Quality Assurance Specialist

Quality Assurance Specialist – Central NY

Central NY – Quality Home Health Care

ElderChoice is a home health care agency committed to providing exceptional care to our participants in the Central NY regions. Are you looking to make an impact on local communities? ElderChoice is searching for an individual who values the importance of Quality Assurance in the home health care industry and recognizes the importance of exceptional care!

Who YOU are:

You are a self-driven and detail oriented individual that takes joy in being part of a team committed to the bigger picture! You consider yourself a lifelong learner committed to excellence.

Job Description

The primary purpose of the Quality Assurance Specialist is to provide support, expertise, Quality Assurance, and quality improvement. The Quality Assurance Specialist must act in collaboration with the executive team to interpret and communicate any changes that are made to the current regulations, as mandated by the state and/or federal government, Office of Medicaid Inspector General, OSHA, NYS DOH, LHCSA and/or any other regulating entity. The Quality Assurance Specialist must ensure continued evaluation of agency trend factors and collaborate on the development and implementation of processes, training and/or other recommendations for change and best practice.

What You’ll Do

The Quality Assurance Specialist’s primary function is to act as a specialist as it relates to compliance and adherence to agency policy and procedures. He/she will be responsible for, but not limited to, the following:

Quality Assurance

• Conduct incident investigations, as a trained investigator, including tracking of Serious Reportable Incidents and Recordable Events for all regions.
• Conduct routine audits of agency wide EVV records.
• Monitor staff shift notes according to DOH and agency standards.
• Conduct pre-scheduled participant focused reviews monthly.
• Perform Participant and Personnel digital file auditing on a quarterly basis.
• Conduct mock departmental audits, as requested by the Director of LHCSA Services.
• Assist with agency policy and procedures development as assigned by the executive team.
• Provide feedback on the department’s resources (including employee time, expertise, etc.) and to make recommendations to the executive team for necessary modifications/changes.
• Additional duties as assigned by the Director of LHCSA Services.

Corporate Compliance Program

• Facilitate the Corporate Compliance Committee
• Facilitate communication with state and local entities, as requested by the executive team.
• Lead all internal and external audits and follow up Plan of Corrective Action.

Emergency Readiness Coordinator

• Act as the emergency readiness coordinator, facilitating emergency readiness meetings.
• Ensure the proper supply of emergency kits.
• Participate in annual state drills.
• Maintain records in HERDS.

Agency Consultation

• Maintain thorough knowledge of applicable state/federal regulations and home care standards.
• Provide direction/guidance to all agency departments with new/modified policy and procedures and incident investigation recommendations, as applicable.
• Be an active member of the agency’s Serious Incident Review Committee.
• Be an active member of the agency’s Quality Improvement Committee.

Qualifications

The Quality Assurance Specialist must possess:

• A Bachelors in Human Services, Health Care Administration, OR, related field

AND

• Minimum of 2 years working in home Care industry, health care industry and/or working with Medicaid
• Experience working in a regulatory capacity within NYS Department of Health (preferred)
• Current knowledge of home health care (including LHCSA regulation), NYS Department of Health (TBI Waiver and NHTD Waiver regulations) and NYS Medicaid reform required.

Benefits

• Health and Dental Plan w/ Employer Contributions
• 401(k) w/ Employer Contributions
• Paid Time Off
• Holiday Pay
• Supplemental Voluntary Benefits