Quality Assurance Manager

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Full Time Lanham, MD, US

2 days ago Requisition

Salary: $70,000.00 Annually

Opportunities, Inc. seeks to ensure that all people with intellectual and developmental disabilities are provided chances to build a broad range of skills, gain new knowledge, interact with their community and, most importantly, be provided a variety of inclusive opportunities within the communities where they work, recreate, and live. We provide excellence in vocational, social, and adaptive skill development to help adults with disabilities achieve their fullest potential for independence and self-confidence.

JOB SUMMARY:

The Quality Assurance Manager will be responsible for ensuring the implementation of all Quality Assurance and Compliance focused initiatives. The QA Manager is responsible for working across programs to ensure compliance with regulations and policy, including the reporting and investigation of incidents, COMAR Regulations, the DDA Waivers, DDA Policy, and internal protocols. This position reports to the Chief Operating Officer, but works closely with Program Managers and the Chief Program Officer to ensure programs are operating in accordance with all applicable policies and regulations set forth by the State.

FLSA Classification: Exempt

ESSENTIAL FUNCTIONS:

• Responsible for Incident Reporting on behalf of Opportunities, Inc., triaging all potential incidents reported by staff, families, and/or people supported. Manages incident report records in both iCareManager and PCIS
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• Completes and submits the Quarterly A-5 form, for all internal incidents, to the DDA, as required through regulation.
• Conduct incident investigations in accordance with the State of Maryland’s Policy on Reportable Incidents and Investigations (PORII).
• Partner with the Director of Training, Operations Managers, and others to ensure the delivery of Incident Reporting and Investigation training, CPR/First, and other required training for direct support staff.
• Serve as the liaison between Opportunities, Inc. and external surveyors, such as OHCQ, Liberty QIO, DDA.
• Complete and submit Plan of Corrections for the organization, as needed, for any statements of deficiency and citations that are received.
• Collaborates with Leadership to ensure maintenance of current licensure and DDA approvals/certifications, including annual DDA renewal and MPRIME Medicaid revalidations.
• Conducts monthly Audits for unbilled services remaining in iCM, working with program leadership and the Billing Specialist to close the loop on unbilled services. Communicates with all necessary staff regarding unbilled items.
• Create and implement series of internal audits related to documentation, training, billing, service delivery, etc. for all programs.
• Develop and/or Maintain agency protocols and policies in accordance with COMAR and DDA requirements, with particular emphasis on HIPAA, emergency and disaster preparedness, drills, and incident reporting.
• Collaborate with Community Engagement Specialists to update and complete bi-annual satisfaction surveys with people in services and families.
• Perform monthly eligibility checks for all people experiencing service disruptions due to Medicaid revalidation challenges.
• Track all Key Performance Indicators (KPI) across programs and report progress to managers and agency leadership.
• Update Program Service Plans on an annual/as needed basis.
• Performing Quality assurance checks throughout all programs, ensuring that goals are being worked on regularly, and that services reflect meaningful activities and are based around creating inclusive opportunities for the people supported by Opportunities, Inc
• Complete quarterly building safety assessment and relay maintenance needs to appropriate staff.
• Complete monthly water temperature testing of Opportunities, Inc. sites, making sure that water temperatures do not exceed a maximum of 110 degrees Fahrenheit, aiming for a temperature of 105 degrees.
• Collaborates with agency leadership and other managers to create the…