Director of QA & QI Position Available In Cattaraugus, New York

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Company:
Recovery Options Made Easy
Salary:
JobFull-timeOnsite

Job Description

Director of

QA & QI 2.0 2.0

out of 5 stars 75 Jamestown Street, Gowanda, NY 14070 JOB SUMMARY The Director of QA & QI is responsible for managing the Quality Assurance/Quality Improvement processes for the agency. The director will oversee, Medicaid billable claims and will also oversee an organization-wide Quality Assurance and Improvement system that systematically collects, aggregates, analyzes, and maintains data to improve performance toward advancing efficient, effective service delivery, effective management practices, and the achievement of strategic and program goals. Largely remote after initial training. Occasional in person presence at outside offices for audit purposes.

ESSENTIAL FUNCTIONS

Responsible for implementing and coordinating the organization’s QAI system including but not limited to: Identifies indicators of quality practice. Implements internal and external evaluation methods, such as benchmarking, as appropriate to the programs being evaluated. Ensures proper data entry and data integrity; and Collects, analyzes, and interprets data from a range of sources Collects, disseminates, and tracks the completion and accuracy of all QAI forms and processes Conducts regular QAI surveys Prepares and conducts Agency QAI training as needed Prepares QAI reports to be disseminated as needed by Administration. Monitors, reviews, and updates participant EHR information per medical guidelines Ensures program statistics are kept up to date and accurate to assist in periodic reporting as required. Documentation, chart reviews. Performs random auditing on programs across the agency Supervises appropriate departmental personnel as needed Ensures compliance and confidentiality in all interactions and exchange of information pertaining to applicants, participants, and any external sources Travels as required to fulfill job responsibilities

ADDITIONAL RESPONSIBILITIES

Performs other duties as assigned.

COMPLEXITY OF WORK AND DECISION MAKING

Works in accordance with policies and regulations which may require judgment, initiative, creativity and the ability to deal with complex factors and making of decisions based on conclusions for which there may be little precedent.

AUTONOMY AND ACCOUNTABILITY

Works from general objectives (such as governmental and agency compliance standards) and broad and varying policies, procedures, rules or precedents with significant functional guidance. May refer specific cases to Director for clarification or interpretation. Review by manager focuses on achievement of the objective and not necessarily on the means, except when required to ensure compliance with regulations.

TECHNOLOGY, EQUIPMENT OR TOOLS

Intermediate to Advanced skills in Microsoft Office including Excel, Word, Publisher and Outlook. Evidence of skills demonstrated by the ability to perform all of the basic functions within each program; including but not limited to maintaining a calendar, sending e-mail, creating letters as well as the ability to create and edit workbooks; including but not limited to creation of formulas, tables and graphs. Must also be proficient in utilizing various computer systems for Data Entry. General office equipment is used including fax/copy/scanning machine, tablet, and phone system.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work follows established practices and operating procedures with some latitude for independent judgment. Maintains strict visual contact with work up to 100% of the time. May occasionally lift to (35) thirty-five pounds, without mechanical assistance. Work involves sitting, standing, driving, climbing stairs and ambulating from task to task. The noise level in the work environment is usually light.

EDUCATION & EXPERIENCE

A Bachelor’s Degree or Associates Degree in Human Services or related field (3) three years of supervisory experience Must have a valid Class D Driver License, reliable transportation and automobile insurance Active participation in mental health self help activities, peer support or peer advocacy programs or recipient run organizations or similar experiences or programs preferred. CQI Certification preferred.

SUPERVISION

Manages employees and is responsible for the overall direction, coordination and evaluation of these employees. Carries out supervisory responsibilities in accordance with the organization’s policies. Responsibilities include assisting with interviewing, hiring and training employees, planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

KNOWLEDGE, SKILLS & ABILITIES

Knowledge of the organization and operations of administrative programs Ability to develop long-term plans and programs and evaluate work accomplishments Ability to plan and prioritize to achieve a defined objective. Effective at managing and measuring work Ability to work independently devising new methods, adapting or changing standard procedures to meet new conditions, and making decisions guided by precedent within the limits of established policies Ability to apply and adapt practices and techniques to the special requirements of the program and senior management Ability to establish and maintain effective relationships with other management staff, employees, and the general public Ability to present facts and recommendations effectively in verbal and written format Strong analytic and problem-solving skills Excellent organization and administrative skills Able to work with multiple counties and be flexible in dealing with different county expectations, regulations, and requirements Proficient in Microsoft Office Suite Proficient in Electronic Medical Record or Other Data Collection and Reporting Software The Americans with Disabilities Act of 1990 (ADA) prohibits discrimination by employers, in compensation and employment opportunities, against qualified individuals with disabilities who, with our without reasonable accommodation, can perform the “essential functions” of a job. A function may be essential for any of several reasons, including: the job exists to perform that function, the employee holding the job was hired for his/her expertise in performing the function, or only a limited number of employees are available to perform that function. Recovery Options Made Easy, is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristic. Recovery Options Made Easy, will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact Colleen Hutchinson at Recovery Options Made Easy. Monday thru Friday 8 a.m. to 4 p.m. No Holidays or Weekends

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