Compliance & Quality Improvement Manager

1 month ago

New York, United States YAI Full time

Compliance and Quality Improvement Manager - Education Services


Under the direction of the Assistant Director of Compliance and Quality Improvement, the Compliance and Quality Improvement Manager (CQIM) – Education Services provides support and reviews all school systems related to regulatory requirements, service documentation, individual rights protections, person-centered planning, health and safety, and incident management to ensure the highest quality of service delivery and consistency across the YAI Network’s affiliate schools. Completes regular internal reviews and observations, reviews incidents, participates in various committees. and supports programs through external reviews, such as those conducted by the NYC Department of Health.



Key/Essential Functions & Responsibilities

  • Completes formal internal reviews and specialized risk assessments for the YAI Network’s affiliate school programs at least annually and provides feedback on the findings.
  • Maintains up to date knowledge of all applicable laws and regulations governing the YAI Network’s affiliate schools, including but not limited to, the New York State Education Department (NYSED) or New York City Department of Education (NYC DOE) and provides training as needed.
  • Provides on-site support during external audits and surveys.
  • Supports school leadership with identifying and mitigating quality and compliance risks.
  • Participates in planning meetings related to the development of new sites and programs to provide feedback from a person-centered, quality perspective and to ensure consideration of applicable regulations.
  • Acts as a liaison between school leadership and oversight entity/external agency staff, as needed.
  • Assists program leadership with developing a Plan of Corrective Action in response to any external audit findings received and completes appropriate follow-up visits to ensure implementation.
  • Uses education and internal auditing to ensure that schools deliver individualized services and protect the rights of people supported while protecting their health and safety and adhering to all applicable regulations and documentation requirements.
  • Provides guidance and support related to reportable incidents and occurrences as well as compliance and HIPAA concerns.
  • Provides guidance on and monitors compliance with NYSED incident reporting requirements for substantiated allegations of abuse and neglect.
  • Serves as the primary investigator for all incidents and other sensitive situations in the school, collecting information from multiple sources and ensuring investigations are completed thoroughly and timely, in accordance with applicable regulations and internal standards.
  • Writes and submits complete investigative reports to be reviewed by the school’s Incident Review Committee.
  • Maintains a tracking system for incidents and performs data analysis relating to investigations and trends in incident classifications and substantiated/ founded incidents.
  • Participates in various agency wide committees, such as Incident Review, Human Rights, Informed Consent, and Policy Committees; may act as chairperson for committees, as requested or appropriate.
  • Performs all other duties as assigned.


Minimum Qualification Requirements including education, experience, licensure/certification, etc. and essential physical capabilities (e.g. lifting, assisting lifting, standing, etc.)

  • Bachelor’s degree in human services, business, compliance, or a related field and three (3) years of experience in providing services, oversight, and support, preferably in education, healthcare, social services and/or with the I/DD population; or
  • Satisfactory equivalent combination of education, training and/or experience.
  • Excellent written and verbal communication and interpersonal skills.
  • Strong commitment and passion for the organization’s mission.
  • Unquestionable ethics and integrity, high emotional intelligence and well-developed independent thinking and analytical skills, with commitment to objectivity.
  • Ability to maintain confidentiality and security of sensitive information and files.
  • Ability to work well independently and in a team environment, and to manage one’s time effectively.
  • Ability to travel regularly to assigned locations.
  • Working knowledge of Microsoft Office Suite and ability to quickly learn new software and/or electronic systems.
  • Strong attention to detail and organizational skills, with ability to work well under pressure and prioritize to meet tight deadlines.

​

Preferred Qualification Requirements (desired requirements beyond MQRs above)

  • Master’s degree in any field indicated above
  • Experience completing audits and/or reviews of internal systems to ensure compliance with policies, procedures and regulations
  • Previous experience conducting investigations in education or social service settings
  • Knowledge of NYSED and NYC DOE rules and regulations Certification in Healthcare Compliance (CHC) or related training/certification
  • Successful completion of investigator training and/or related certification


Compensation: $70,000 annually

Monday-Friday schedule


All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a Vietnam or disabled veteran. YAI is an Equal Opportunity Employer.

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