Goodwill Industries of Greater New York and Northern New Jersey, Inc.
Job Description Form
Position Title: SEMP Quality Assurance Specialist Location: Astoria, NY
Reports to: Quality Assurance Supervisor Cost Center: Various
General Purpose:
This position entails in depth knowledge of Medicaid Waiver services and knowledge of how to apply regulatory guidance in OPWDD funded programming, as well as other funding sources i.e. ACCES-VR. Candidates should have experience and knowledge delivering services in this category and/or experience with reviewing documentation for compliance necessary to passing internal agency and external OMIG audits. Assist with maintaining electronic charts/ documentation in audit ready condition.
Essential Functions:
- Review regulations to develop an understanding of requirements of different funders, regulators and grants
- Responsible for assisting in compliance with all funding/regulator sources
- Review staffs’ time & attendance to ensure that all daily checklist entries fall in between clock in/out times
- Assist with reviewing daily checklists, monthly summaries, and/or other forms of service documentation
- Assist with tracking Life Plan rotation and meetings and ensuring that plans are received in a timely manner from CCO’s
- Assist in reviewing Staff Action Plans prior to LP meetings and again before plan is submitted to CM
- Review all LPs and SAP’s to ensure they meet the funders/regulators requirements
- Assist with obtaining documents necessary for billing (i.e. LP, NOD, LCED, Evaluations, etc.) and tracking when they expire
- Create and maintain electronic charts & PHI information
- Uploading documents in electronic charts and shared network drives
- Review electronic charts to determine compliance with different funders/regulators requirements to ensure chart is up to date and current
- Enter data in Foothold Technology-AWARDS for client tracking and billing
- Document results of review using software applications such as Excel, AWARDS, etc.
- Document and submit reports summarizing QA’s findings
- Liaise with Goodwill’s Compliance division and outside funders
- Review Incident reports as needed
- Provide staff training as necessary
- Other duties as requested by supervisor
Qualifications/Basic Job Requirements:
- BA/ BS in relevant area preferred
- 2 years’ experience delivering or overseeing services for people with Intellectual Disabilities / Developmental Disabilities or relevant population preferred
- Prior auditing/ compliance experience strongly preferred
- Must be detailed oriented and accurate in highly consistent manner
- Ability to work as part of a team in a fast-paced environment
- Be proactive and take initiative
- Must possess time management and problem-solving skills
- Working knowledge of MS Word, MS EXCEL, MS Outlook, and Internet
Scope of Responsibility & Positions Supervised:
- Responsible for implementation & oversight of assigned projects / systems.
- QA Specialist works as part of a team and may be responsible for oversight of others work.
Special Working Conditions:
- Hybrid Position with some travel throughout the 5 NYC boroughs to various sites
Salary Range: $ 39,000 - $42,000