1. Responsible for independent decisions regarding Quality Management activities in the absence of the Vice President of Quality
2. Responsible for direct supervision of the Quality Management Specialists and Medicaid Auditing Specialist.
3. Responsible for the oversight of the Quality Management Plan within DCS / LOD in accordance with all applicable federal and state
4. Provide oversight and direction of the Incident Management Process including compliance with the regulatory body’s expectations
for incident reporting including the reporting to the NYS Justice Center. Direct incident investigations and determine trends for
follow-up and training opportunities.
5. Provide oversight and direction of the Risk Management Process, including chairing the weekly risk management meetings at DCS
and LOD. Implement and monitor risk management activities.
6. Direct and facilitate consumer feedback for Quality Improvement purposes to include the Resident Satisfaction Survey, the Family
Satisfaction Survey and Provider Satisfaction Survey.
7. Oversee the management of complaints reaching the level of Quality Management.
- Oversee the ongoing auditing process within DCS and LOD in order to assure regulatory compliance and adherence to DePaul’s Corporate Compliance Program.
9. Oversee the development of Policy and Procedure related to the care of the individuals we serve as well as Quality Management
- Provide staff training as required relating to the care of the individuals we serve as well as Quality Management functions.
11. Coordinate record management and destruction at all DCS and LOD facilities in accordance with applicable federal and state laws.
12. All other duties as assigned.
OTHER JOB FUNCTIONS:
At the request of the Vice President(s), Senior Program Directors or Program Directors, provide case related clinical consultation including but not limited to: Case Review, Treatment Team Meetings, Risk Management Meetings, Crisis Intervention and Referral and intake recommendations as well as level of care recommendations.
ADDITIONAL QUALITIES / ABILITIES:
Must possess the ability to remain objective and provide honest feedback to the programs in a professional manner. Familiarity with the HIPPA privacy regulations as well as all applicable federal, state and local laws and regulations regarding confidentiality and privacy. Good verbal and written skills, organizational skills and attention to detail.
Normal working environment will include periods of sitting and computer use as well as the need to lift and bend to move charts and files. Will require travel as work will occur offsite at all DePaul Communities in DCS and LOD. No routine contact with blood-borne pathogens.
Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of 50 pounds without assistance.