Quality Assurance (QA) Analyst

Coordinated Care Alliance NY; Village of East Syracuse (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

Coordinated Care Alliance NY is seeking a Quality Assurance (QA) Analyst to ensure compliance with health regulations and improve quality standards. The QA Analyst will conduct meticulous reviews of documentation and collaborate with teams to support best practices, maintaining high-quality care for individuals served.

Qualifications

• At least 3 years of experience in OPWDD, DOH, and quality assurance programs.
• Knowledge of applicable State/Federal laws and regulations.
• Proficient in managing and analyzing complex data.

Responsibilities

• Reviews up to 7000 notes monthly, ensuring compliance with regulations.
• Tracks corrective actions and follows up with necessary parties.
• Prepares various reports and documents as required.

Skills

Auditing against regulations

Report Writing

Experience in Quality Improvement

Communication skills

Critical thinking

Education

Bachelor’s degree in Human Services, Health Care Management or related field

Graduate degree (Masters, Doctorate)

Tools

MS Word

PowerPoint

Outlook

Job description

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The QA Analyst will stay abreast of current regulations, policies, and procedures to support the field. This position will meet specific objectives in terms of the number of reviews conducted and provide corrective action/follow up as appropriate. Completes assigned projects and initiatives for the QA Department- e.g., compiling of data relating to audit reviews for Life Plans, progress notes, and other documentation as well as other QA related needs. Actively utilizes QA systems including internal monitoring systems while adhering to the regulatory guidelines to ensure the highest quality standard is promoted internally.

Supervisory Responsibilities

• None.
  
  

Essential Duties And Responsibilities

• Understands and applies governmental laws and regulatory rules; keeps current on trends.
• Reviews progress notes, Life Plans, and other documentation daily with a goal of reviewing 5000-7000 notes monthly depending on assignment.
• Applies sound auditing practices as assigned, complies with regulations, laws, and CCANY’s program policies, and procedures:
• Works in conjunction with the field, makes recommendations for resolution of issues, supports best practices as determined by agency leadership.
• Meets auditing objectives.
• Tracks that corrective action/follow-up have been completed, timely and as prescribed.
• Maintains all documents, files, and records ensuring they are complete and secure.
• Utilizes required databases to enter information timely, accurately, and completely.
• Collaborates with the Learning and Development to deliver training for employees’ areas of responsibility, as required.
• Compiles statistics, performs analysis to determine trends and generate appropriate reports, as requested.
• Protects the rights of individual’s served and make sure informed consent measures are adhered to.
• Consults with employees on issues.
• Participates on committees, in meetings, and presentations as assigned.
• Prepares letters, memoranda, statements, narratives, statistical reports, and agendas as requested or according to established procedures, including when redaction is required and/or recommended.
• Manages and implements projects assigned by the QA Manager.
• Participates in special projects and all other job-related tasks as assigned by the QA Manager.
• Maintains confidentiality.
• Performs other duties, as assigned.
• Must possess a valid Driver’s License from New York, or a contiguous state (i.e., Connecticut, New Jersey, Pennsylvania, and Vermont) OR Must have the ability to take ample public transportation to attend meetings in person in the community and in the office as needed.
  
  

Education And Experience

• A Bachelor’s degree in Human Services, Health Care Management or a related field is required.
• A Graduate degree (Masters, Doctorate) is preferred.
  
  

Specialized Training, License, Certification, Skills In

• OPWDD and DOH regulations
• Auditing against regulations and best practice
• Report Writing
• Experience in Quality Improvement is required.
• At least 3 years of job-related experience, specifically in OPWDD, DOH, and quality assurance programs and policies are required.
  
  

Ability to communicate with a wide variety of individuals professionally, intelligently, and effectively:

• Verbally and in writing (including email, reports, memos, policies) to representatives of government agencies.
• To all levels of the organization including staff and individuals and families/advocates.
• Requires strong telephone and customer service skills.
• Ability to determine what the request is being made and the course of action in a calm, reassuring, and polite manner is required.
• Experience with cross organization communication on a regular basis, including controversial problems within and outside of the organization and presenting recommendations for resolutions is required.
• Basic math skills are required.
• Position constantly requires independent thought and reasoning.
• Ability to interpret complex information is required.
• Ability to obtain facts and exercise judgment in interpreting the facts presented is required.
• Must be able to analyze and identify trends and systemic problems with programs.
• Ability to work on several projects simultaneously and independent of supervision.
• Knowledge of applicable State/Federal laws and regulations – e.g., OMRDD, DOH, OCFS, Justice Center is required.
• Knowledge of investigation techniques, quality improvement literature, tools, procedures, programs is required.
• Must have strong knowledge of all regulations governing the area of incident reporting and abuse.
• Demonstrated knowledge of quality improvement literature, tools, and systemic problem-solving methods
• A strong working knowledge of regulatory websites and databases.
• Must be proficient in MS Word, PowerPoint, and Outlook.
• Must possess the ability to exercise critical thinking and collaborate with team members to ensure appropriate resolutions are met.
• Must be flexible and adaptable, able to cope with unexpected events.
• Participate in various projects as assigned.
• Absolute sense of integrity and personal commitment to serving people with I/DD and their families.
• Ability to work autonomously.
• Demonstrate professionalism, respect, and ability to work in a team environment.
  
  

AAP/EEOC

CCANY provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, the organization complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training, and all other legally protected classifications.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Health and Human Services

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