Quality Assurance Specialist
Summary
Oversee quality assurance and regulatory compliance for healthcare programs, ensuring adherence to HIPAA and state regulations through audits, training, and corrective action plans.
Position Summary: Develop, implement and oversee quality assurance and regulatory compliance strategies with regard to program-related licensing standards.
Essential Responsibilities:
- Develop, implement and oversee quality assurance and regulatory compliance strategies by Department with regard to established licensing regulations as they pertain respectively.
- Initiate development of standard operating procedures for monitoring and auditing of program performance by department.
- Lead the design of monitoring programs to ensure Consumer progress and safety.
- Identify training and educational needs regarding departmental personnel and make recommendations.
- Develop and monitor programs to ensure compliance with (Health Insurance Portability and Accountability Act) HIPAA regulations and OPWDD, or other applicable funding entities regulations.
- Identify and rank areas at risk of non-compliance and recommend strategies to address such issues.
- Develop systems and relationships to support auditing activities in collaboration with the compliance officer; organize panels of experts to assist in reviews and analysis.
- Identify and report general compliance issues that may arise through the work process; write and revise standard operating procedures.
- Review technical publications, articles and abstracts to stay abreast of current regulations and trends, ensure appropriate actions are taken to incorporate necessary revision into workplace environment.
- Develop monthly progress reports by department, add comparisons by previous monthly report and submit to the Executive Director by the first of the following month.
- Consumer Incidents: manage, and oversee appropriate documentation, report to oversight agencies as required, incidents, and conduct monthly incident review committee meetings, and filing.
- Ensure presence on-site during program licensing audits, obtain information for auditors as requested, and attend exit conferences.
- Answer audit deficiencies, write Plan of Corrective Action, and ensure program compliance to such plans.
- Research state regulations and compliance guidelines; and knowledgeable in best practices. D
- Document quality assurance activities with internal reporting, audits, and project summaries.
- Perform other related duties incidental to the work described herein