Prepare and meet with the Department of Health and the Bureau of Human Services Licensing and the Office of Developmental Programs as needed.
Develop and oversee the implementation of quality performance systems including but not limited to announced or unannounced chart reviews, on-site observations, and incident reviews.
Tracks plans of correction and follow-up with compliance.
Attend and participate in Quality team meetings and Safety meetings as appropriate.
Provides oversight of the Incident Management Process.
Manages EIM system and related timelines.
Act as point person by coordinating the assignment of investigations and ensure the completion of all required documents and meetings.
Conducts certified investigations as needed.
Attend regular departmental meetings, including management meetings as needed.
Demonstrates working knowledge of ICF/ID, 6400, 6500, 2380, and 2390 and 6100 regulations.
Develop trend analysis for teams upon request.
Conducts quarterly certified investigator peer reviews as scheduled.
Participate in chart and site audits, incident and fire drill audits and site audits as needed.
Conduct audits, on-site observations and incident reviews as directed.
Conduct fact findings and special investigations as directed.
Regularly encourages feedback from staff and utilizes this feedback to improve services.
Demonstrates an ability to independently solve problems in a creative manner.
Other duties as assigned. Requirements
Bachelor's Degree required.
5yrs experience with knowledge of regulatory requirements and the Incident Management Bulletin
Must be a Certified Investigator.
Must have a valid Driver's License.

St. Edmond's is an equal opportunity employer and considers all applicants without regard to race, color, ethnicity, religion, national origin, age, disability or handicap, genetic information, veteran status, or any other characteristics protected by applicable law. 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Quality Management Coordinator