Conducts regular monitoring and auditing to ensure the residential program’s compliance with federal, state and local regulations for areas including but not limited to physical site, health and safety, financial, staff qualifications, provider monitoring and training. Reviews all documentation to assess the quality of care, adherence to company’s mission and philosophy, and utilization of best practices. Acts as point person within the statewide Incident Management system for incident management for identified caseload and ensures all investigations are completed per the standards established by internal and external guidelines. Acts as a certified investigator and completes investigations within regulatory guidelines and timeframes.
ESSENTIAL FUNCTIONS:
Mission and Philosophy
Models and promotes both internally and externally the mission, philosophy, and values of InVision Customized Services.
Integrates departmental operating plans with the overall organizational objectives and goals, policies and procedures, values, and commitments.
Demonstrates commitment to service excellence and quality improvement.
Licensing and Contractual Compliance
Implements systems of audits and/or site inspections to ensure compliance with all applicable regulations, monitoring standards, and relevant statutes.
Reviews medical documentation to ensure the medical needs of those supported is managed in a manner consistent with internal policy as well as county, state, and federal regulations and promotes the highest quality of care possible.
Maintains the permanent chart of each person supported on their caseload to include EHR to ensure compliance with all applicable regulations and monitoring standard.
Inspects residential sites to ensure the health and safety of the persons supported and staff as well as compliance with all regulations, monitoring standards.
Conducts Licensing Instrument Inspections as scheduled and in accordance with regulation established timeframes.
Manages incidents within the statewide incident management system from the initial report through the closure of the incident; to include conducting investigations when assigned, external reporting as needed, documentation of the completion of necessary follow up and coordinate corrective actions with the program specialist.
Completes necessary additional audits and tasks for and in response to licensure surveys/inspections; prepares related reports and if necessary, plans of correction in consultation with compliance manager.
Administrative
Reviews and analyzes program documentation to assess the quality of care, adherence to company’s mission and philosophy, and utilization of best practices. Outcomes and trends will be reviewed with the compliance managers.
Completes peer reviews per incident management guidelines; thereby ensuring the quality, integrity, and adherence to best practices throughout the investigatory process is upheld.
Ensures investigations conducted by the organization are completed utilizing methods outlined in the certified investigators manual written by Labor Relations Alternatives and sanctioned by the state of Pennsylvania by reviewing and providing feedback on investigation reports and acting as a member of the investigatory team.
Financial Management
Manages the inventories of both the belongings of the persons supported and company property for assigned caseload to ensure accuracy and prevent loss.
Oversees the documentation of the personal funds of the people supported within their assigned caseload to ensure proper financial management and compliance with all applicable laws and regulations.
Perform other duties as assigned by the compliance manager.
Behavior Requirements:
The following constitute the behavior expectations the company has for each employee:
Treats everybody with dignity and respect
Is honest and trustworthy
Respects authority and the chain of communication
Exhibits a willingness and desire to learn about the company and its philosophies
Exhibits empathy
Respects others opinions, beliefs and position on a matter, even if it contradicts his/her own
Understands the importance of, and practices respectful disagreement
Follows fundamental business etiquette and protocols
Complies with all policies and regulations
Projects a positive attitude and image of the company internally and externally
SUPERVISORY RESPONSIBILITIES
This position has no direct or indirect reports.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required, as well as any physical requirements. Reasonable accommodation may be made to enable a qualified individual with a disability to perform the essential functions.
EDUCATION and/or EXPERIENCE
Bachelor’s Degree and two years’ experience working in residential programs governed by regulations within the Department of Human Services; Associates Degree and four years’ experience working in residential programs governed by regulations within the Department of Human Services; High School diploma and 6 years’ experience working in residential programs governed by regulations within the Department of Human Services. Working knowledge of the Chapter 6400 regulations preferred.
Other Requirements:
Moderate local travel.
Staff hired will be at least twenty-one years of age and will have received Acts 33 and Criminal clearances. All staff will be routinely screened for exclusion from participation in Federal Health Care Programs.
Valid driver’s license and current vehicle insurance and access to a vehicle.
Maintain training compliance as defined in all pertinent regulations.
Ability to comprehend access and utilize electronic medium and various computer programs.
Ability to effectively present information, write reports and respond to questions from clients, families and staff.
Ability to comprehend and apply basic mathematical concepts.
LANGUAGE SKILLS
Must have ability to read and write. Must be articulate in speech and presentation with the ability to be succinct when necessary. Ability to generate well written reports, business correspondence and procedure manuals. Display exceptional interpersonal communication and leadership presence. Ability to respond professionally to common inquiries or complaints from individuals we serve, families, regulatory agencies and the community as well as to knowledgably and effectively communicate and interact with managers, administrative entities and public groups.
REASONING ABILITY
Logical thinking and analytical skills required. Must be highly organized. Ability to solve or manage practical and complex problems while dealing with a variety of variables in situations where limited standardization may exist.
PHYSICAL DEMANDS
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequency is required to stand and walk. The employee is also required to sit, use hands to finger, handle, or feel; reach with hands and arms, climb or balance, stoop, kneel, crouch or crawl; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.