Director of Quality Improvement

Position Title: Director of Quality Improvement

Status: Full-time, exempt

Date Approved: May 09, 2013

Date Revised: March 27, 2015

Position Summary:

Position is responsible for the oversight of all quality improvement tasks, including development, monitoring and implementation of a quality improvement program. Position is also responsible for the day-to-day management and oversight of all program directors for the purpose of ensuring compliance with state and federal standards and the smooth operation of the agency. Position requires supervisory skills, excellent attention to detail, a commitment to client service, and a team mentality.

Reports To: Executive Director

Experience and Qualifications:

• At least 18 years of age
• Bachelor's Degree in a Human Services or related field, such as psychology, social work, or special education and
• 2 years experience working in quality improvement or related work with persons with developmental disabilities.
• Clean criminal history and OIG record
• No Registry findings
• CPR certification
• Free from communicable diseases

Competency/Skill Requirements:

• Strong written and verbal communication skills
• Excellent interpersonal skills
• Thorough knowledge of applicable state and federal rules, regulations and standards
• Ability to investigate, analyze, and report information in an objective manner
• Ability to accomplish tasks with minimum supervision in a timely manner
• Strong observation, organization and problem solving skills
• Supervisory skills
• Basic knowledge of word processing and Word software

Working Environment: Office and field.

Position Physical Requirements:

Position requires the ability to walk, sit, stand; lift, push and pull up to 50 pounds unassisted and 350 pounds with assistance; squat, bend, reach and stretch.

Supervisory Responsibilities: Yes.

Key Responsibilities and Duties:

Ensure compliance with all applicable state and federal regulations and CARF standards.

Oversee and manage all aspects of the company's Quality Improvement Program

Ensure that all quality improvement tasks, including in-home and paper audits, trend analysis and reports, and annual surveys are accomplished in a thorough and timely manner.

Review and update all company policies and procedures pursuant to changes in state and CARF standards and/or requirements.

Investigate any complaints or allegations made by a client, client's family member or guardian, direct care staff or other individual or entity regarding the provision of services or inappropriate behavior by a direct care staff member.

Propose corrective actions for any identified issues or deficiencies pertaining to the provision of services, policies and procedures, or a direct care staff member.

Provide an independent, internal audit function for compliance as to state, federal regulations, CARF and company standards.

Provide a quarterly (more often if issues arise) report to the Executive Director and President regarding any outstanding compliance issues, trends, incidents, and medication errors.

Plan, develop and coordinate the presentation of specific training and educational programs as appropriate to address identified quality assurance needs.

Report on and follow up with any allegation of abuse or neglect to the state.

Ensure that all sites are ready for surveys and compliant with state, federal regulations and CARF standards.

Act as a liaison between the company, clients, state and federal agencies, other service providers, and client family members and guardians.

Oversee high risk plan committee

Coordinate Human Rights Committee and maintain records in accordance with DDRS policies.

Serve as agency Compliance Officer

Perform periodic audits to ensure compliance and take appropriate action if required

Serve as agency HIPAA Officer

Address HIPAA violations in accordance with Federal requirements and Company policy

Conduct semi-annual satisfaction surveys for all individuals served and stakeholders. Compile data received, develop and implement action plan with responsible party, set time lines and follow up, if required

Assess appropriateness and effectiveness of each service provided to individuals

Submit incident report as required

Oversee submission of BDDS reports and other required paperwork to the regulating authorities.

Provide oversight to individuals living at home with Family members

On-call duties, and any other tasks necessary to ensure the smooth and efficient functioning of the agency's day-to-day operations.

Directly supervise the Team Leads/Residential Coordinators

Oversee monthly training for RSI.

Will provide Quality Improvement services to Etelcare supported living services via contract, to Etelcare.

Perform other duties as instructed.