QA Manager

• 4.3 100 South Main Avenue, Sidney, OH 45365 Full-time Apply with

Indeed Brief Description :

Assist the

PASSPORT

Site Director in the development, implementation, and evaluation of the

PASSPORT

Provider Quality Assurance Plan.

KEY RESPONSIBILITY AREA MAIN DUTIES

(Not all inclusive): Review QA plan annually at the beginning of each new fiscal year. Assess needs for plan revisions and make recommendations to the

PASSPORT

Stie Director and ODA. Recommend QA plan changes at any time that ODA revises guidelines that may impact the QA plan. Assure the completion of provider reviews and client home visits as specified in the Site QA plan. Identify the need for provider technical assistance, review provider incident reports, follow up with clinical staff and providers, make visits as needed through monitoring and problem identification activities. Provide technical assistance for providers to assure the development of adequate plans for correction of problems. Monitor compliance with plan of corrections and provide ongoing assistance as needed. Provide ongoing assistance for all providers in understanding and meeting standards which reflect Site and ODA expectations. Interact with clinical staff, consumers, and network providers by following up on incident reports. Interact with Site Director and ODA regarding need for provider reviews (including but not limited to incident reports, disciplinary actions, rules changes, unit verification) policy, and reporting. Completion of contracting for ODA, assist individuals with completing self-directed provider applications including financials, ongoing quality assurance of self-directed and additional duties as required or requested by the director. Assure that appropriate documentation of all QA activities occurs on an ongoing basis using prescribed ODA monitoring tools where available. Develop forms and tools for use in data collection and reporting when not available through ODA. Assure all reports are completed and submitted as stated in Site QA plan or as required by ODA. Assure that all data and reports are maintained in a safe and confidential manner. Assure data collection and QA review of Senior Programing; data is collected, and outcomes are reviewed, analysis provided, and training of staff/provider as needed. Interact with clinical staff and network within the community to identify service needs within the site's geographical area. Recruit providers on an ongoing basis through various means including letters, advertisement, public presentations, and word of mouth. Identify obstacles in recruitment of providers and develop plans to eliminate obstacles. Assist applicants through the application and certification process, schedule, and complete certification review. Interact with Site Director applicant/provider and ODA regarding rate negotiation and approval. Follow ODA defined procedures and timelines regarding procurement, certification, and contracting. Provide initial and ongoing orientation to key provider staff to assure an understanding of all aspects of the

PASSPORT

program. Assure the completion of all activities required to generate new Provider Agreements and for the renewal of all Provider Agreements as they expire. Planning, direction, and coordination exists to implement services, programs, and Accreditations (NCQA, CARF) Plan and implement PIMS Modernization. Qualified staff recruited, hired, oriented, supervised, monitored, reviewed, and provided sufficient continuing education and support services to meet program and funding responsibilities. Contribute to realization of agency mission and objectives, including meeting professional standards of practice including but not limited to acting as an ambassador for the agency. Develop training programs and present to staff as needed. Attend meeting with Site Director and clinical staff, as scheduled. Attend various other meetings as requested and perform other job-related duties as requested. Qualified QA coordinator recruited, hired, oriented, supervised, monitored, and provided sufficient continuing education and support services to meet job responsibilities and contribute to realization of agency mission and objectives. Orient and train new staff to the QA process and provide all staff with current information on the QA plan. Assure all staff have current provider information and updated provider database. Attend provider meetings and case conferences with clinical staff, at the request of clinical staff and/or Site Director. Interact with Site Director and Case Management supervisors regarding identified service utilization issues. Interact with clinical staff to identify and solve provider issues. Provide coverage for Clinical Manager, Director, Supervisors, and staff as needed.

Minimum Requirements:

Associate degree or equivalent in Nursing or a bachelor's degree in social work. One-year prior experience in home health care, medical social work, geriatric, or another substitute as approved in advance by ODA. LSW and/or RN license Successful completion of Community Care Choice modules and certification testing Knowledge of senior programs, Medicaid rules and regulations, assessments, geriatrics Knowledge of case management and crisis intervention Ability to work with a variety of people with different backgrounds, expectations and education level.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Tuition reimbursement Vision insurance

Work Location:

In person