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Astoria

    Quality Assurance Specialist - Astoria, United States - Goodwill Industries Of Greater New York

    Goodwill Industries Of Greater New York
    Goodwill Industries Of Greater New York Astoria, United States

    1 week ago

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    Description

    Job Description

    Job Description

    Goodwill Industries of Greater New York and Northern New Jersey, Inc.

    Job Description Form

    Position Title: SEMP Quality Assurance Specialist Location: Astoria, NY

    Reports to: Quality Assurance Supervisor Cost Center: Various

    General Purpose:

    This position entails in depth knowledge of Medicaid Waiver services and knowledge of how to apply regulatory guidance in OPWDD funded programming, as well as other funding sources i.e. ACCES-VR. Candidates should have experience and knowledge delivering services in this category and/or experience with reviewing documentation for compliance necessary to passing internal agency and external OMIG audits. Assist with maintaining electronic charts/ documentation in audit ready condition.

    Essential Functions:

    · Review regulations to develop an understanding of requirements of different funders, regulators and grants

    · Responsible for assisting in compliance with all funding/regulator sources

    · Review staffs' time & attendance to ensure that all daily checklist entries fall in between clock in/out times

    · Assist with reviewing daily checklists, monthly summaries, and/or other forms of service documentation

    · Assist with tracking Life Plan rotation and meetings and ensuring that plans are received in a timely manner from CCO's

    · Assist in reviewing Staff Action Plans prior to LP meetings and again before plan is submitted to CM

    · Review all LPs and SAP's to ensure they meet the funders/regulators requirements

    · Assist with obtaining documents necessary for billing (i.e. LP, NOD, LCED, Evaluations, etc.) and tracking when they expire

    · Create and maintain electronic charts & PHI information

    · Uploading documents in electronic charts and shared network drives

    · Review electronic charts to determine compliance with different funders/regulators requirements to ensure chart is up to date and current

    · Enter data in Foothold Technology-AWARDS for client tracking and billing

    · Document results of review using software applications such as Excel, AWARDS, etc.

    · Document and submit reports summarizing QA's findings

    · Liaise with Goodwill's Compliance division and outside funders

    · Review Incident reports as needed

    · Provide staff training as necessary

    · Other duties as requested by supervisor

    Qualifications/Basic Job Requirements:

    · BA/ BS in relevant area preferred

    · 2 years' experience delivering or overseeing services for people with Intellectual Disabilities / Developmental Disabilities or relevant population preferred

    · Prior auditing/ compliance experience strongly preferred

    · Must be detailed oriented and accurate in highly consistent manner

    · Ability to work as part of a team in a fast-paced environment

    · Be proactive and take initiative

    · Must possess time management and problem-solving skills

    · Working knowledge of MS Word, MS EXCEL, MS Outlook, and Internet

    Scope of Responsibility & Positions Supervised:

    · Responsible for implementation & oversight of assigned projects / systems.

    · QA Specialist works as part of a team and may be responsible for oversight of others work.

    Special Working Conditions:

    · Hybrid Position with some travel throughout the 5 NYC boroughs to various sites

    Salary Range: $ 39,000 - $42,000

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