Responsible for the integrity of quality assurance activities for assigned programs, including compliance and program performance, adhere to chart and program documentation requirements, program reporting, and preparation for agency audits, consistent with all relevant legal, ethical, contractual and agency requirements and expectations.
DUTIES
SUMMARY
Responsible for the integrity of quality assurance activities for assigned programs, including compliance and program performance, adhere to chart and program documentation requirements, program reporting, and preparation for agency audits, consistent with all relevant legal, ethical, contractual and agency requirements and expectations.
ESSENTIAL DUTIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Acts as primary liaison to the Department of Mental Health (DMH) for all agency needs including facilitating clarification on all policy, contract, and agreement information with direct responses provided from DMH. Provides information obtained to the Chief Program Officer, Senior Director of Quality Assurance & Family Engagement, Director of Compliance, Supervisor of Health Information Management (HIM), and Supervisor of FET for vetting of information to be provided to program.
Establishes and maintains professional, collaborative and effective working relationships with agency staff and external stakeholders.
Manages and monitors analysis of quality assurance review activities including detailed review of client service chart documentation quality, timeliness and adherence to contractual and agency expectations.
Produces accurate and timely reports, for use by leadership, program senior leadership, supervisors/managers, and DMH. Monitors, disseminates and reconciles all Reports.
Works collaboratively with Family Engagement Team, HIM Team, Custodian of Records, and program Managers/Supervisors ensuring effective communication/collaboration for CII’s values and mission.
Manages tracking systems for detailed, accurate and timely accounting of reviews in coordination with and in consultation with of other team members, such as, the HIM department, Family Engagement Team, and Custodian of Records.
Supports a variety of training and support activities to assist staff, supervisors and managers to promote understanding and adhere to contractual and agency quality of care and documentation expectations.
Identifies staff training needs, develops and maintains training manuals and/or webinars.
Takes the lead for the agency in preparation for external and internal program audits in communication with Senior Director of Quality Assurance, HIM, FET, and Director of Compliance and staff.
Takes the lead in meetings in support of ongoing quality assurance activities and standardization of compliance.
Develops, implements, and amends relevant policies and procedures.
Actively promotes highly integrated and effective care, a one-CII culture, and adherence to agency values.
Completes responsibilities in a professional and collaborative manner through face to face contact, e-mail, and phone contact with all follow up that may be necessary.
Promotes professional development and staff wellness.
Ensures confidentiality and maintenance of client records in compliance with HIPAA, agency policies and procedures, and licensure regulations.
Maintains knowledge of program standards and policies as developed by the agency, licensing and other governing bodies; develops personal and professional knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the art practices; participating in in-service programs.
Produce reports to provide to management to promote integrative services model.
Develops, Facilitates, and amends relevant policies and…