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Quality Improvement Specialist

Hi-Hope

Lawrenceville, Georgia

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JOB DETAILS
SKILLS
Auditing, Business Administration, CPR Certification, Communication Skills, Community and Social Services, Corrective Action, Data Analysis, Data Collection, Defibrillator, Developmental Disabilities, Documentation, Driver's License, Environmental Compliance, Federal Laws and Regulations, First Aid, HIPAA (Health Insurance Portability and Accountability Act), Human Resources, Liability Insurance, Maintain Compliance, Medicaid, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Nonprofit, People Management, Performance Management, Process Improvement, Quality Management, Radiography, Regulations, Risk, Risk Management, Root Cause Analysis, Safety/Work Safety, Social Work, Staff Requirements, Staff Training, State Laws and Regulations, Time Management, Training/Teaching, Willing to Travel
LOCATION
Lawrenceville, Georgia
POSTED
5 days ago
Quality Improvement Specialist
 
Department:                Quality Improvement
Job Status:                  Full Time
FLSA Status:               Exempt (Salary)
Amount of Travel:       30% to 50%
Work Schedule:           9 am until 5 pm (M - F)
Position Supervised:  None
 
Hi Hope Service Center
With a rich history spanning nearly 6 decades, Hi-Hope Service Center is a Lawrenceville, GA based non-profit organization that supports individuals with disabilities and their families to live rich, full, active lives. Hi-Hope is dedicated to enhancing the capacity of individuals with disabilities to live, work, and participate as active members of their communities. We will enable each individual to achieve their maximum personal independence while demonstrating excellence in service and support. In addition to day services and supported employment, Hi-Hope supports 5 homes located throughout Gwinnett County. Home to 4 individuals each, these homes are staffed 24 hours a day by Hi-Hope employees who are committed to helping individuals live healthy, safe, fun, rich lives.
 
Position:
In conjunction with assisting the Director of Quality Improvement, the Quality Improvement Specialist is responsible for designing, implementing, and maintaining compliance.  This position serves as a subject matter expert on compliance and collaborates with management and staff to create an environment where compliance is seen as a key ingredient to quality service and to the success of Hi-Hope in achieving its mission.  Also responsible for identifying areas of significance and collecting data (either directly or indirectly), analyzing data and offering recommendations evidence-based recommendations for improvement in structure, process, policy, training or human resources.
 
Essential Job Functions:
  • Identifies potential areas of compliance vulnerability and risk through audits; develops and implements corrective action plans, and provides guidance on how to avoid or deal with similar situations in the future.
  • Reviews, monitors and ensures compliance of all documentation with the policies and procedures of Hi-Hope, DCH, and DBHDD. Determines compliance with applicable state and/or federal rules and regulations.
  • Attends appropriate quality/risk management committee(s) meetings to ensure that risk management processes are consistent.
  • Investigating allegations of abuse, neglect, exploitation or other events at the request of staff in order to determine root cause and establish remediation and improvement methodology.
  • Advocating for the continued improvement of programs provided by the agency.
  • Coordinates with Director of Quality Improvement for the timely development and implementation of corrective action plans in response to documentation deficiencies.
  • Provides training to staff (both new employees and ongoing) on compliance and quality related issues of significance (HIPAA, CARF, Abuse and Neglect Reporting).
  • Leads, implements, and keeps up to date the Agency Compliance Plan, including agency-wide programs, policies, and procedures to ensure compliance with all applicable federal, state laws and regulations, as well as accreditation requirements (CQL, CARF or COA).
  • Identifies potential areas of compliance vulnerability and risk through audits; develops and implements corrective action plans, and provides guidance on how to avoid or deal with similar situations in the future.   
  • Proactively communicates Medicaid and other evolving requirements to staff, including new changes, and works collaboratively with staff to track, monitor, and document evidence of compliance.
 
Education & Training Requirements:
Bachelor’s Degree Required (Human Services / Business Administration).  Background in developmental disabilities field is required.
 
Prefer quality assurance certification(s) via established organizations such as: American Society for Quality (ASQ), The Council on Quality and Leadership (CQL), etc.
 
 
Experience Requirements:
  • 12 months experience in social services quality improvement, data analytics/analysis.
  • 3 years of experience with successful Medicaid audits.
  • 2 years of experience working with individuals with developmental disabilities in community-based settings.
  • Experience conducting audits & completing investigations
  • Knowledge of regulations and laws directly related to Georgia Medicaid Waiver services, DBHDD, activities and focus of the OIG, and other regulatory bodies' laws, including DBHDD documentation, health and safety risk management and performance and process improvement.
Computer Skills:
Working knowledge and proficiency with Microsoft Word, Excel, PowerPoint, and electronic documentation for Intellectual/Developmental Disabilities (I/DD) service providers.  Prefer experience with Therap electronic documentation system.
 
Certificates & Licenses:
CPR, First Aid and AED certification, valid GA Drivers' License; Transportation and Vehicle Emergency Evacuation training, and de-escalation techniques certification (QBS) within 90 days of employment.
 
Other Requirements:
Must be 21 years old, able to pass a pre-employment physical and capable of lifting a minimum of 50 pounds; have a negative drug screening and a tuberculosis (TB) screening or X-ray; and, have an acceptable motor vehicle record with no more than two moving violations in a three year period within the last five years of a seven year motor vehicle record report, vehicle liability insurance and an acceptance  criminal record check.  Must have reliable transportation.
 
 
 
 
 
 
 

About the Company

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Hi-Hope