QI and Incident Coordinator - Agency Admin

Family-Residences-and-Essential-Enterprises,-Inc; Bethpage (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

Family-Residences-and-Essential-Enterprises,-Inc is seeking a Quality Improvement and Incident Coordinator in Bethpage, NY. The role focuses on incident investigation, quality improvement reviews, and regulatory guidance to strengthen client safety and service quality.

Under supervision of the VP, you will support the FREE network, manage investigation reports, and assist during state surveys and external audits, ensuring compliance and person-centered planning across programs.

Qualifications

• High school diploma or equivalent required; bachelor's degree in human services or related field preferred.
• Minimum of two (2) years of experience in health and human services.
• Minimum of one (1) year of experience in quality improvement or investigative roles preferred.
• Experience with state/federal regulations and OPWDD/OMH/DOH/other agencies preferred.
• Proficient in MS Outlook, Word, Excel, and PowerPoint.

Responsibilities

• Conducts quality improvement reviews/audits on-site at respective programs.
• Assists with processing results from state surveys and reviewing corrective action plans.
• Conducts investigations into incidents and writes investigative reports within regulatory guidelines.
• Ensures individuals receive medical treatment as needed and in accordance with regulations.
• Implements safeguards to prevent future incidents and uphold safety.
• Closes incidents in NIMRS/IRMA and submits corrective action plans.
• Provides onsite support and guidance during state surveys and external audits.
• Ensures safety and needs of individuals are met and advocates as needed.
• Monitors compliance with laws, regulations, and agency policies across programs.

Skills

Regulatory knowledge

Team collaboration

Communication

Organizational skills

Education

High School Diploma

Bachelor's degree preferred

Tools

MS Outlook

MS Word

MS Excel

MS PowerPoint

Job description

POSITION SUMMARY

Under the supervision of the Vice President, the Quality Improvement and Incident Coordinator will support the FREE network by providing expertise and support in the areas of incident and investigatory services and regulatory guidance, conducting investigations, supporting FREE during state surveys and external audits, and providing person-centered planning and reviews. The Quality Improvement and Incident Coordinator will work to increase the quality of services delivered to all people supported at FREE.

DUTIES, RESPONSIBILITIES, AND ESSENTIAL FUNCTIONS

• Conducts quality improvement reviews/audits on-site at respective programs.
• Assists with processing results from state surveys and reviewing formal plans of corrective action.
• Conducts investigations into incidents occurring within the programs and writes investigative reports within regulatory guidelines.
• Ensures that all individuals receive medical treatment as needed and in accordance with regulations and agency policy as it relates to incidents and allegations of abuse.
• Ensures that safeguards are implemented to prevent future incidents and allegations of abuse.
• Closes incidents in NIMRS/IRMA as well as submit corrective action plans into the system.
• Supportsand guides others who are conducting investigations.
• Provides onsite support and guidance during state surveys and external audits (OPWDD, OFPC, OMH, DOH, SED, and CMS).
• Ensures that the individual's safety and needs are met and intercedes on their behalf as necessary.
• Ensures adequate training of staff and the men and women receiving services in abuse and incident reporting.
• Mediates emergency situations pertaining to the program according to established policies and procedures and ensures communication of such situations in a timely fashion.
• Monitors the adequacy and/or appropriateness of program participant services and for compliance with all applicable federal, state and local laws, regulations and policies.
• Provides expertise and consultation to the organization and its affiliates with regulatory and incident related matters.
• Participates in the development of safety plans required for OPWDD certified programs during construction and/or relocation as needed.
• Implements a schedule of quality reviews in accordance with FREE’s plan.
• Completes and reviews all necessary documentation and files for accuracy, thoroughness, and appropriateness in a timely manner and in accordance with regulations.
• Provides necessary professional development education to the agency when needed including acting as an instructor for ongoing trainings (i.e. SCIP, CPR/FA, etc.).
• Represents the agency by participating in external committees (via trade, advocacy, government entities and other associations) and at agency functions.
• Participates in state, regional, and local planning as it pertains to program development.
• Reports all violations and/or accidents in agency or personal vehicle in accordance with New York State regulations and Agency policy.
• Provides necessary support to assigned programs during a crisis, including but not limited to: employee’s shortages, natural disasters, individual related emergencies, weather, etc.
• Ensures that each of the departments within the division conform to all regulations and applicable federal, state, local and agency requirements.
• Ensures adequate supervision and services are provided based on the needs of the individuals served for the respective programs within the division, if applicable.
• Reports all possible violations of individuals’ rights promptly and ensures the proper and timely completion of all incident reports in accordance with New York State regulations and Agency policy.
• Cultivates a work environment that promotes the development of individualized services.
• Ensures that all required documentation (paper and electronic) is completed /processed appropriately, in a timely manner, and meets quality and compliance thresholds.
• Performs other duties as assigned.

Responsibilities of All FREE Employees

• Always communicates in a respectful manner with all people including the people we support, supervisors, other valued team members, and members of the community.

• Complies fully with FREE’s confidentiality policies by holding in strictest confidence all information pertaining to members, residents, the people we support and their families, clients, providers, contractors, and employees.
• Meets all safety training requirements; adheres to all safety policies and reports any and all unsafe conditions; takes measures to prevent accidents and/or eliminate conditions that pose a safety or health risk.
• Coordinates, supports, attends and participates in all required events/ meetings/ reviews/ committees, including ones outside of standard working hours.
• Meets all job requirements and stays in compliance.
• Adheres to FREE’s standard of ethical behavior as outlined in the Employee Handbook and Code of Conduct as well as applicable laws and regulations.

Please note the above duties, responsibilities, and essential functions are a non-exhaustive list, and may be changed by FREE at any time, with or without notice to the employee.

QUALIFICATIONS

• Education:

• High school diploma or equivalent required; bachelor's degree in human services or a related field preferred.

• Experience:

• Minimum of two (2) years of experience in the health and human services field required.
• Minimum of one (1) year of experience in a quality improvement or investigative related position preferred.

• Specialized Training, Licenses, Certifications:
  • Not required, training will be provided upon hire as needed
• Knowledge, Skills, Competencies, and Abilities:

• Experience and familiarity with state, local, federal regulations and OPWDD, OMH, DOH, OMIG and other government run entities preferred.
• Experience with MS Outlook, Word, Excel, and PowerPoint preferred.
• Demonstrated ability to work in a team environment with flexibility, keeping others informed and anticipating needs is essential.
• Must be efficient, well organized, and have excellent communication skills.

• Other Requirements:

• Valid Driver’s License and satisfy criteria to be a driver for the agency required.

WORK ENVIRONMENT

This role is performed in-person in an office setting. Some travel to FREE locations and program sites required.

PHYSICAL REQUIREMENTS

• Employee is required to sit, walk and stand for prolonged period of time (at least 8 hours).
• Employee is required to effectively communicate both verbally and in writing.
• Employee is required to operate standard office equipment such as computers, phones, photocopiers, fax and filing cabinets.
• Employee is required to reach with hands and arms.
• Employee is required to bend, stoop, kneel, crouch or stand on a stool as needed.
• Employee is required to be able to lift 50 pounds at a time.

Notwithstanding the above listed physical requirements of this position, FREE will provide reasonable accommodations to allow employees to perform the essential functions of the position, provided such reasonable accommodations do not cause undue hardship on FREE.