, communication, sound judgment, and collaboration across agency teams.

Requirements

Bachelor’s degree in a related field, such as Human Services, Social Work, Criminal Justice, or Healthcare Administration.
ODP Certified Investigator certification required.
ODP Quality Management certification required.
Analytical thinking and understanding of basic quality assurance and risk management principles.
Ability to lead group meetings and discussions.
Strong organizational, written, and verbal communication skills.
Attention to detail and ability to manage multiple deadlines.
Ability to gather, analyze, and organize information.
Strong computer skills, including proficiency in Microsoft Office Suite.
Ability to maintain confidentiality and exercise sound judgment.
Ability to collaborate with multidisciplinary teams.
Ability to bend, stoop, sit, stand, and reach.
Ability to lift items weighing 50 pounds or less.
Satisfactory completion of a post-offer pre-employment physical exam and drug test, as required.
Maintain the skills necessary to safely and efficiently operate a computer/printer, copier/scanner, HCSIS Enterprise Incident Management (EIM) System, E-copy, Paycor, Credible, Microsoft Office Suite, and various office equipment and supplies.
Complete and clear a criminal background check and child abuse clearance.
Complete ongoing training requirements to maintain current certifications.

Nice To Haves

Experience working with individuals with intellectual and developmental disabilities.
Experience with incident management, investigations, quality assurance, compliance, or risk management.
Experience using the HCSIS Incident Management System.

Responsibilities

Serve as an ODP Certified Investigator and conduct investigations in accordance with ODP Incident Management requirements and agency policy.
Function as assistant lead investigator for assigned investigations involving reportable incidents and conduct assigned investigations of non-critical incidents.
Enter and finalize reportable incidents in the HCSIS Enterprise Incident Management system within required timeframes.
Track reportable and non-reportable incidents to ensure timely completion, documentation, and follow-up.
Monitor incident status and communicate deadlines and required actions to responsible staff.
Communicate reportable incidents to appropriate residential, day program, nursing, and administrative team members.
Obtain and review investigative reports, witness statements, supporting documentation, and other evidence for completeness before administrative review.
Prepare and distribute incident review packets and supporting documentation to Administrative Review Team members.
Coordinate Administrative Review Team schedules, cancellations, quorum status, and related communications.
Participate in Administrative Review Team meetings and document follow-up actions as assigned.
Communicate approved corrective action plans to responsible departments and staff, track their completion, and send deadline reminders.
Maintain documentation demonstrating implementation and completion of corrective actions.
Assist with collecting, organizing, and maintaining incident management records and files.
Participate in agency Incident Review Committee and Peer Review Committee meetings and related activities.
Prepare incident management data, trend information, and incident category reports for committees and leadership.
Assist in identifying incident trends, patterns, and opportunities for risk reduction.
Work with program staff, nurses, supervisors, and leadership to support incident prevention and quality improvement.
Oversee the ODP Quality Management Plan and lead Quality Management Committee assurance activities.
Complete quarterly QM Plan reports as required.
Support audits, monitoring activities, and regulatory reviews related to incident management.
Provide guidance on incident reporting procedures and documentation requirements when requested.
Assist the supervisor with administrative tasks and special projects as directed, and perform other assigned duties.
Maintain required training and current certifications.
Complete required documentation and comply with applicable safety, confidentiality, regulatory, agency policy, HIPAA, and conduct requirements.