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Quality Improvement Specialist
1 week ago
Job Title: Quality Improvement Specialist - PCMH (QI Specialist)
Location: New York, NY
Posted: 6/14/2023
Job ID#: 94
Job Category: Management
Position Type: Employee
JOB SCOPE: Responsible for performing and monitoring activities related to internal Utilization Reviews, including conducting case record reviews, drafting and distributing associated reports, and monitoring corrections when applicable. Additional specific responsibilities include involvement in program audit preparation, staff trainings, incident report submission, conducting special investigations, as well as incident monitoring and trending, and participation in the execution and monitoring of quality improvement activities across all agency programs.
ESSENTIAL FUNCTIONS:
- Conducts internal Utilization Reviews and submits reports to all involved parties.
- Provides feedback to Director of Quality Improvement regarding Utilization Reviews and Quality findings.
- Conducts routine audit preparation visits across all licensed programs. Provides direction to staff with regard to compliance with audit requirements.
- Assists in the management of continuous quality improvement projects.
- Assists in the submission of required reports on incidents to all regulatory agencies.
- Conducts Special Investigation into allegations of staff abuse and neglect, or otherwise directed by Executive Management and Director of Quality Improvement.
- Assists with in-service educational program for direct service staff with regard to regulatory requirements and use of electronic health record.
- Identifies areas of focus for performance improvement activities and provides leadership to program to implement data-driven changes.
- Performs other duties as may be assigned by the Director of Quality Improvement.
Salary: $55,000-60,000 (commensurate with experience)
Schedule Shift: Monday-Friday 9AM to 5PM
Minimum Education/Requirements: Master's Degree and license required. Must be a Licensed mental health practitioner and/or social worker (LMSW, LCSW, LMHC, LMFT, LCAT) to ensure full compliance with regulatory requirements for PCMH's Clinical, Residential, and Community Care Programs (including Article 31 Outpatient Clinics, Article 32 OASAS Clinics, PROS, ACT Teams, Health Homes/ Care Coordination, Licensed Housing, Permanent Housing, and Scatter Site Housing) reporting to the Director of Quality Improvement. Knowledge and experience with NYS regulations desirable.
Other Requirements:
1. Undergo background clearances prior to employment including fingerprinting with New York State Division of Criminal Justice Services, State Central Registry (SCR) clearance, the Staff Exclusion List (SEL), and K-checks Exclusion Management.
2. Ability to maintain clearances throughout the duration of employment.