Quality Assurance Specialist- Incident Mgmt

Summary:

Provides oversight and support to the Care Management team with the reporting and follow-up for events/situations not under the auspices of a certified setting. Completes quality incident investigations for all incidents and notable occurrences within the agency. Ensures that appropriate recommendations are made to safeguard individuals and provide the highest quality of services. Provides education and training to all staff in the areas of abuse prevention, incident reporting, positive approaches and other classes as identified. Ensures compliance with all applicable standards.

Essential Job Functions

• Maintains current and thorough knowledge of incident reporting regulations (14NYCRR Part 624 and Part 625) as well as NYS Justice Center/OPWDD directives and guidance regarding reporting, investigation and monitoring of incidents.
• Assists Care Management staff with filing OPWDD 150s for events/situations that do not occur under the auspices of a program certified by OPWDD.
• Completes thorough and quality investigations per OPWDD 624/625 regulations and agency guidelines and timeframes.
• Evaluates corrective actions and immediate protections documented on the OPWDD 147 or OPWDD 150 to determine that all actions satisfy the safety needs of the person supported.
• Reviews incident follow-up for assigned OPWDD 150s/investigations ensuring all documentation and corrective actions are completed by required due date.
• Enters information into the Incident Reporting and Management Application (IRMA) per the timeframes outlined in the OPWDD 624/625 regulations.
• Uploads assigned incident investigations into IRMA.
• Tracks and maintains data to be used for reporting, trending, and quality improvement initiatives.
• Meets with supervisor as scheduled to review status of open incidents, incident investigations, follow-up, and performance.
• Informs supervisor of any significant concerns as they arise.
• Provides training to employees in the areas of abuse prevention, incident reporting, and reporting of Notable/Internal Events, as assigned.
• Ensures compliance with all federal/state laws and regulations, including affirmative action plan compliance.
• Performs other duties, relevant to the position, as requested by the supervisor.
• Advises direct supervisor of any obstacles to achieving responsibilities.

Knowledge, Skills, and Abilities

• Ability to work in a collaborative environment, work independently, and motivate others.
• Ability to communicate effectively, both orally and in writing.
• Knowledge of OPWDD and/or DOH regulations.
• Knowledge of investigative procedures, quality assurance regulations.
• Ability to act quickly, assess, and act appropriately in crisis situations
• Proficient with technology and understanding of health records

Education and Experience:

• Associates Degree, Bachelor’s Degree preferred.
• Knowledge of OPWDD Part 624 & 625 Regulations, preferred.
• Previous experience in Quality Assurance/Quality Improvement within OPWDD, OMH, DOH, OASAS, or OCFS preferred.
• Minimum 2 years of experience within a health care or human services setting.

All experience and education requirements, except when required by federal, state, or local laws or requirements, may be waived at the discretion of management with the approval of the Executive Director, in collaboration with Human Resources.

Physical Requirements/Working Conditions:

• Ability to sit continuously.
• Ability to reach above shoulder level.
• Ability to turn/twist upper body.
• Ability to use hands for repetitive action and fine manipulating for the purpose of keyboarding.
• Ability to lift 50 lbs. dead weight
• Must be able to travel throughout covered territories in Upstate NY as needed.

Reasonable accommodations may be made to the extent required under applicable law to enable individuals with disabilities to perform the essential functions of this position.

Corporate Qualifications/Expectations:

• Must be at least 18 years of age
• Must meet applicable Vehicle Operator Requirements. (NYS Driver’s License required)
• Adheres to all Prime Care Coordination and affiliates policies and procedures.
• Adheres to the Agency Mission, Vision, Shared Values, and Customer Service Standards.
• Attends mandatory education and training modules as scheduled; obtain and maintain required certifications.
• Maintains all required certifications/training by State regulations and PCC policy
• Acts as a professional representative of Prime Care Coordination. and affiliates in regards to appearance, behavior, temperament, communication, language, and dress.