R020258 Compliance and Quality Improvement Manager (CQIM) - Queens

YAI - Seeing beyond disability; New York (NY); On-site; USD 63,000 - 77,000; Full time

Job summary

YAI - Seeing beyond disability in Queens, NY seeks a Compliance and Risk Specialist to lead internal reviews and ensure regulatory compliance across programs. This role demands travel within the region, strong ethics, and the ability to develop corrective action plans and training.

The position requires frequent collaboration with leadership, participation in committees, and monitoring incident reporting to protect the rights and safety of people supported. Equal Opportunity Employer.

Qualifications

• Bachelor’s degree in human services, business, compliance, or related field with 3 years’ experience.
• Excellent written and verbal communication and interpersonal skills.
• Ability to travel regularly to locations across assigned region.
• Working knowledge of Microsoft Office Suite.

Responsibilities

• Completes formal internal reviews and risk assessments for YAI programs annually.
• Maintains knowledge of laws and regulations governing documentation and billing.
• Provides on-site support during OPWDD DQI and OFPC surveys.
• Assists leadership with annual risk assessment and compliant plans.
• Participates in agencywide committees and regional leadership meetings.
• Monitors incidents and guides incident reporting in IRMA.
• Develops Plans of Corrective Action and safety planning for construction activities.
• Ensures person-centered services and HIPAA compliance.

Skills

Written communication

Verbal communication

Interpersonal skills

Confidentiality

Time management

Travel ability

Microsoft Office Suite

Education

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

Master’s degree (preferred)

CHC certification or related training (preferred)

Tools

Microsoft Office Suite

Job description

This position requires traveling to various sites within Queens, NY area

Key/Essential Functions & Responsibilities

Completes formal internal reviews and specialized risk assessments for YAI programs at least annually and provides feedback on the findings. Maintains up to date knowledge of all applicable laws and regulations governing the documentation and billing of YAI services including, but not limited to State regulatory agencies (OPWDD, Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), Department of Health (DOH)), etc. and provides training as needed. Provides on-site support during targeted annual OPWDD DQI and OFPC surveys. Supports regional leadership with identifying compliance risks, completing an annual risk assessment, and developing an annual compliance plan for the region. Participates in planning meetings related to the development of new certified sites and programs throughout the organization to provide feedback from a person-centered, quality perspective and to ensure consideration of OPWDD DQI regulations. Acts as a liaison between program leadership and oversight entity/external agency staff, as needed. Assists program leadership with developing a Plan of Corrective Action in response to any formal Statement of Deficiencies received and completes appropriate follow-up visits to ensure implementation. Assists program leadership with developing safety plans prior to the initiation of any construction or repairs in certified settings that may impact the health and safety of people supported. Uses education and internal auditing to ensure that programs deliver individualized services, provide choices, 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. Monitors incidents in IRMA and assists program staff with appropriate and timely entry of information. 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. Attends monthly regional leadership meetings and provides updates on regulations, risk areas, identified trends, and survey activities throughout the regions. Performs all other duties as assigned.

Minimum Qualification Requirements including education, experience, licensure/certification, etc. and essential physical capabilities (e.g. lifting, assisting lifting, standing, etc.)

• 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 healthcare, social services and/or with the I/DD population; 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 across assigned region(s).
• 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.
• Certification in Healthcare Compliance (CHC) or related training/certification.
• Experience completing audits and/or reviews of internal systems to ensure compliance with policies, procedures and regulations.
• Knowledge of NYS OPWDD rules and regulations.
• Advanced knowledge of IRMA.
• Valid driver’s license.

Salary:

Salary: 70,000.00 Annually Schedule: Monday to Friday 9am to 5pm

Our Roots

YAI was launched in February of 1957 out of a small school in Brooklyn, New York. Initially staffed by Co-Founders Bert MacLeech and Pearl Maze MacLeech alone, their pilot program served just seven people. According to Bert, from its very beginning YAI has been dedicated to providing innovative services for the I/DD (intellectual and/or developmental disabilities) community. MacLeech envisioned a, “total life adjustment approach, emphasizing personal growth, social responsibility, employment goals, and the development of independence for the individual.” At a time when institutional living was the norm for people with I/DD, this vision was nothing short of revolutionary.

YAI Today Today

YAI Today Today, YAI has a team of over 4,000 employees and supports over 20,000 people in the I/DD community. This extraordinary growth shows the ongoing need for these important services, and YAI’s success in offering them. YAI supports people with autism, Down syndrome, and Cerebral Palsy, among others. Operating throughout Downstate New York and Northern New Jersey, YAI now offers more than 300 programs for people of all ages.

Better Together

At YAI, we are driven by our mission of living, loving, working, and learning. This applies not only to the people we support, but to our staff as well. Commitment and passion for the work continue to unite employees and drive the organization forward. Empowering the people we support to reach their goals remains at the heart of our organization.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a Vietnam or disabled veteran.

YAI is an Equal Opportunity Employer.

To ensure fairness, safeguard transparency, and promote an equitable workforce environment, YAI Network prohibits the practice of nepotism in the workforce and hiring process.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a Vietnam or disabled veteran.

YAI is an Equal Opportunity Employer.

To ensure fairness, safeguard transparency, and promote an equitable workforce environment, YAI Network prohibits the practice of nepotism in the workforce and hiring process.

http://www.yai.org/