Quality and Incident Specialist
: Job Details :

Quality and Incident Specialist Villa of Hope helps youth and families Rebuild relationships, Recover from trauma, and Renew Hope for the future.JOB TITLE: Quality and Incident SpecialistPOSITION GRADE: 80 [ $19.50- $33.00 Pay commensurate with education and experience ]DEPARTMENT/PROGRAM: Quality and PerformanceSUPERVISOR: Quality and Performance ManagerFLSA STATUS: Non-Exempt JOB SUMMARY:Under the general direction of the Quality and Performance Manager, the Quality and Incident Specialist is responsible for ensuring the organization meets regulatory standards while maintaining high-quality service delivery. This role includes auditing files and charts, conducting incident investigations, and assisting in process improvements and staff training. The Specialist will also support the Incident Review Committee by preparing agendas, taking minutes, and coordinating meetings. Knowledge of regulatory requirements from agencies such as the Justice Center, OASAS, and OMH is essential.ESSENTIAL FUNCTIONS:

Auditing

Perform regular audits of client files, charts, and documentation to ensure compliance with regulatory standards and organizational policies.

Reports results to Leadership

Verifies and tracks completion of corrective action plans

Collaborates with the Clinical Utilization Quality Manager in file review and responsibilities.

Ensure fidelity of tools as it relates to state oversight agency regulations

Incident Investigation

Reviews incident reports for assigned programs and verifies compliance with timely external reporting as required (OCFS, OMH, NYSED, DOH, Justice Center, etc).

Lead and document thorough investigations of incidents, ensuring proper analysis, reporting, and follow-up in accordance with regulatory requirements.

Compliance Monitoring

Ensure ongoing adherence to regulations from the Justice Center, OASAS, OMH, and other relevant bodies, and provide recommendations for maintaining compliance.

Stays up to date with recent changes to guidelines as it relates to program licenses, regulations and procedures.

Process Improvement

Identify and implement opportunities for improving compliance, quality assurance, and incident management processes within the organization.

Reviews and recommends updates to audit tools as needed in response to changes in external requirements (regulatory and/or COA accreditation).

Reviews and recommends updates to incident management policies and procedures annually and as needed in response to changes in external requirements.

Training

Deliver training sessions and support staff in understanding and adhering to compliance, quality, and incident management protocols.

Assist with providing mandated reporting, incident management and other training at new employee orientation and refreshers as needed.

Committee Support

Assist with Incident Review Committee meetings by preparing agendas, taking minutes, and ensuring follow-up on action items.

Facilitate and co-facilitate IRC's as needed

Attends and supports program and agency level Performance Quality Improvement (PQI) committees.

POSITION SPECIFICS: Education: Bachelor degree preferred, or Associates Degree and related experience. Experience: 2-3 years' experience working within NYS OMH, OASAS, and DOH systems of care strongly preferred. Experience with Incident Reporting and Management System (IRAMS), New York State Incident Management & Reporting System (NIMRS), and Web Submission of Investigation Report (WSIR) also preferred.Skills:

• Superior aptitude in the following:
• Organization and prioritization of competing demands
• Critical/analytical thinking
• Verbal and written communication
• Facilitation of team meetings and motivation of team members toward common goals
• Change management
• Courage to assert oneself as needed to successfully achieve essential functions above.
• Proficient in Microsoft Office software

Physical Demands:

• The physical demands described here are representative of those that must be met by an employee to successfully perform essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The following lists physical demands an employee will perform on a regular basis: Standing, sitting, walking, bending, stooping, kneeling and climbing. Must be able to perform a variety of tasks, climb stairs, move throughout the building and grounds, work cooperatively in a team environment and quickly respond to emergencies.

TRAVEL: Occasional and within NYSCOMPETENCIES:Leading Self

• Character and Courage (Integrity and Trust)
• Do the right thing, because it is the right thing, even when no one is looking. Truth to Power.
• Customer Focus
• Build positive relationships through communication and collaborative problem solving.
• Commitment to Diversity, Inclusion, Justice and Equity
• Believe in the dignity and humanity of all people to reach their full potential.

Leading Others

• Process Management
• Develop and monitor processes and organize resources to achieve desired results.
• Develop Self and Others
• Continually develop self and others capabilities to attain the highest level of performance possible.
• Managerial Courage
• Make difficult decisions, own those decisions, and have difficult conversations, all in the best interest of the agency.