QA/QI Manager

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.