Quality Assurance Analyst

Quality Improvement Specialist

Under the direction of the Director of Quality Assurance/Compliance and in concert with the agency's mission and goal of sustaining high quality care/service delivery to clients, the Quality Assurance Analyst will be responsible to work closely with assigned sites to ensure compliance with agency, state, and federal regulatory requirements and agency/program readiness for internal and external audits/reviews. In addition, the QA Analyst will be responsible for review, follow up and closure of incidents occurring at assigned sites. This work is carried out in support of the mission and goals of Samaritan Daytop Village.

Responsibilities

What You Will Do

• Conducts timely and complete quality reviews on a representative sample of treatment records for assigned sites.
• Conducts timely scheduled/required utilization reviews for assigned agency sites
• Reviews incidents on program caseload to determine if follow up is needed from program staff. Provides guidance to program until incident is ready to be closed in the system.
• Investigates incidents/allegations as needed.
• Monitors and evaluates activities and report writing for incident data.
• Attends monthly/other required QA committee meetings. Prepares accurate and timely meeting minutes and required monthly and/or quarterly reports. Participates in the agency's Quality Improvement/Utilization Management committee.
• Handles timely aggregation and documentation of record reviews conducted to ensure the quality and appropriateness of services being received for the Client Services Quality Improvement and Utilization Management Committee.

Qualifications

Who You Will Be

• Bachelor's Degree in Human Services or related field.
• Minimum of Two (2) years of Quality Assurance experience in the Human Services field (preferred in DHS, OASAS, OMH).
• Willingness and ability to travel to agency sites.
• Knowledgeable in HIPAA & 42 CFR regulations.
• Experience with incident identification, reporting and identification.