Director of QA & QI Position Available In Monroe, New York
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Job Description
Director of QA & QI Recovery Options Made Easy – 2.0 Rochester, NY Job Details Full-time $50,000 – $60,000 a year 12 hours ago Qualifications Management RN License 5 years Microsoft Office Administrative experience Supervising experience Bachelor’s degree Class D Mental health counseling Organizational skills Human Services CASAC Data collection Senior level Associate’s degree Full Job Description
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 10. Supervises appropriate departmental personnel as needed 11. Ensures compliance and confidentiality in all interactions and exchange of information pertaining to applicants, participants, and any external sources 12. Travels as required to fulfill job responsibilities
EDUCATION & EXPERIENCE
A Bachelor’s Degree or Associates Degree in Human Services or related field and RN or CASAC licensure accompanied by experience providing mental health services and (5) five 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
General knowledge of recipient benefits, governmental process, consumer rights, case-management, and operations of the agency Knowledge of Medicaid billable programming and required documentation for Medicaid billing 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