Job Abstract

• SPECIFIC RESPONSIBILITIES

  • Assist Program staff to meet and maintain regulatory compliance with Local, NY State and Federal codes and regulations.
  • Conduct internal audits and inspections annually and as needed.
  • Prepare detailed written reports of findings and deficiencies.
  • Ensures thorough and independent Investigation of Reportable Incidents as defined by Part 524.
  • Conducts thorough incident investigations as directed according to Justice Center, OMH and Part 524 guidelines.
  • Provides detailed written reports using Justice Center and OMH approved format within required time frames.
  • Must complete Justice Center and OMH approved Incident Investigation Certification Program and maintain certification as investigator
  • Participate in Incident Review meetings.
  • Assist with Incident monitoring and Trend Analysis.
  • Assist with maintenance of agency incident data base.
  • Complete entries into OMH Incident Report Database (NIMRS) as needed.
  • Prepare agenda and document minutes of discussion
  • Assist Program and other Quality Improvement Specialists to comply with Council on Accreditation (COA) standards.
  • Assist with Case Record Review;
  • Administration of Consumer Satisfaction Survey,
  • Track and review of Behavior Management Training and Restrictive Behavior Management Interventions.
  • Assist with Internal Audits as required by COA Standards.
  • Prepare detailed Quarterly and Annual Reports
  • Participate in Agency wide Quality Council meetings.
  • Perform all other duties as assigned.

  III. RELATIONSHIP WITH OTHERS

  In addition, employees need to possess the following characteristics:

  • Be team players and able to interact in a positive manner with Administrative, Managerial, Supervisory, and line staff as well as person’s receiving services and their family members
  • Have a strong sensitivity to cultural differences present among staff and clients within our organization and among the people we serve and their families.
  • Ability to set limits, maintain role, work collaboratively and respectfully to intervene appropriately as a quality improvement staff person.

  Qualifications

  • Bachelor’s degree required.
  • Master’s degree preferred in Human Services, Social Work, Health Care Administration, Public Administration or similar field.
  • One year’s experience in quality improvement/program evaluation and/or
    administration in not-for-profit settings, preferred.
  • Experience with computer database and word-processing programs such as MS-Office Suite–Word, Excel, Electronic Health Records
    create and maintain databases, track and analyze information and data, desirable.
  • Experience with audit preparation, accreditation/survey activities (especially CMS, OMH, COA), and Outcomes measurement is desirable.

SCO Family of Services is an Equal Opportunity Employment Employer.