Indera is looking for a Quality Management Specialist, NHTD/TBI
At Indera we envision a world where disability never limits opportunity,
and every community is built for everyone.
Indera is dedicated to promoting independence and enhancing quality of life for the individuals we serve. As an Equal Opportunity Employer, we welcome and encourage applications from candidates of all backgrounds, including individuals with disabilities, and are committed to providing the support, accommodations, and resources needed to help every employee achieve their personal and professional goals.
Job Responsibilities:
Incident Reporting:
- Assist with Serious Reportable Incident process, assuring compliance and the timely completion and submission of all required documentation associated with investigatory process both internally with the RRDC and with the waiver providers across an 8-county region
- Track all pertinent information pertaining to SRIs for analysis to identify any regional trends and emerging issues
Quality Monitoring:
- Perform internal DOH RRDC file reviews of a sample of participant records quarterly and confirm adherence to proper authorization procedures and satisfaction of waiver requirements
- Perform waiver provider service audits across an 8-county region with 40 plus providers
- Perform trend analysis identifying problematic areas across an 8-county region, and develop activities/trainings that will support positive outcomes
- Develop, implement, and ensure completion of plan(s) of corrective actions
- Ensure waiver participants complete annual participant satisfaction surveys using the DOH designated form to assess participant satisfaction with NHTD/TBI waivers and to monitor quality assurance activities
Review of Services Plans and Provider Applications:
- Assist RRDS in reviewing Service Plans upon request to ensure information is accurate and meets the health and welfare needs of the participant
- Assist with provider enrollment process and submission to DOH
Develop and Submit Reports to DOH:
- Review quarterly and annual SRI reports from the waiver providers
- Submit a monthly numbers report for the NHTD/TBI to DOH waiver staff
- Submit quarterly SRI reports for NHTD/TBI to DOH waiver staff
- Submit quarterly complaint reports for NHTD/TBI to DOH waiver staff
- Make recommendations to the Lead RRDS/DOH based on experience for improvements to NHTD/TBI waiver policies and procedures
Professionalism:
- Uphold the codes of conduct and ethics as well as all Indera policies and procedures
- Exercise sound judgment as a matter of course and hold protected health information and other sensitive information in the strictest of confidence in accordance with Indera and HIPAA policies
- Other duties as assigned
Confidentiality: High-level confidentiality is required for access to all organization records.
Safety Compliance: Office functions are performed while maintaining a safe work environment.
Qualifications
- Proficient computer skills, especially with Microsoft Suite; demonstrated ability to learn new computer systems and software
- Excellent interpersonal skills both in person as well as on the phone
- Demonstrated professional verbal and written communication skills; ability to gather important information from individuals and share/capture in a variety of methods; excellent ability to present information to a variety of audiences
- Strong organizational skills with physical and electronic records and data
- Working knowledge of: community-based resources and services, operation of 1915 (c) waivers, issues concerning individuals with disabilities and seniors, and benefits provided by Medicaid, Medicare and/or other third party payers
- Clean Driver License and inspected, insured, reliable transportation
- Experience in person centered planning and team building
- Ability to review and analyze records, reports and surveys in order to determine trends
- Proven ability to assist program development
Educational Qualifications (candidates must meet at least one of the criteria listed below):
- Possess a bachelor’s degree in health or human services or a related field and two years of combined satisfactory professional experience in working with individuals with disabilities and/or seniors
OR
- Be a Registered Professional Nurse and have one year of combined satisfactory professional experience working with individuals with disabilities and/or seniors, including in a managerial capacity
OR
- Possess an associate degree and five years of combined satisfactory experience working with individuals with disabilities and/or seniors, including in a managerial capacity
Work location: James Street Office located in Syracuse - Onondaga County
Hours and days: Monday-Friday 8:00am -4:00pm (Approx)
Compensation: $25.48 -$25.96 per hour
Non -Exempt- Full Time
40 hours per week, including one-hour paid lunch
Skills Required
- Bachelor’s degree in health, human services, or a related field plus two years of professional experience working with individuals with disabilities and/or seniors
- Registered Professional Nurse license plus one year of professional experience working with individuals with disabilities and/or seniors, including managerial experience
- Associate degree plus five years of experience working with individuals with disabilities and/or seniors, including managerial experience
- Proficiency with Microsoft Suite and ability to learn new computer systems and software
- Excellent interpersonal, verbal, written communication, presentation, and information-gathering skills
- Strong organizational skills with physical and electronic records and data
- Working knowledge of community-based resources, 1915(c) waivers, disability and senior services, and Medicaid, Medicare, or other third-party benefits
- Clean driver’s license and inspected, insured, reliable transportation
- Experience in person-centered planning and team building
- Ability to review and analyze records, reports, and surveys to identify trends
- Proven ability to assist with program development
What We Do
ARISE – Exceptional Family Resources is a non-profit organization dedicated to empowering individuals and families with disabilities. Based in Syracuse, New York, it provides a comprehensive range of advocacy and disability services, including respite care, family support, and community integration. Its mission is to foster independence and self-advocacy, enhancing the quality of life and ensuring full inclusion for those they serve.
