Access, Inc.
Location: Middletown, NY
Salary: $66,300 Annually + Benefits Package
Hours: Monday-Friday 8:00AM-4:30PM, (40hrs)
OVERVIEW OF PRIMARY RESPONSIBILITES
: This position supervises the daily QA/QC, Quality Improvement, Regulatory, Safety and Compliance activities that support all corporate operations including reviews, investigations, audits, surveys, process improvement activities, training and risk management for the Access Network, inclusive of Access: Supports for Living, NY Families for Autistic Children, Meaningful NY, and The Guidance Center of Westchester. Ensures compliance with all local, state and federal rules and regulations including but not limited to those mandated by OPWDD and NY State Justice Center. PRIMARY FUNCTIONS
: Quality Management Leads the development, implementation and evaluation of the monthly audit program plan, including monthly QA and UR work plan audits, ensuring quality QA audits are scheduled and completed
Developing and managing tracking tools on QA functions, audits, regulations
Work collaboratively with staff and leaders to develop, implement and track quality work plans and plans of correction on all internal and external audits
Lead QA/program annual meetings and protocol review.
Leads and provides oversight on the development of Quality Assurance department activities of Internal QA regulatory review audits, QA Monthly Reports, Billing Grids, Documentation Curriculum, Program Personnel, Regulation Tracking, Annual Program Review Meetings, Forms Protocol and Tracking, Electronic Health Care Records
Lead the annual review of all program and QA protocols
Assist in developing and implementing strategic communications across departments related to rule changes, audit findings, and regulatory requests by stakeholders
Assist the Vice President Risk Management Quality and Compliance in ensuring quality related deliverables are achieved across all business segments by assessing gaps, monitoring performance, and working with key leaders to implement solutions.
Lead in ensuring quality related deliverables are achieved across all IDD services for QA audits
Incident Management Co-Chair the Incident Review Committee meeting ensuring IDD incidents are reported, tracked, investigated, presented to committee, preparation of meeting agendas and review and approve minutes
Oversight/development of Quality Assurance department activities of Incident Reporting Processes, Investigations, Incident Management OPWDD (IRMA) , Monthly Incident Reports to leaders, and Maintain Incident electronic files
Establish and maintain effective communication and relationships with legal representatives regarding incidents
Facilitate the Incident Management as to collect, organize, analyze, prepare and manage quality committee dashboards, agendas, meeting minutes and reports for committees and the Board of Directors.
Initiate, provide support and monitor strategic projects managed by Quality Specialists and ancillary staff
Corporate Compliance Leads with direct oversight to the ASFL Network wide corporate compliance program.
Leads the development, updating and executing all elements of the Corporate Compliance Policies, Protocols and Annual Work Plan
Co-Chairs the Compliance Committee, conducting compliance investigations, publishing regulatory guidance updates, identifying compliance risk areas, conducting Rapid Improvement Events (RIEs)
Ensure Corporate Compliance trainings are inclusive of all current regulations and guidances for
new employees, board members and the annual compliance training
Prepare the annual and semi-annual Corporate Compliance report for committee, Leadership and Board of Directors.
Accreditation Assist in organizing and managing external reviews across the organization. This includes leading accreditation surveys (CQL, or others as applicable), monitoring reports, managing mock surveys, and conducting drills, completing audits, reviews and investigations.
Train and support QA staff for all quality related tasks including Proactive Risk Assessments, A-3 Thinking, Project Management, Gap Analysis, Investigations, Data Analysis, Conducting Experiments, Utilization Reviews, and QA Audits.
Attend and participate in internal and external meetings related to quality, regulatory and compliance requirements, as needed.
Leadership and Management Train, supervise and evaluate performance of assigned staff
Provide staff with the training, mentoring and resources necessary to carry out their work
Ensure adherence to department and organizational standards, policies and procedures
Ensure performance goals, expectations and standards are clearly understood by supervised staff
Evaluate employees’ performance on an ongoing basis and take appropriate corrective action if needed
Perform talent management functions in collaboration with Human Resources
Supports Quality Assurance Departments in: Safety and Security : Supports organizational safety and security measures for ASFL Network Safety Committee meetings, Site Safety Coordinators, monthly walk through inspection fire drills, internal and external inspections are completed and logged, After Action Review (AAR) are trained, implemented, documented and tracked. Support the implementation of all Health and Safety related standards of CARF are implemented at organizations
Risk Management : Supports the development and maintenance of the annual Risk Management Plan & Matrix. Collaborates with value streams, prepares consolidated reports, conducts SWOT analyses and risk assessments across the system. Assesses and ensures risk mitigation strategies are effectively implemented across the Safety Committee, Value Streams, QA/Compliance, Finance, Central Administration and throughout all system policies, protocols, and plans. As part of the Risk Management Team also has the following responsibilities:
Privacy and Security:
Support the collaboration of the Privacy Security Team, Quality Assurance and Information Technology teams, assists in building a strategic and comprehensive privacy program. Participate and support the agency Privacy Security Team and HIPAA related tasks that defines, develops, maintains and implements policies and processes that enable consistent, effective privacy practices which minimize risk and ensures the confidentiality of protected health information (PHI), paper and/or electronic, across all media types.
Complaint & Grievance Management : Supports the complaint and grievance protocol and process. Collaborates with agency leadership on open reports, investigations, required pre and post letters and the closure of grievance reports.
Project/Process Improvement:
Identify opportunities to increase efficiency and standardize daily operations to increase revenue, reduce cost and improve the quality of support and services offered by Access: Supports for Living.
General:
As a leader in the Quality Assurance, Compliance and Risk Management Teams, participates in relevant huddles and meetings. May assist with leading or co-leading the Incident Review Committee, Compliance, Risk Management and/or Privacy Security meetings, including helping to chair sub-committees or complete special projects as needed. Attend and participate in internal and external meetings related to quality, regulatory and compliance requirements as needed.
ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT: Additional duties may be assigned to support the overall quality efforts of the organization
QUALIFICATIONS AND ATTRIBUTES
: Knowledge of OPWDD Regulations
Knowledge of New York State Justice Center Regulations
CMS and Office of Medicaid Inspector General (OMIG) Rules, Regulations and Annual Work plans
Knowledge of NY State, Part 521 Compliance Regulations
Knowledge of HIPAA (the Health Insurance Portability and Accountability Act of 1996)
Knowledge of HITECH and Omnibus requirements
Use of standard office equipment such as computers, cell phone, phones, photocopiers and fax machine.
Moderate to advanced use of Microsoft Word, Excel, PowerPoint, Microsoft Teams, WebEx and/ or Zoom remote meeting host and participant tools
Ability to collect, analyze and report data
Ability to write semi-annual and annual reports including charts and graphs
EDUCATION AND EXPERIENCE
: Master’s Degree of Professional/Business Studies, or
LCSW or LMSW, or
Bachelor’s degree and at least 5 years of Quality management experience
At least 2 years of Lean or Lean Six Sigma experience, preferred
PHYSICAL CHARACTERISTICS
: May be subjected to long-periods of sitting or standing
May have to lift up to 10 lbs on occasion
Able to work in open space floor plan
Work alongside co-worker
EEO Employer
#J-18808-Ljbffr
: This position supervises the daily QA/QC, Quality Improvement, Regulatory, Safety and Compliance activities that support all corporate operations including reviews, investigations, audits, surveys, process improvement activities, training and risk management for the Access Network, inclusive of Access: Supports for Living, NY Families for Autistic Children, Meaningful NY, and The Guidance Center of Westchester. Ensures compliance with all local, state and federal rules and regulations including but not limited to those mandated by OPWDD and NY State Justice Center. PRIMARY FUNCTIONS
: Quality Management Leads the development, implementation and evaluation of the monthly audit program plan, including monthly QA and UR work plan audits, ensuring quality QA audits are scheduled and completed
Developing and managing tracking tools on QA functions, audits, regulations
Work collaboratively with staff and leaders to develop, implement and track quality work plans and plans of correction on all internal and external audits
Lead QA/program annual meetings and protocol review.
Leads and provides oversight on the development of Quality Assurance department activities of Internal QA regulatory review audits, QA Monthly Reports, Billing Grids, Documentation Curriculum, Program Personnel, Regulation Tracking, Annual Program Review Meetings, Forms Protocol and Tracking, Electronic Health Care Records
Lead the annual review of all program and QA protocols
Assist in developing and implementing strategic communications across departments related to rule changes, audit findings, and regulatory requests by stakeholders
Assist the Vice President Risk Management Quality and Compliance in ensuring quality related deliverables are achieved across all business segments by assessing gaps, monitoring performance, and working with key leaders to implement solutions.
Lead in ensuring quality related deliverables are achieved across all IDD services for QA audits
Incident Management Co-Chair the Incident Review Committee meeting ensuring IDD incidents are reported, tracked, investigated, presented to committee, preparation of meeting agendas and review and approve minutes
Oversight/development of Quality Assurance department activities of Incident Reporting Processes, Investigations, Incident Management OPWDD (IRMA) , Monthly Incident Reports to leaders, and Maintain Incident electronic files
Establish and maintain effective communication and relationships with legal representatives regarding incidents
Facilitate the Incident Management as to collect, organize, analyze, prepare and manage quality committee dashboards, agendas, meeting minutes and reports for committees and the Board of Directors.
Initiate, provide support and monitor strategic projects managed by Quality Specialists and ancillary staff
Corporate Compliance Leads with direct oversight to the ASFL Network wide corporate compliance program.
Leads the development, updating and executing all elements of the Corporate Compliance Policies, Protocols and Annual Work Plan
Co-Chairs the Compliance Committee, conducting compliance investigations, publishing regulatory guidance updates, identifying compliance risk areas, conducting Rapid Improvement Events (RIEs)
Ensure Corporate Compliance trainings are inclusive of all current regulations and guidances for
new employees, board members and the annual compliance training
Prepare the annual and semi-annual Corporate Compliance report for committee, Leadership and Board of Directors.
Accreditation Assist in organizing and managing external reviews across the organization. This includes leading accreditation surveys (CQL, or others as applicable), monitoring reports, managing mock surveys, and conducting drills, completing audits, reviews and investigations.
Train and support QA staff for all quality related tasks including Proactive Risk Assessments, A-3 Thinking, Project Management, Gap Analysis, Investigations, Data Analysis, Conducting Experiments, Utilization Reviews, and QA Audits.
Attend and participate in internal and external meetings related to quality, regulatory and compliance requirements, as needed.
Leadership and Management Train, supervise and evaluate performance of assigned staff
Provide staff with the training, mentoring and resources necessary to carry out their work
Ensure adherence to department and organizational standards, policies and procedures
Ensure performance goals, expectations and standards are clearly understood by supervised staff
Evaluate employees’ performance on an ongoing basis and take appropriate corrective action if needed
Perform talent management functions in collaboration with Human Resources
Supports Quality Assurance Departments in: Safety and Security : Supports organizational safety and security measures for ASFL Network Safety Committee meetings, Site Safety Coordinators, monthly walk through inspection fire drills, internal and external inspections are completed and logged, After Action Review (AAR) are trained, implemented, documented and tracked. Support the implementation of all Health and Safety related standards of CARF are implemented at organizations
Risk Management : Supports the development and maintenance of the annual Risk Management Plan & Matrix. Collaborates with value streams, prepares consolidated reports, conducts SWOT analyses and risk assessments across the system. Assesses and ensures risk mitigation strategies are effectively implemented across the Safety Committee, Value Streams, QA/Compliance, Finance, Central Administration and throughout all system policies, protocols, and plans. As part of the Risk Management Team also has the following responsibilities:
Privacy and Security:
Support the collaboration of the Privacy Security Team, Quality Assurance and Information Technology teams, assists in building a strategic and comprehensive privacy program. Participate and support the agency Privacy Security Team and HIPAA related tasks that defines, develops, maintains and implements policies and processes that enable consistent, effective privacy practices which minimize risk and ensures the confidentiality of protected health information (PHI), paper and/or electronic, across all media types.
Complaint & Grievance Management : Supports the complaint and grievance protocol and process. Collaborates with agency leadership on open reports, investigations, required pre and post letters and the closure of grievance reports.
Project/Process Improvement:
Identify opportunities to increase efficiency and standardize daily operations to increase revenue, reduce cost and improve the quality of support and services offered by Access: Supports for Living.
General:
As a leader in the Quality Assurance, Compliance and Risk Management Teams, participates in relevant huddles and meetings. May assist with leading or co-leading the Incident Review Committee, Compliance, Risk Management and/or Privacy Security meetings, including helping to chair sub-committees or complete special projects as needed. Attend and participate in internal and external meetings related to quality, regulatory and compliance requirements as needed.
ADDITIONAL FUNCTIONAL / ORGANIZATIONAL SUPPORT: Additional duties may be assigned to support the overall quality efforts of the organization
QUALIFICATIONS AND ATTRIBUTES
: Knowledge of OPWDD Regulations
Knowledge of New York State Justice Center Regulations
CMS and Office of Medicaid Inspector General (OMIG) Rules, Regulations and Annual Work plans
Knowledge of NY State, Part 521 Compliance Regulations
Knowledge of HIPAA (the Health Insurance Portability and Accountability Act of 1996)
Knowledge of HITECH and Omnibus requirements
Use of standard office equipment such as computers, cell phone, phones, photocopiers and fax machine.
Moderate to advanced use of Microsoft Word, Excel, PowerPoint, Microsoft Teams, WebEx and/ or Zoom remote meeting host and participant tools
Ability to collect, analyze and report data
Ability to write semi-annual and annual reports including charts and graphs
EDUCATION AND EXPERIENCE
: Master’s Degree of Professional/Business Studies, or
LCSW or LMSW, or
Bachelor’s degree and at least 5 years of Quality management experience
At least 2 years of Lean or Lean Six Sigma experience, preferred
PHYSICAL CHARACTERISTICS
: May be subjected to long-periods of sitting or standing
May have to lift up to 10 lbs on occasion
Able to work in open space floor plan
Work alongside co-worker
EEO Employer
#J-18808-Ljbffr