Quality Management Specialist (57389)

Quality Management Specialist

Join our team at FSS and enjoy comprehensive benefits including but not limited to:

• Tuition Reimbursement
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Well-Being Program
• Paid Time Off (PTO)
• Bereavement Leave
• 12 Paid Holidays
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• Short & Long-Term Disability Coverage
• Employee Discounts
• 401k Plan with 3% Employer Contribution

The mission of Family Support Services is to be the leader in providing safety, stability, and quality of life for all children by working with the community to strengthen the family unit.

Job Summary:

Provides oversight of quality management services for the Community Based Care Agency (CBC). Conduct quality case management reviews of the Case Management Organizations to ensure compliance with applicable state and federal regulations and program objectives. Review and evaluate performance regarding fulfillment of contract obligations. Determine quality of care and reports results to oversight groups. Investigate and report on client complaints and incident reports.

Essential Functions:

• Assure compliance regarding current federal, state, and local laws, contracts, accreditation standards, and policies and procedures
• Promote and advocate for improvements to the child welfare system as related to the primary purpose of the CBC Quality Management Plan, i.e., to strengthen practice, improve timeliness, accessibility, quality and effectiveness of services and increase the natural and enduring community supports for children and families
• Contribute as a member of the Quality Management team to perform all functions, as necessary, through cross training and joint support, i.e., quantitative analysis and compliance review processes, qualitative analysis of programs and systems, and professional development initiatives through curriculum development, training and retention activities
• Create reports and recommendations based on analytical findings, performance outcomes, DCF and CBC reporting requirements, etc., provide leadership to the team in implementing recommendations and then evaluating their effectiveness
• Participate in reviews and analyses as a subject area expert, serving as a resource to other team members
• Provide up to date information regarding current federal and state rules, contract requirements, procedures, and policies affecting CBC to all participants
• Promote and participate in agency-wide continuous quality improvement initiatives
• Assist the Manager of Quality Management Department in analyzing outcome data and prepare reports for submission to the ELT and CMOs as necessary.
• Report to the Manager of Quality Management Department, ELT, DCF, and various groups associated with the CBC, as necessary.
• As assigned may perform the duties below:

o Conduct quality case management case reviews which include but not limited to pre and post case consultations as it relates to the Life of Case Reviews, Special Project Reviews and CFSR/PIP case reviews.
o Analyze reports and assist in monitoring data integrity and report to the Vice President of Quality Services.
o Assist in determining compliance with contractual requirements and assist in providing training to improve performance.
o Conduct inv