Quality Management Director

Covenant Case Management Services is looking to fill a "REMOTE" Quality Management Director Position which will:

• Oversees Covenant Case Management Services, LLC in the quality assurance/quality management operations of the agency.
• Serves as Safety & Security Officer for the agency.

Major Responsibilities

• Ensure implementation of best practice and emerging practices protocols via remaining knowledgeable about MCO/State changes/updates and ensuring Executive team (Owner, Human Resource Director, Operational Director & Regional Director representative are notified)
• Develops an Annual QI/QI plan for the agency with measurable identifiable outcomes and ensures systematic monitoring of plan goals throughout the year and reports outcomes to the Executive Team on a quarterly basis.
• Based on the outcomes of QA/QI monitoring reviews and activities, collaborates with program directors, and leads to develop and implement plans and activities to meet improvement and compliance needs.
• Review of service quality via quarterly record reviews
• Review documentation, plans and protocols for quality management accuracy
• Collaborate with Clinical Director to ensure clinical expertise is available at all levels of the organization
• Identify, with assistance from the Executive team, operational, service, and personal outcomes to ensure policies and procedures are continuously reviewed and updated
• Under guidance of Owner/Executive Director, contact and communicate with identified MCO & State representatives to ensure ongoing compliance
• Under guidance of Clinical Director, ensure continuity of service enrollment & contracts with contracted MCOs (inclusive of but not limited to completion of HCBS assessments, submission of Requests for Nomination, PDI, and etc.)
• Ongoing knowledge of state and MCO information/updates/revisions and ensure pertinent information is relayed to the Executive team
• Attend MCO provider meetings & other necessary/applicable state, MCO and community meetings/trainings
• Oversee and make updates/revisions, as applicable, of CCMS policies and procedures
• Under guidance of Clinical Director, participate with CARF accreditation readiness and delegation of tasks to team members in preparation
• In collaboration with Clinical Director, coordinate MCO audit readiness and delegation of tasks to team members in preparation for audits
• In collaboration with Clinical Director, participate in audits
• Oversee and complete updates/revisions to all information & contracts with additional stakeholders (HIE, EHR, NC Tracks, etc.)
• Participate with Executive Team to participate in all tasks identified in policies and procedures. Track and facilitate discussions about state/MCO required elements within Policy and Procedures
• Participate in other agency meetings as requested & as schedule allows
• Oversee development, updates, and revisions for all the following corporate plans/documents/reports:

§ Policies and Procedures

§ Quality Assurance Summary Reports

§ Cultural Competency Plan

§ Community Partners/Stakeholder Satisfaction Survey with reports

§ Individual & Family Satisfaction Surveys with reports

§ Quality Assurance/Improvement Committee Meeting (performance indicator data, identification of trends, etc.)

§ Corporate Compliance Plan

§ Fiscal Operations Manual (In Collaboration with the CFO)

§ Performance Improvement Plan

§ Risk Management Plan

§ Technology & Systems Plan

§ Accessibility Plan

• At least quarterly, review the previously identified plans/documents/ reports, tracking due dates, making any necessary updates/revisions, and updating the Executive Team on significant changes/concerns
• Provide annual data from previously listed plans/documents/reports to Chief Executive Officer (CEO) for development of Annual Report
• Collaborates with the Chief Financial Officer (CFO) on the development of the Fiscal Policy and Procedure Manual and agency fiscal practices and participate with budget committee to ensure proper review and tracking of challenges/ achievements.
• Other delegated tasks agreed upon by Executive Team (i.e. sub-committee participation, marketing/social media oversight, expansion consultation, etc.)
• Provide essential functions of Safety & Security Officer for the agency and all the duties that fall under the Safety & Security Officer’s role

Essential Functions:

• Enforces the rules, regulations, policies and procedures of agency

(under guidance of Executive Team).

• Oversees the Incident Reporting process that addresses observations,

hazards, and incidents for follow-up

• Is the Primary point of contact and oversees all complaints and

grievances for the agency (internal and from MCOs); providing

follow up reports, plans of correction and additional documents as

needed.

• Reports any actions needed or taken to Executive Team

• Assists with proactive prevention programs with agency

• Embrace diversity, equity, and inclusion in the workplace where

everyone feels valued and inspired

• Provide approval to outside stakeholders and regulatory agencies

regarding staff access to EHRs

• Oversee development and updates to safety regulations and

procedures for all the agency’s credentialed sites

• Oversee any other duties or responsibilities that may fall under the

Safety & Security Officer keeping the Executive Team informed

Skills & Qualification

· Ability to see the organizational vision, able to communicate it to others, and motivate others to enlist them in fulfilling that vision.

· Ability to manage multiple tasks efficiently and effectively

· Ability to educate and coordinate with other healthcare professionals

· Ability to work in a multi-disciplinary team, ensuring identified departments and services are included in the scope of planning and direction of the agency

· Ability to cope, effectively, with stress

· Excellent analytical abilities, both operational and programmatic

· Knowledge and skill in effective communication and interpersonal skills

· Ability to efficiently prioritize & delegate tasks

· Skill and capability to efficiently make decision independently

· Proven ability to select, direct and motivate in teams

· Proven ability to work manage and supervise others (as applicable)

· Knowledge and skill to use the computer

· Familiarity with Microsoft Office, PowerPoint, & Excel

· Maintain professional codes of ethics

· Skills and capability to work with complex projects

Equipment

· Have consistent, reliable access to the internet & cell phone

· Valid driver license

Credential, Certification & Experience

The Quality Management Director must meet the following qualifications:

• QP Qualified
• Master’s Degree OR Bachelor's Degree in a related field
• Working knowledge of reading, understanding, and writing policies and procedures
• Extensive familiarity with I-DD/MH cultures and some familiarity with SAS
• Working knowledge of Clinical Coverage Policy for NC Innovations Waiver services and (b)(3)-funded services.
• Extensive knowledge of medical record requirements.
• Experience utilizing & understanding how to use State/MCO waivers/manuals
• At least ten years of professional experience in the field

Salary Range

· $68,000 per year plus benefits after 90 days

Job Types: Full-time, Part-time

Pay: $68,000.00 per year

Application Question(s):

• What field of study do you have a degree in?

Education:

• Bachelor's (Required)

Experience:

• reading & writing policies & procedures: 2 years (Required)
• MH/IDD Cultures: 2 years (Required)
• medical records: 2 years (Required)

Work Location: On the road