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- Routinely monitors program compliance; to include: review of program files of the individuals we serve: medical, financial, service planning, environmental inspection, compliance of clinical policy and procedure manual, individual financial files.
- Conducts a comprehensive audit summary for all audits completed, to include, the identification of areas of improvement and training needs.
- Provides support during the development of corrective action plans and follow up on action plan implementation.
- Leads and conducts internal investigations involving alleged abuse, neglect, exploitation, and/or other compliance-related issues; reviews relevant documents and interviews witnesses, prepares written summaries, analyses of facts and investigation reports; ensures accuracy and consistency of compliance investigations.
- Prepares recommendations for program and/or systemic improvements and assesses change, compliance and improvement results.
- Oversees and provides support for internal Quality Improvement reviews by program managers.
- Maintains ICF manual for agency and ensures regulatory standards are accurately reflected in the manual.
- Prepares quarterly reports outlining QIC activity in prior three months. Focal points to include a detailed analysis of: state and federal licensure activity, citations received (if any), Quality Improvement reviews, clinical policy/procedure and forms updates, and abuse/neglect allegation investigations and outcomes.
- Supports operations with monitoring process/system improvement activities to improve service delivery.
- Participates in regulatory inspections and works as part of a team in developing compliance reports and ongoing monitoring.
- Maintains up-to-date knowledge of applicable regulations (including Virginia mental health and IDD) and accreditation standards.
- Bachelor's degree in healthcare administration, business administration, social science, or related field.
- Will consider a combination of degree and progressive program supervision and/or auditing experience to total 8 years in the field of intellectual disabilities.
- Must be familiar with CMS, Virginia DBHDS, DSS, and/or CARF.
- Ability to comprehend and interpret complex regulations.
- Commitment to maintaining confidentiality and protecting sensitive information.
- Ability to research, formulate logical conclusions and/or alternatives, make recommendations, implement solutions, superb analytical and comprehension skills.
- Ability to work quickly and accurately under minimum supervision with close attention to detail.
- Ability to make independent decisions and sound judgements.
- Ability to respond with flexibility and efficiency to frequent changes in task focus, competing priorities, and multiple deadlines.
- Computer skills including MS Office (Work, Excel, PowerPoint); experience with contract management software strong preferred.
- Reliable transportation and the ability to travel to program sites throughout Northern Virginia and Richmond.
- Valid driver's license and a good driving record.
- Ability to walk and stand intermittently.
- Hybrid environment-, main office and at each physical program (Northern Virginia AND Richmond) with 2 designated remote days.
- Under the direct supervision of the Director of Quality Improvement and Compliance.
- None.
Quality Improvement - Chantilly, United States - CRI
Description
CRi is a well-known non-profit organization located throughout Northern VA,Richmond VA , and Maryland that is dedicated to providing quality services to enable individuals with a wide range of disabilities to live as independently as possible.
We are hiring a Quality Improvement and Compliance Coordinator. The QIC Coordinator is responsible for monitoring program compliance within CRi in accordance with federal and state behavioral health provider regulations and standards, conducting investigations into violations of Human Rights, and performs audits for all service programs to enhance organizational oversight.
Principal Duties and Responsibilities:
Essential Functions:
Minimum Qualifications Required: