Quality Management Coordinator

Primary Function

To ensure compliance with required ICF/ID, 6400, 6500, 2380 and 2390 and 6100 regulatory standards and oversee implementation of quality performance systems, measures, and standards for the Division. The Quality Management Coordinator will focus on the promotion of active treatment and monitor, review and analyze incidents (reportable and non-reportable), including investigations, in protecting the health, safety, rights, and dignity of the individual’s receiving services within the Developmental Programs Division.

To evaluate, monitor and track plans of correction, audit tools, observations, and reportable and non-reportable incidents as a means of assessing trends/patterns. Will provide support as needed for plans of correction submitted to licensing entities. Responsible for environmental checks and chart audits including electronic data records in the homes of their primary assignments. Will prepare reports for the Quality and Risk Management Executive Meeting and identify trends/patterns related to quality measures in an effort to minimize the likelihood of a reoccurrence.

Must demonstrate consistent knowledge and implementation of internal Incident Management and Risk Management Policies, active treatment, and regulatory compliance. To facilitate and ensure quality proactive systems, to evaluate trends, and to ensure compliance with plans of correction.

Job Responsibilities

· - Prepare and meet with the Department of Health and the Bureau of Human Services Licensing and the Office of Developmental Programs as needed.

· - Develop and oversee the implementation of quality performance systems including but not limited to announced or unannounced chart reviews, on-site observations, and incident reviews.

· - Tracks plans of correction and follow-up with compliance.

· - Attend and participate in Quality team meetings and Safety meetings as appropriate.

· - Provides oversight of the Incident Management Process.

· - Manages EIM system and related timelines.

· - Act as point person by coordinating the assignment of investigations and ensure the completion of all required documents and meetings.

· - Conducts certified investigations as needed.

· - Attend regular departmental meetings, including management meetings as needed.

· - Demonstrates working knowledge of ICF/ID, 6400, 6500, 2380, and 2390 and 6100 regulations.

· - Develop trend analysis for teams upon request.

· - Conducts quarterly certified investigator peer reviews as scheduled.

· - Participate in chart and site audits, incident and fire drill audits and site audits as needed.

· - Conduct audits, on-site observations and incident reviews as directed.

· - Conduct fact findings and special investigations as directed.

· - Regularly encourages feedback from staff and utilizes this feedback to improve services.

· - Demonstrates an ability to independently solve problems in a creative manner.

· - Other duties as assigned.

Requirements

· - Bachelor’s Degree required.

· - 5yrs experience with knowledge of regulatory requirements and the Incident Management Bulletin

· - Must be a Certified Investigator.

· - Must have a valid Driver's License.

St. Edmond's is an equal opportunity employer and considers all applicants without regard to race, color, ethnicity, religion, national origin, age, disability or handicap, genetic information, veteran status, or any other characteristics protected by applicable law.

M/F/D/V