Compliance and Quality Improvement Manager - Education Services

YAI; New York (NY); On-site; USD 75,000 - 120,000; Full time

Job summary

YAI Network seeks a Compliance and Quality Investigator to conduct internal reviews and risk assessments for affiliates such as MSA and iHOPE, ensuring adherence to regulations and quality standards.

Responsibilities include supporting external audits, guiding incident reporting, conducting investigations, and contributing to training and program development to protect the rights and health of individuals supported.

Qualifications

• Bachelor’s degree in a related field and 3 years of relevant experience.
• Excellent written and verbal communication and interpersonal skills.
• Ability to travel regularly to YAI locations.
• Working knowledge of Microsoft Office.
• Strong ethics and integrity with objectivity.

Responsibilities

• Completes formal internal reviews and specialized risk assessments annually for YAI Network affiliates.
• Provides on-site support during external audits and surveys.
• Supports leadership in identifying and mitigating quality and compliance risks.
• Participates in planning meetings for new sites to ensure regulatory compliance.
• Acts as liaison between leadership and external staff as needed.
• Develops corrective action plans and follows up on implementation.
• Ensures programs deliver individualized services while protecting rights and health.
• Guides on incident reporting and HIPAA concerns.
• Investigates incidents as primary investigator and prepares reports.
• Maintains incident tracking and analyzes data for trends.
• Participates in agency committees (Incident Review, Human Rights, etc.).
• May complete billing or other audits and provide feedback.
• Performs other duties as assigned.

Skills

Communication

Interpersonal skills

Attention to detail

Time management

Integrity

Independence

Analytical skills

Travel ability

Education

Bachelor's degree in human services, business, compliance or related field

Master’s degree (preferred)

Tools

Microsoft Office Suite

Electronic systems

Job description

Key/Essential Functions & Responsibilities

• Completes formal internal reviews and specialized risk assessments for YAI Network's affiliate agencies MSA and iHOPE or other assigned programs at least annually and provides feedback on the findings.
• Provides on-site support during external audits and surveys.
• Supports leadership with identifying and mitigating quality and compliance risks and identifying opportunities for training and staff development.
• Participates in planning meetings related to the development of new sites and programs to provide feedback from a person-centered, quality perspective and to ensure consideration of applicable regulations.
• Acts as a liaison between applicable leadership and oversight entity/external agency staff, as needed.
• Assists program leadership with developing a Plan of Corrective Action in response to any external audit findings received and completes appropriate follow-up visits to ensure implementation.
• Uses education and internal auditing to ensure that programs deliver individualized services and protect the rights of people supported while protecting their health and safety and adhering to all applicable regulations and documentation requirements.
• Provides guidance and support related to reportable incidents and occurrences as well as compliance and HIPAA concerns.
• Provides guidance on and monitors compliance with applicable incident reporting requirements (e.g. NYSED, DDD, etc.) for substantiated allegations of abuse and neglect for assigned setting(s).
• Serves as the primary investigator for all incidents and other sensitive situations for assigned setting(s), collecting information from multiple sources and ensuring investigations are completed thoroughly and timely, in accordance with applicable regulations and internal standards.
• Writes and submits complete investigative reports to be reviewed by the appropriate Incident Review Committee.
• Maintains a tracking system for incidents and performs data analysis relating to investigations and trends in incident classifications and substantiated/ founded incidents.
• Participates in various agencywide committees such as Incident Review, Human Rights, Informed Consent, and Policy Committees; may act as chairperson for committees, as requested or appropriate.
• May complete billing or other audits, including regularly recurring audits and provide feedback on the findings.
• Performs all other duties as assigned.
• Bachelor’s degree in human services, business, compliance or a related field and three (3) years of experience in providing services, oversight, and support, preferably in education, healthcare, social services and/or with the I/DD population as applicable to assigned setting(s); or
• Satisfactory equivalent combination of education, training and/or experience.
• Excellent written and verbal communication and interpersonal skills.
• Strong commitment and passion for the organization’s mission.
• Unquestionable ethics and integrity, high emotional intelligence and well-developed independent thinking and analytical skills, with commitment to objectivity.
• Ability to maintain confidentiality and security of sensitive information and files.
• Ability to work well independently and in a team environment, and to manage one’s time effectively.
• Ability to travel regularly to locations associated with assigned setting(s) and to other YAI locations, as requested.
• Working knowledge of Microsoft Office Suite and ability to quickly learn new software and/or electronic systems.
• Strong attention to detail and organizational skills, with ability to work well under pressure and prioritize to meet tight deadlines.

Preferred Qualification Requirements

( desired requirements beyond MQRs above)

• Master’s degree in any field indicated above
• Experience completing audits and/or reviews of internal systems to ensure compliance with policies, procedures and regulations
• Previous experience conducting investigations in education and/or social service settings, based on assigned setting(s)
• Knowledge of State, Local or Regulatory Agency rules and regulations applicable to assigned setting(s), such as New York State Education Department (NYSED) and NYC Department of Education (DOE) or NJ Division of Developmental Disabilities (DDD) and National Center for START Services
• Certification in Healthcare Compliance (CHC) or related training/certification
• Successful completion of investigator training and/or related certification