Quality Management Specialist

Indian Creek Foundation; Souderton (Montgomery County); On-site; USD 65,000 - 90,000; Full time

Job summary

Indian Creek Foundation is seeking a Quality Management Specialist to oversee incident investigations and quality assurance across programs serving individuals with developmental disabilities. The role requires strong analytical skills, attention to detail, and the ability to lead multidisciplinary teams.

You will manage incident reporting in the HCSIS system, coordinate investigations, maintain documentation, and ensure timely closure of actions while upholding confidentiality and HIPAA

Qualifications

• Bachelor's degree in a related field (Human Services, Social Work, Criminal Justice, Healthcare Administration, or related field).
• ODP Certified Investigator and ODP Quality Management Certification required.
• Experience with individuals with intellectual and developmental disabilities preferred.
• Experience with incident management, investigations, quality assurance, compliance, or risk management preferred.
• Experience using the HCSIS Incident Management System preferred.

Responsibilities

• Serves as an ODP Certified Investigator and conducts investigations in accordance with ODP Incident Management requirements and agency policy.
• Functions as assistant lead investigator for assigned investigations involving reportable incidents.
• Conducts investigations of non‑critical incidents assigned.
• Enters and finalizes reportable incidents into the HCSIS Enterprise Incident Management (EIM) system within required timeframes.
• Tracks all reportable and non‑reportable incidents to ensure timely completion, documentation, and follow‑up.
• Monitors incident status and communicates deadlines and required actions to responsible staff.
• Communicates reportable incidents to appropriate residential, day program, nursing, and administrative team members.
• Obtains certified investigative reports, witness statements, supporting documentation, and other evidence from Certified Investigators prior to administrative review.
• Reviews investigative submissions for completeness and follows up on missing documentation as needed.
• Prepares and distributes incident review packets and supporting documentation to Administrative Review Team members.
• Coordinates and communicates Administrative Review Team meeting schedules, cancellations, quorum status, and related information.
• Participates in Administrative Review Team meetings and documents follow‑up actions as assigned.
• Communicates approved corrective action plans to responsible departments and staff.
• Tracks corrective action plan completion and sends reminders regarding upcoming or overdue deadlines.
• Maintains documentation demonstrating implementation and completion of corrective actions.
• Assists with the collection, organization, and maintenance of incident management records and files.
• Participate in agency Incident Review Committee meetings.
• Prepares incident management data, trend information, and incident category reports for review by committees and leadership.

Skills

Quality assurance

Risk management

Group facilitation

Communication skills

Attention to detail

Data analysis

MS Office

Confidentiality

Collaboration

Education

Bachelor's degree in related field

Tools

HCSIS Enterprise Incident Management (EIM)

Paycor

Credible

Microsoft Office

Job description

Quality Management Specialist

Basic Qualifications

• Education/Training Bachelor's Degree in a related field which may include Human Services, Social Work, Criminal Justice, Healthcare Administration, or related field.
• ODP Certified Investigator and ODP Quality Management Certification required.

Experience

• Experience working with individuals with intellectual and developmental disabilities preferred.
• Experience with incident management, investigations, quality assurance, compliance, or risk management preferred.
• Experience using the HCSIS Incident Management System preferred.

Basic Skills

• Analytical thinker with an understanding of basic quality assurance and risk management principles
• Ability to lead group meetings and discussions
• Strong organizational, written, and verbal communication skills.
• Attention to detail and ability to manage multiple deadlines.
• Ability to gather, analyze, and organize information.
• Strong computer skills including proficiency in Microsoft Office Suite.
• Ability to maintain confidentiality and exercise sound judgment.
• Ability to collaborate with multidisciplinary teams.

Physical Requirements

• Bend, stoop, sit, stand, and reach
• Lift items weighing 50 pounds or less
• Satisfactory completion of post‑offer pre‑employment physical exam and drug test as required.

Equipment/Machine Operations

• Computer/PrinterCopier/Scanner
• HCSIS Enterprise Incident Management (EIM) System
• E-copy
• Paycor
• Credible
• Microsoft Office Suite
• Various office equipment and supplies

Essential Duties

• Serves as an ODP Certified Investigator and conducts investigations in accordance with ODP Incident Management requirements and agency policy.
• Functions as assistant lead investigator for assigned investigations involving reportable incidents.
• Conducts investigations of non‑critical incidents assigned.
• Enters and finalizes reportable incidents into the HCSIS Enterprise Incident Management (EIM) system within required timeframes.
• Tracks all reportable and non‑reportable incidents to ensure timely completion, documentation, and follow‑up.
• Monitors incident status and communicates deadlines and required actions to responsible staff.
• Communicates reportable incidents to appropriate residential, day program, nursing, and administrative team members.
• Obtains certified investigative reports, witness statements, supporting documentation, and other evidence from Certified Investigators prior to administrative review.
• Reviews investigative submissions for completeness and follows up on missing documentation as needed.
• Prepares and distributes incident review packets and supporting documentation to Administrative Review Team members.
• Coordinates and communicates Administrative Review Team meeting schedules, cancellations, quorum status, and related information.
• Participates in Administrative Review Team meetings and documents follow‑up actions as assigned.
• Communicates approved corrective action plans to responsible departments and staff.
• Tracks corrective action plan completion and sends reminders regarding upcoming or overdue deadlines.
• Maintains documentation demonstrating implementation and completion of corrective actions.
• Assists with the collection, organization, and maintenance of incident management records and files.
• Participate in agency Incident Review Committee meetings.
• Prepares incident management data, trend information, and incident category reports for review by committees and leadership.
• Assists in identifying incident trends, patterns, and areas for risk reduction.
• Participates in Peer Review Committee meetings and related activities.
• Works collaboratively with program staff, nurses, supervisors, and leadership to support incident prevention and quality improvement efforts.
• Oversee the ODP Quality Management Plan and leads the Quality Management Committee assurance activities.
• Complete QM Plan quarterly reports as required.
• Supports audits, monitoring activities, and regulatory reviews related to incident management.
• Provides guidance regarding incident reporting procedures and documentation requirements when requested.
• Performs other duties as assigned.

Other Duties

• Assist the supervisor with various administrative tasks to support department operations as directed; may also be assigned special projects.
• Perform tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending on individual circumstances.
• Meets on‑going training requirements to maintain current certifications.

Standard Requirements

• Completion and clearance of a criminal background check and a child abuse clearance.
• Supports the Mission and values of Indian Creek Foundation and the program.
• Is knowledgeable of resident rights and ensures an atmosphere which allows for the privacy, dignity, and well‑being of all individuals served in a safe, secure environment.
• Supports, cooperates with, and implements specific procedures and programs for: Safety, including universal precautions and safe work practices, established fire/safety plans, report and/or correct unsafe working conditions, equipment repair, and maintenance needs.
• Confidentiality of all data, including individuals served, employee, and operations data.
• Compliance with all regulatory requirements and agency policies as required by Human Resources, licensing, and funding agencies.
• Demonstrate knowledge and compliance with HIPAA standards.
• Conducts oneself in a professional manner when representing Indian Creek Foundation.

Functions as a Member of the Team:

• Cooperates and works together with all co‑workers, plans and complete job duties with minimal direct supervision and appropriate judgment.
• Uses tactful and appropriate communications in all situations.
• Reports and follows up regarding reported complaints, problems, and concerns with appropriate personnel.
• Promotes positive public relations with individuals served, family members, other team members, and community.
• Completes requirements for training, acceptable attendance, dress codes including personal hygiene and other work duties as assigned.
• Complete all documentation to ensure compliance with all regulations and agency policies.
• Exhibits behavior as set forth by the Code of Conduct in performance of their duties.
• Completes annual compliance HIPAA training and exhibits behavior as set forth by the Code of Compliance in performance of duties.