Quality Management Specialist

Job Summary

Basic Qualifications

• Analytical thinker with an understanding of basic quality assurance and risk management principles
• Ability to lead group meetings and discussions
• Strong organizational, written, and verbal communication skills. Attention to detail and ability to manage multiple deadlines.
• Ability to gather, analyze, and organize information.
• Strong computer skills including proficiency in Microsoft Office Suite.
•  Ability to maintain confidentiality and exercise sound judgment.
• Ability to collaborate with multidisciplinary teams.

• Bend, stoop, sit, stand, and reach
• Lift items weighing 50 pounds or less
• Satisfactory completion of post-offer pre-employment physical exam and drug test as required

• Computer/Printer
• Copier/Scanner
• HCSIS Enterprise Incident Management (EIM) System
• E-copy
• Paycor
• Credible
• Microsoft Office Suite
• Various office equipment and supplies

Essential Duties

• Serves as an ODP Certified Investigator and conducts investigations in accordance with ODP Incident Management requirements and agency policy.
• Functions as assistant lead investigator for assigned investigations involving reportable incidents.
• Conducts investigations of non-critical incidents assigned.
• Enters and finalizes reportable incidents into the HCSIS Enterprise Incident Management (EIM) system within required timeframes.
• Tracks all reportable and non-reportable incidents to ensure timely completion, documentation, and follow-up.
• Monitors incident status and communicates deadlines and required actions to responsible staff.
• Communicates reportable incidents to appropriate residential, day program, nursing, and administrative team members.
• Obtains certified investigative reports, witness statements, supporting documentation, and other evidence from Certified Investigators prior to administrative review.
• Reviews investigative submissions for completeness and follows up on missing documentation as needed.
• Prepares and distributes incident review packets and supporting documentation to Administrative Review Team members.
• Coordinates and communicates Administrative Review Team meeting schedules, cancellations, quorum status, and related information.
• Participates in Administrative Review Team meetings and documents follow-up actions as assigned.
• Communicates approved corrective action plans to responsible departments and staff.
• Tracks corrective action plan completion and sends reminders regarding upcoming or overdue deadlines.
• Maintains documentation demonstrating implementation and completion of corrective actions.
• Assists with the collection, organization, and maintenance of incident management records and files.
• Participate in agency Incident Review Committee meetings.
• Prepares incident management data, trend information, and incident category reports for review by committees and leadership.
• Assists in identifying incident trends, patterns, and areas for risk reduction.
• Participates in Peer Review Committee meetings and related activities.
• Works collaboratively with program staff, nurses, supervisors, and leadership to support incident prevention and quality improvement efforts.
• Oversee the ODP Quality Management Plan and leads the Quality Management Committee assurance activities.
• Complete QM Plan quarterly reports as required.
• Supports audits, monitoring activities, and regulatory reviews related to incident management.
• Provides guidance regarding incident reporting procedures and documentation requirements when requested.
• Performs other duties as assigned.
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• Assist the supervisor with various administrative tasks to support department operations as directed; may also be assigned special projects.
• Perform tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances.
• Meets on-going training requirements to maintain current certifications.

Standard Requirements

• Completion and clearance of a criminal background check and a child abuse clearance.
• Supports the Mission and values of Indian Creek Foundation and the program.
• Is knowledgeable of resident rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all individuals served in a safe, secure environment.
• Supports, cooperates with, and implements specific procedures and programs for:
  • Safety, including universal precautions and safe work practices, established fire/safety plans, report and/or correct unsafe working conditions, equipment repair, and maintenance needs.
  • Confidentiality of all data, including individuals served, employee, and operations data.
  • Compliance with all regulatory requirements and agency policies as required by Human Resources, licensing, and funding agencies.
  • Demonstrate knowledge and compliance with HIPAA standards.
  • Conducts oneself in a professional manner when representing Indian Creek Foundation.
• Functions as a member of the Team:
  • Cooperates and works together with all co-workers, plans and complete job duties with minimal direct supervision and appropriate judgment.
  • Uses tactful and appropriate communications in all situations.
  • Reports and follows up regarding reported complaints, problems, and concerns with appropriate personnel.
  • Promotes positive public relations with individuals served, family members, other team members, and community.
  • Completes requirements for training, acceptable attendance, dress codes including personal hygiene and other work duties as assigned.
• Complete all documentation to ensure compliance with all regulations and agency policies.
• Exhibits behavior as set forth by the Code of Conduct in performance of their duties.
• Completes annual compliance HIPAA training and exhibits behavior as set forth by the Code of Compliance in performance of duties.