General Description
Provide administrative support and on-going assistance to Quality and Compliance Department and to the service departments of Catholic Charities Family and Community Services regarding quality assurance, quality improvement, and compliance. Conducts complex investigations for incidents, allegations of abuse, and various compliance concerns. Collaborates directly with Program leadership, Regulatory and Law Enforcement entities.
Essential Duties and Responsibilities
1. Work closely with the Director of Quality Improvement & Incident Management to ensure all incidents are reported and processed in accordance with agency and regulatory policies and procedures, including entering and updating information on appropriate data systems.
2. Partners with Oversight Agencies and Law Enforcement to conduct investigations.
3. Assist each Department Director with monitoring of corrective action plans specific to Incident Management, completing accurate and written formal investigations and assist with implementation of applicable. recommendations set by any state or federal regulating agencies.
4. Assist with maintenance and review of all Quality and Compliance department Incident Management policies, assuring all are accurate, current, and in compliance with state and federal regulations.
5. Assist with development and modification of forms as applicable (i.e. checklists, incident report tracking, etc.)
6. Assist Quality and Compliance Department with all Agency activities related to privacy of health information required under HIPAA as well as regulatory compliance.
7. Assist in coordination or delivery of training using innovative methods.
8. Share on call responsibilities as directed by the Director of Quality Improvement & Incident Management.
9. Assist with hotline call investigations as directed by the Director of Quality Improvement & Incident Management.
10. Conduct formal investigations for incidents and allegations of abuse including interviewing employees, individuals served, and others as needed in addition to gathering and analyzing all forms of evidence.
11. Responsible for reporting progress, findings, and recommendations of investigations to designated program staff, leadership team, and Incident Review Committee and ensure that all required notifications are made.
12. Documents investigation findings and conducts appropriate communication with key stakeholders.
13. Provide accurate and written documentation of formal investigations to all designated state or federal oversight agencies as required.
14. Assist Quality and Compliance Department with conducting client satisfaction surveys including compilation, analysis and communication of results.
15. Attend staff meetings and other agency committee meetings as appropriate to duties and responsibilities and communicate information directly to appropriate staff.
16. Represent Catholic Charities Family and Community Services on appropriate committees.
17. Attend mandatory training.
18. Assure compliance with all applicable local, state, and federal regulations and agency policies.
19. Participates in relevant Agency meetings and/or trainings
20. Actively pursues development of professional competencies related to job role performance through reading, supervision, in-service training and attendance at conferences and workshops.
21. Awareness and active support of the Agency's Mission, Vision, Values and Strategic Plan. Including, but not limited to, supporting the Agency's Core Competency initiatives of being Collaborative and Community Focused, Innovative and Entrepreneurial, and Culturally Competent and Diverse.
22. Other duties as assigned.
Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory direction and perform other related duties as required.
