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We are an equal opportunity employer currently with over 550 professionals and skilled staff employed across New Jersey in a wide variety of roles.  Regardless of job responsibilities, all LMSNJ employees share a true commitment to serve those who are hurt, who are in need, or who have limited choices--regardless of religious affiliation or background.

Manager of Quality Assurance

  • Job Tracking ID: 512088-591279
  • Job Location: Jersey City, NJ
  • Job Level: Management
  • Level of Education: BA/BS
  • Job Type: Full-Time/Regular
  • Date Updated: October 17, 2017
  • Years of Experience: 5 - 7 Years
  • Starting Date: ASAP



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Job Description:

 

Through the power of the Holy Spirit and in response to God’s love as revealed in the Gospel, the mission of Lutheran Social Ministries of New Jersey is to serve those in New Jersey who hurt, who are in need, or who have limited choices.

LSMNJ team members are dedicated to providing healing, hope and hospitality, regardless of religious background through a diversified social ministry program addressing many critical human care needs.

We are seeking employees that share those same values and want to make a difference in the lives of those we serve.

 

Lutheran Social Ministries of New Jersey, has a unique opportunity available for a full-time Quality Assurance Manager.

 

MUST HAVES: leadership experience in a health-related field and a minimum of one year working with the frail or elderly.

Necessary Skills:

  1. Knowledge of quality management techniques and methods that measure and improve services.
  2. Knowledge of compliance and privacy laws and regulations that effect health care systems.
  3. Ability to coordinate and effectively lead groups.
  4. Ability to work in an interdisciplinary team and multi-ethnic community.
  5. Good educator who is willing to share information and serve as a mentor.
  6. Ability to bridge the communication and technical gap with diverse individuals
  7. Self starter with strong organizational and time management skills.
  8. Strong analytical skills, detail oriented, extremely well organized and able to plan and problem solve
  9. Computer literate (MS Word, Excel, Access, Outlook)
  10. Excellent written and oral communication skills.
  11. Strong leadership abilities.
  12. Experience in compliance and privacy (HIPAA) activities

 

The Director of Quality Assurance will develop, organize and monitor a Quality Assessment and Performance Improvement Plan (QAPI) for our senior healthcare program. The Director of QA will analyze risk management data, and quality assessment performance improvement activities data with the objective of identifying and controlling loss to protect the assets of the organization.

Essential Duties

• Supports the mission and values of Lutheran Social Ministries of New Jersey, which is: Through the power of the Holy Spirit, and in response to God’s love as revealed in the Gospel, the mission of the Lutheran Social Ministries of New Jersey is to serve those in New Jersey who hurt, are in need, or have limited choices.
• Develops, organizes and monitors a Quality Assessment and Performance Improvement Plan (QAPI) for the Lutheran Senior Healthcare program.
• The Quality Assurance Coordinator acts as the Compliance and (HIPAA) Privacy Officer for Lutheran Senior Healthcare.
• Develops, and guides the implementation of the annual QAPI Plan. Collaborate with the Medical Director and Executive Director in development of the annual QAPI plan.
• Review, revise and communicate the QAPI plan to participants, staff, contractors, administration, participant advisory committee and the Board. Send the annual QAPI Plan to appropriate state and federal agencies.
• Ensures staff integration into the QAPI process through Continuous Quality Improvement education and developing opportunities for input.
• Analyses of risk management data, and quality assessment performance improvement activities data with the objective of identifying and controlling loss to protect the assets of the organization.
• Has overall responsibility for the Medicare Part D fraud, waste and abuse Compliance Program. Ensures that the Compliance and Privacy Officer completes the activities and responsibilities identified in the Compliance program and those activities and responsibilities related to the HIPAA privacy rule.
• Write/compile the Annual QAPI Report at the end of the fiscal (calendar) year, review it with the Medical Director and Executive Director, and share it with to participants, staff, contractors, and administration, the participant advisory council and the Board. Send the annual QAPI Report to appropriate state and federal agencies.
• Develop, monitor, and report on PACE Health Plan Management System (HPMS) quality indicators. Prepare presentation of quality improvement for quarterly Quality Care Team.
• Oversees the process to evaluate, and resolve medical and non-medical grievances by participants, and or their representatives, ensures information is reviewed for incorporating issues in development of Quality improvement initiatives and annual QAPI plan.
• Attend quarterly participant advisory committee meetings and, staff meetings and report on QAPI.
• Integrate QAPI into orientation and training for new staff.
• Facilitate QAPI meetings to ensure that the developed plan is successfully installed and maintained.
• Assist senior staff and mid level managers with establishing process evaluation and performance improvement initiatives using PDCA (Plan- Do- Check- Act) in their area of responsibility. Help staff identify problems and facilitate their problem resolution efforts.
• Acts as the PACE Compliance and Privacy (HIPAA) Officer and provides initial training to new hires, and ongoing training to existing staff and contract organizations.
• Trains managers and supervisors in essential monitoring methods and measurement techniques specific to quality indicators.
• Develop, implement, and analyze quality studies and quality surveys.
• Coordinate internal audits and corrective action plans with required administrative staff.
• Stay abreast of new developments (e.g. HPMS, other), report to Executive Director and recommend changes in policies, procedures, forms as appropriate.
• Develop and implement a program of staff development and in-service training to meet regulatory requirements and organizational needs within available resources.
• Maintain documentation of staff development and in- service training in compliance with standards and regulatory requirements.
• Oversee compliance with all applicable regulatory, contractual standards.
• Develop schedules for required periodic compliance activities, monitor implementation, analyze and report on adherence.
• Recommend corrective action plans to Executive Director, and oversee executive management team activities to implement approved corrective action plans.
• Manage preparations for site visits and inspections.
• Acts as the system administrator for the EHR and serves as the primary liaison between the contracted support staff and LSL. Maintains system administrative functions and train new users.
• Manage ad hoc and special projects assigned by Executive Director.
• Participate as a fully contributing member of the PACE management team, participating in meetings, contributing to strategic plan, supporting the decisions of the management team.
• Participate in formulation and maintenance of PACE policies and procedures.
• Completes annual compliance and HIPAA training and exhibits behavior as set forth by the LSMNJ Code of Ethics and Business Integrity in the performance of duties.
• Adheres to the Organization’s Policies and Procedures regarding the Compliance Program of the organization and is timely in reporting any possible concerns.
• Follows all local, state and federal regulations as they pertain to the position.
• Adheres to the Organization’s Policies and Procedures covering Privacy and Security in Compliance with HIPAA regulations.
• Other duties as assigned by my supervisor, necessary for the efficient operation of the department/facility.

Experience and Skills:

 

Minimum of 1 year working with the frail or elderly

Minimum of 5 years relevant experience in a health related field.

LSMNJ is an Equal Opportunity Employer.