Director of Quality Improvement - Rochester, United States - Catholic Charities Family Community Services

Description

**Director of Quality Improvement & Incident Management**

**Job Details**

**Level**

Management

**Job Location**

1099 Jay Street - Rochester, NY

**Position Type**

Full Time

**Education Level**

Bachelors Degree

**Salary Range**

$65, $72,000.00 Salary

**Travel Percentage**

Up to 10%

**Job Shift**

Day

**Job Category**

Administrative/Clerical

**Description**

**General Description**

Serve as agency lead for all incident reporting activities and conduct day to day operations for the Quality and Incident Management (Q/IM) Department. Assist the Regional Compliance Officer in the support, guidance, and coordination of activities of all Q/I M Staff.

**Essential Duties and Responsibilities**

+ Manage process and resources for incident investigations

+ Serve as primary contact to all regulatory oversight agencies for incident reporting, including but not limited to the NYS Justice Center, OPWDD DOH, OASAS, and OMH.

+ Serve as chair of the agency Incident Review Committee(s) and ensures all incidents are reported and processed in accordance with agency and regulatory policies and procedures, including entering and updating information on the applicable electronic record on a regular basis.

+ Review all formal investigations for incidents and allegations of abuse submitted by investigators prior to submission to the oversight agencies.

+ Conduct incident investigations as necessary

+ Responsible for reporting progress, findings, and recommendations of investigations to designated program staff, leadership team, and Incident Review Committee(s)

+ Provide accurate and written documentation of formal investigations to all designated state or federal oversight agencies as required.

+ Assist with hotline call investigations as directed by the Regional Compliance Officer

+ Analyze trend reports and collaborate with operational leaders to target improvements and develop gap closure plans

+ Serve as a resource and coordinate quality improvement activities within CCFCS

+ Assist with audits, as applicable, to ensure quality care is provided and to ensure all regulatory guidelines are in place and being followed.

+ With operational leaders, develop and submit plans of corrective action and monitor compliance with Corrective Action Plans

+ Serve as direct supervisor of Quality Improvement/Incident Management staff, providing support, guidance, and direction.

+ Collaborates with the Regional Compliance Officer in hiring, evaluating, and promoting staff development within the QC department.

+ Assist each Department Leader with external audits and monitoring corrective action; assist with implementation of applicable recommendations set by OPWDD, DOH, OASAS, OMH, OTDA, and any other state or federal regulating agencies

+ Oversee department policies as applicable, assuring all are accurate, current, and in compliance with state, federal or specific funding regulations.

+ Provide guidance as needed for agency safety and emergency response

+ Assist in coordination or delivery of all training related to federal and state regulations as well as other agency policies as applicable

+ Assist with development of training curriculums as related to documentation, incident reporting, and other topics as assigned.

+ Represent CCFCS on Centralized Catholic Charities OSHA/Safety Committee and communicates information directly to appropriate staff.

+ Participate in CCFCS agency-wide safety committee, sends out monthly safety tips/reminders and provides training as applicable.

+ Ensures on-call coverage

+ Attend mandatory training

+ Represent Catholic Charities Family and Community Services on appropriate boards and committees as assigned

+ Participate in relevant agency meetings and/or trainings

+ Actively pursues development of professional competencies related to job role through reading, supervision, in-service training and attendance at conferences and workshops.

+ Awareness and active support of the Agency's Mission, Vision, Values and Strategic Plan. Including, but not limited to, supporting the Agency's Core Competency initiatives of being Collaborative and Community Focused, Innovative and Entrepreneurial, and Culturally Competent and Diverse

+ Any other duties as assigned by supervisor

_Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory direction and perform other related duties as required._

**Qualifications**

**Education/Experience:** Bachelors degree in Health or Human Services and a minimum of (2) two years of experience working with persons with disabilities or significant health challenges

-OR-

Associates degree in Health or Human Services and a minimum of (4) four years of experience working with persons with disabilities or significant health challenges

-AND-

Experience with quality management/quality improvement activities and incident reporting processes. Formal training or certification for conducting investigations required prior to or within six months of hire, with updates as needed.

A combination of experience and education may be substituted at the discretion of the Executive Director.

**Physical Demands/Work Environment:** The physical demands/work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, hear, stand, walk, use hands to type and/or perform light lifting. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.

**Compliance:** Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed in accordance with CFCs corporate compliance & ethics program.

**Additional Requirements:**

+ Ability to prioritize assignments, plan, and complete work projects with minimal direction,

+ An ability to work efficiently and effectively and meet deadlines,

+ An ability to work under pressure,

+ Excellent verbal/written skills,

+ Ability to maintain confidentiality,

+ Ability to demonstrate behaviors and attitudes which support agency mission, philosophy, and policies.

+ Willingness and ability to foster agency and program wide cooperation and teamwork through use of positive/constructive communication techniques,

+ Possession of a valid NYS Drivers license and use of a registered and reliable vehicle.