Quality And Compliance Specialist

Location:
Abraxas Academy | 1000 Academy Dr. | Morgantown, PA 19543

Now hiring a LICENSING & ACCREDITATION SPECIALIST to join our team!

As a QUALITY & COMPLIANCE SPECIALIST | LICENSING & ACCREDITATION SPECIALIST, you will oversee licensing, contractual, and accreditation compliance.

Salary Starting From:

Job Type: Full-time

Who We Are:

Abraxas Youth & Family Services is a national nonprofit human services provider dedicated to Building Better Futures for at-risk youth, adults, and families. Our diversified array of services includes alternative education, outpatient counseling, in-home services, shelter, detention, residential treatment and re-entry/transition services.

Since 1973, Abraxas team members have positively impacted the lives of those we serve and the communities in which they live.

We provide a competitive and comprehensive benefits program that offers the protection, peace of mind and flexibility designed to support you – both at home and at work.

• Medical & Dental & Vision Insurance
• Flexible Spending Accounts
• Basic Life & Short-Term Disability Insurance
• 401(k) Savings Plan
• Life Assistance Program (LAP)
• Tuition Assistance Program
• Paid Time Off (PTO)
  * Paid Holidays
  * Paid Training

Oversee Compliance with Licensing and Contractual Requirements:

• Liaison with licensing and contract representatives (e.g., inspections, complaints, child abuse investigations)
• Respond to questions, concerns, requests for information and updates
• Organize and oversee inspections and audits – includes all preparation and gathering required documentation
• Develop and submit all corrective action plans (e.g., IL SUPR, BOP, Department of Health, MD, Washington DC, Philadelphia DHS)
• Complete Annual License Renewals
• Verify completion of external incident reports (e.g., HCSIS Reports, MD Incident Report Form RCCP/CPA).

• Monitor compliance with standards
• Training and technical assistance to all employees when needed
• Update application annually and monitor extranet site
• Organize and oversee survey – includes all preparation and gathering required documentation
• Develop and submit all corrective action plans (e.g., Evidence of Standards Compliance)

• Develop meeting agendas and track follow-up items
• Develop and maintain meeting minutes
• Data collection, tracking, and presentations for analysis

• Assist with the development of meeting agendas and track follow-up items when needed
• Assist Safety Officer in monitoring fire drills and emergency drills
• Verify compliance with Joint Commission requirements
• Facilitate and organize data collection, presentation, and analysis (e.g., Workplace Violence incidents, Injuries, Infection Control data, Physical Interventions)
• Complete annual requirements for updates and analysis (e.g., EOC plans, Infection Control, Hazard Vulnerability Analysis, WVPP Annual Analysis).

• Responsible for managing the policy directory
• Provide policies when requested (e.g., licensing, contracting agency)
• Develop new and revise existing policies when needed
• Submit new and revised policies to the Leadership Team and AYFS Policy Council for review and approval
• Distribute new and revised policies to facility employees, as appropriate
• Verifies compliance with Joint Commission requirements
• Complete annual policy updates (e.g., Environment of Care Plans, Infection Control Plans)
• Report HIPAA incidents to the Chief Privacy Officer
• Gather information and complete required report to address HIPAA incident
• Verify annual HIPAA training is completed with all employees

• Collect and distribute grievances to be processed
• Follow-up when necessary
• Track and file grievances

• Provide guidance, training, and consultation to Leadership Team, supervisors, and employees regarding licensing requirements, accreditation standards, and contractual requirements.

• Associate’s degree or 60 credits from an accredited college or university, plus four years of related experience; OR
• Bachelor’s…