Quality Compliance Specialist

Summary of Position: The Quality Specialist support the Sr. Director and Directors with

Quality/Compliance activities including incident/accident reporting, outcomes reporting, chart audits,

investigations for CHOR YFS (which includes the entities doing business as Children’s Home of Reading,

Edison Court, Affinity Services, and Community Prevention Partnerships), Crossroads Programs, Inc. and

other affiliates as assigned. The Quality Specialist ensures proper implementation of policy and procedures

and ensures provision of quality services throughout all entities. This is a hybrid position. Some travel may

be required depending on needs of affiliates. Occasional after hours may be necessary in emergency

situations.

Duties and Responsibilities:

• Partners with Quality Department and program team members to ensure quality service delivery and

reduce fraud, waste, and abuse.

• Assists with ensuring compliance with EHR components and agency policies and procedures, all

federal, state, and local regulations and laws, and all licensing and accreditation regulations.

• Addresses any domain configuration, reporting, and/or training needs collaboratively with the EHR

Manager and Staff Development Department.

• Supports implementation and/or merging of Credible EHR domains

• Effectively maintain administration of domains, a.k.a. responsible for “domain wellness”.

• Is knowledgeable of and advises teams on best practices on use of EHR for service delivery.

• Review and analyze the effectiveness and efficiency of existing systems and develop strategies for

improvements.

• Provides/Assists EHR New Hire, End User, and Administrative Trainings and support, as requested.

• Adhere to all policies and procedures, with the most stringent attention to complying with all

governmental and HIPPA mandated patient confidentiality regulations. Holds all company and

employee information at the highest level of confidentiality.

• Follows and promotes a trauma-informed approach when assisting with client and employee

complaints/investigations.

• Facilitates data collection in areas such as incident/accident reports, completion of consumer feedback

surveys to identify any programmatic concerns, outcome measurements, and compliance reporting.

• Completes record compliance audits, and aggregate results.

• Gathers and sends data for external requests for information. Assists with preparations for licensing,

county or other visits when needed.

• As needed, completes credentialing/contracting documents.

• Assists with records management as required, both in paper and electronically.

• Assists in developing solutions to identified department problems in cooperation with management.

• Participates in PQI committees when assigned.

• Remains flexible to provide assistance with emergencies in the evening or weekend hours for any

significant compliance concerns or EHR-related problems.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable

accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

Bachelor’s degree in health systems, or related field

Associates degree in health systems, or related field plus two years’ experience preferably in social service

environment.

Two years’ experience implementing/supporting or hands-on operational experience with Credible platform,

or electronic health record systems.

High level of computer literacy with MS Office products.

Language Ability

Ability to read, write and comprehend information. Ability to effectively communicate with residents, peers,

clients, employees, and administration. Ability to professionally write detailed reports.

Reasoning Ability

Ability to apply common sense understanding to carry out detailed and sometimes involved written and oral

directions. Ability to interpret routine instructions without difficulty. Ability to apply rational/calm reasoning

when confronted with difficult and/or ambiguous situations.

Computer Skills

To perform this job successfully, an individual should have knowledge of Microsoft Office applications and

Electronic Healthcare Records.

Required Trainings

State and Federal Compliance Requirements

First Aid/CPR

Basic Training/Understanding of Passive Restraint Techniques-MAB, SCM

Trauma Informed Care

Fire Training

Suicide Prevention

Cultural Awareness

Crisis Response

Health Issues

PREA Regulations & Investigations

Confidentiality/HIPAA

Risk Management

Credible trainings as appropriate

Accreditation training

Quality/Compliance training.

40 hours of annual training after initial year of employment (30 hours initial year)

Physical Demands:

The physical demands described are representative of those that must be met by an employee to successfully

perform the essential functions of this job. Reasonable accommodations may be made to enable individuals

with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; walk; use hands; reach with

hands and arms; and talk or hear. The employee is occasionally required to climb or balance. The employee

must occasionally lift and/or move up to 25 pounds.