QA/QI Manager (53427)

Position Summary:

Provides direct consumer services and provides Quality Assurance/Quality Improvement oversight for the Healthy Start Program.

 

Essential Job Functions:

 

• Conducts quarterly chart reviews
• Assists program coordinator as needed, including: monitoring of caseloads to ensure proper case management including case closures, compliance with deadlines, and encounters according to Healthy Start model, running program reports, completion of monthly/quarterly reports, monitoring of staff productivity and home visit completion rates, attending meetings as needed to represent The Village Healthy Start program.
• Communicates with The Village Leadership staff, as needed
• Understands HIPAA, Professional Ethics, Consumer Rights and Confidentiality
• Participate in performance improvement activities
• Implements and conducts Quality Improvement monitoring activities as defined for the Healthy Start Program by the Florida Department of Health (FDOH) and Agency for Healthcare Administration (AHCA)
• Ensures compliance with Healthy Start Standards and Guidelines
• Responsible for maintaining consumer records in compliance with agency, state, CARF, Medicaid, AHCA, FDOH, and other rules and standards, guidelines, and regulations
• Monitors and assures accuracy, timeliness, and consistency of data and services via the Well Family System (WFS) database.
• Attend and participate in training activities, staff meetings, case conferences and supervisory sessions
• Ensures timeliness of consumer reviews and submits necessary documentation to appropriate party
• Serves as Acting Program Coordinator in the absence of Program Coordinator
• Participates in Performance Improvement activities on an ongoing basis
• Monitors staff compliance with required trainings as defined by the Healthy Start Program.
• Assists Program Coordinator in completing monthly/quarterly reports are required by the Healthy Start Program. 
• Embrace and embody the mission, vision, guiding principles, clinical vision and goals of WestCare Foundation.
• Perform any other duties as assigned.

 

Qualifications

 

 

Essential Qualifications:

 

Certifications/Licensures:

• Certification as a CAP or MCAP, in good standing by an agency approved and recognized by the Florida Certification Board is preferred at time of hire; Preference will be given to those candidates who are currently Certified;
• Licensure as a LCSW, LMHC, or LMFT in good standing by an agency approved and recognized by the state of Florida is preferred at time of hire. Preference will be given to those candidates who are currently licensed

 

Education:

• Graduation from an accredited masters program with a degree in Social Work, Psychology or related field is required.
  
   

Experience and Competencies: 

• 2 years of public health/community development experience is required.
• A minimum of one year experience providing direct Healthy Start services is preferred
• Minimum of two years’ experience providing case management and/or care coordination services with SA/MH population preferred
• Bilingual is preferred.
• Maintains confidential files and records.
• Ability to identify crises, mitigate or resolve problems, and de-escalate situations.
• Knowledge in the understanding and application of various counseling theories (e.g., behavior modification, motivational enhancement therapy, cognitive therapy, etc.).
• Ability to converse with consumers about addiction, risk factors, and medical care.
• Ability to communicate appropriately and effectively with members of a multi-disciplinary team.
• Ability to organize, interpret and communicate data in a comprehensive and effective manner.
• Knowledge in the understanding and application of time management and stress management.
• Knowledge and understanding of AHCA, Medicaid, JCAHO, Florida Department of Health and Department of Children and Families rules and regulations.
• Ability to handle multiple tasks and effectively prioritize.
• Ability to network with internal and external departments and agencies.
• Understands that different cultural and ethnic groups have different perceptions of health, wellness, behavioral health, and preventive health services
• Demonstrates respect for individual’s cultural and ethnic values when conducting assessments, developing Wellness and Recovery Plans, and providing services
• Understands that different cultures define and perceive family and its importance differently
• Demonstrates ability to work effectively with culturally diverse staff and populations
• Ability to use trauma informed care principles including ensuring consumer safety, preventing/avoiding re-traumatization, maximizing trustworthiness, enhancing consumer choice, maximizing collaboration, and emphasizing empowerment
• Ability to identify and describe key signs, symptoms, impact and manifestations of trauma
• Aware of the differences between trauma informed and trauma-specific services
• Understands the bidirectional relationships among substance use and mental disorders and trauma
• Understands the differences among various kinds of abuse and trauma, including: physical, emotional, and sexual abuse; domestic violence; experiences of war for both combat veterans and survivors of war; natural disasters; and community violence
• Knowledge of WestCare Mission, goals and values
• Knowledge of Incident Reporting
• Knowledge of HIPAA, Professional Ethics, Consumer Rights and Confidentiality
• Familiarity with WestCare services and programs
• Demonstrates a high degree of dependability.
  • Maintains a good attendance record.
  • Observes working hours
  • Shows flexibility and is responsive to requests from supervisor
  • Works independently with minimal supervision
  • Exhibits characteristics of good workmanship, and integrity on the job
  • Work time is always productive
• Demonstrates ability to establish and maintain effective working relationships with consumers, co-workers, external partners, and  regulatory agencies
  • Is courteous to consumers, staff, and all others.
  • Demonstrates tact at the appropriate time.
  • Cooperates with others both within and outside WestCare
  • Works well with supervisor; accepts direction and supervision
  • Maintains a positive attitude toward work
• Ensures and maintains a safe working environment.
  • Work area is clean and orderly.
  • Verbalizes, understands and adheres to agency safety procedures.
  • Demonstrates appropriate use of Unusual Incident Reports, in accordance with the Center’s reporting procedures
• Presents a positive personal image
• Dresses and maintains a professional demeanor
• CPR Certification, First Aid Certification and an annual Tuberculosis test. 
• Ability utilize Microsoft Office Software Suite
• Ability to provide an Affidavit of Good Moral Character
• Clearance in Pre-Employment Drug Testing and Criminal Records Checks, as required.