Qualified Professional (QP), I/DD
Covenant Case Management Services
Covenant Case Management Services is seeking an energetic and compassionate Qualified Professional (QP) with experience in intellectual and developmental disabilities (I/DD) to support individuals in the Harrisburg area. In this hybrid role, you will help ensure high-quality service delivery, build positive relationships, and advocate fiercely for the people we serve.
Key Responsibilities
Staffing, Caseload, and Team Leadership
- Team Recruitment: Own staffing for your team and caseloads; actively recruit and fill open roles to ensure adequate coverage.
- Caseload Management: Manage a caseload of 25-30 active cases (excluding cases held for coverage). Match staff to cases based on skills, personality, and fit while ensuring timely staffing and strict policy compliance.
- Supervision: Oversee direct care staff to ensure they adhere to CCMS policies and best practices. Lead monthly Direct Support Professional (DSP) supervision meetings and deliver ongoing training.
- Regulatory Compliance: Maintain strict compliance with DHHS/state rules, Medicaid/state waivers, MCO requirements, and CCMS policies. Act as a champion for policy adoption and ethical practice.
- Care Planning: Conduct comprehensive, person-centered assessments; set measurable goals and develop clinically accurate, medically necessary Individualized Support Plans (ISPs).
- Quality Review: Review and approve ISP documentation, assessments, progress notes, and related records. Sign off on new or updated ISPs and coordinate with Medical Records for timely system uploads.
- Utilization Management: Daily review note reports to monitor compliance with staff-completed service notes. Train staff on correct documentation practices, approve compliant entries, and issue required corrections. Monitor underutilized reports and take swift action to optimize service delivery.
- Incident Reporting: Promptly report all incidents to Quality Management (QM) via the internal Incident Reporting (IR) process; fully support IR/IRIS entries for Level 2 and Level 3 incidents.
- Risk Mitigation: Partner with QM to identify risks, recurring incidents, or service gaps. Participate in risk-reduction activities and assist in developing, implementing, and monitoring Plans of Correction (POC).
- Audit Readiness: Lead and participate in internal audits and CARF-related activities. Collaborate with QM, Clinical Directors, and Medical Records to prepare documentation and regulatory responses for auditors. Ensure ongoing, regulation-ready state across all assigned programs.
- Financial Accountability: Review data and billing for precision and compliance. Monitor authorization status monthly, completing service limit sheets for every authorization received to support utilization management.
- Consents: Secure valid consents from individuals and legally responsible persons, supporting annual client consent updates when necessary.
- Stakeholder Relations: Build trusted relationships with MCOs, collaborating agencies, families, and CCMS leadership. Proudly represent CCMS in community activities and interagency meetings.
- Administration: Manage ongoing administrative workflows-including authorizations, progress reports, and documentation reviews-to guarantee completely regulation-ready records.
- Skill Building: Train staff members thoroughly on individual client needs, ISP requirements, and programmatic benchmarks. Lead staff development initiatives to maximize policy compliance.
- Accountability: Provide guidance and clear accountability metrics for DSP performance. Administer corrective actions in accordance with company policy and facilitate the rollout of ongoing policy updates.
- Crisis Response: Maintain availability for on-call crisis services as required. Uphold the highest quality and ethical standards to boost overall program performance and ensure compliance with federal, state, and local laws.
- SCS Coordination: Collaborate closely with the SCS Director regarding any service updates or adjustments for members assigned to Supported Career Services (SCS), or those adding SCS to their active treatment plan.
- Medical Compliance: Partner with the Nursing team to ensure all members have accurate, documented medications on file that meet company compliance standards.
- Medication Tracking: Assist with the collection of medication administration documentation and periodically update physician order changes alongside the Nursing team.
- Clinical Reporting: Document and report side effects, medical changes, or hospital visits directly to the Nursing team for immediate, specialized support.
- Mentorship: Collaborate directly with Clinical Directors and executive leadership to aid in mentoring newly hired staff and incoming QPs.
- Special Projects: Assist with special agency projects, targeted training curriculum, job shadowing, and customized one-on-one development of staff as requested.
- Flexibility: Complete additional operational duties and responsibilities as requested by leadership.
Qualifications & Experience
- Credentialing: Must meet the official North Carolina definition of a Qualified Professional (QP).
- Experience: Have at least five years of supervisory and management experience and/or five years of dedicated experience working within human services.
- Knowledge: Possess a deep, working knowledge of the behavioral sciences and allied disciplines related to Intellectual and Developmental Disabilities (I/DD).
- Skills: Demonstrate exceptional communication, leadership, adaptability, and complex problem-solving skills.
- Resources: Must have reliable access to high-speed internet, a functional cell phone, and reliable transportation.
- Physical Requirements: Ability to sit, stand, walk, and lift up to 50 pounds as required by field conditions.
- Hold a valid license, provisional license, certificate, registration, or permit issued by a governing board regulating a human service profession; OR
- Have a graduate degree in a human service field paired with at least one year of post-graduate experience; OR
- Have a bachelor's degree in a human service field paired with at least two years of post-graduate experience; OR
- Have a bachelor's degree in any non-human service field paired with at least four years of post-graduate experience.
- Generous Total Rewards Plan - including health insurance, 401(k) match, and career benefits.
- A diverse and inclusive community focused on professional growth, compassionate care, and a highly supportive work environment.
Vacancy posted more than 2 months ago
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