Reports To: Executive Director / Agency Leadership
Supervises: Paraprofessionals (ITS, CLS, Respite, AFL staff)
Role Overview
The QP oversees service delivery, ensures documentation meets regulatory standards, supervises paraprofessionals, and monitors client progress according to the PCP/ISP. The QP ensures high-quality services that meet Medicaid, state, and agency requirements.
Core Responsibilities
1. Clinical Oversight
- Review and monitor PCPs/ISPs for accuracy and compliance.
- Ensure services match the goals, interventions, and authorized hours in the PCP/ISP.
- Adjust plans or request updates when client needs change.
2. Staff Supervision
- Conduct monthly supervision with paraprofessionals (minimum 1 hour).
- Review documentation, interventions, and staff performance.
- Provide coaching and training to improve skill-building, engagement, and compliance.
- Address performance concerns and follow agency protocols.
3. Client Monitoring
- Complete required monthly client check-ins.
- Track progress on goals, outcomes, and barriers.
- Verify that the client receives services according to the plan and schedule.
- Ensure client rights, safety, and dignity are always protected.
4. Documentation & Compliance
- Approve or review staff notes, correcting errors before submission.
- Ensure all notes include:
- intervention
- goal targeted
- duration
- effectiveness
- staff signature
- Submit timely QP documentation, supervision notes, and monthly reports.
- Ensure all services follow NC Medicaid, 1915(i), and agency standards.
5. Coordination of Care
- Communicate with care managers, guardians, natural supports, and other providers.
- Attend treatment planning meetings, revisions, and interdisciplinary team meetings.
- Document all coordination of care contacts.
6. Training & Support
- Ensure paraprofessionals complete mandatory training and remain competent.
- Provide guidance on crisis response, documentation, service delivery, and ethics.
- Assist staff with understanding service definitions (ITS, CLS, etc.).
7. Quality Assurance
- Participate in audits, monitoring reviews, and internal quality improvement.
- Identify risks, gaps, or errors in service delivery and correct them promptly.
- Ensure service authorizations, consents, and required forms remain current.
Essential Tasks
- Monthly supervision with each staff
- Monthly client contact and monthly summary
- Review and approve staff documentation
- Update service plans or request changes when needed
- Respond to incidents, reports, or concerns
- Ensure staff follow person-centered practices
- Participate in meetings, training, and agency updates
- Provide clinical support and problem-solving strategies to staff
Qualifications
- Bachelor’s or Master’s degree (Human Services field or equivalent per NC Medicaid rule)
- Minimum 2 years of experience with MH/I/DD/SE/SED/SPMI population
- Knowledge of NC service definitions, 1915(i), and Medicaid requirements
- Clean background check, HCP registry, and OIG list
- Valid driver’s license and reliable transportation
- Strong documentation and communication skills
Performance Expectations (85% Compliance Target)
- Timely and accurate notes, supervision, and reports
- Active participation in training and quality improvement
- Positive feedback from clients, staff, and partners
- Consistent follow-through on clinical oversight
- Documented improvement in staff performance and client outcomes
Physical & Work Requirements
- Ability to travel to client homes, community locations, and agency office
- Able to complete in-person and telehealth visits
- Occasional lifting up to 25 lbs
- Flexible scheduling depending on client and staff needs