Quality Management Analyst – Care Management
Overview:
Company Overview: Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs. Driven by the belief that each of us can thrive when life has hope and opportunity, Rising Ground provides caring support and proven paths to positive change, helping children, adults, and families rise above adversity, and each year, Rising Ground is a positive force in the lives of more than 25,000 individuals.We do this through 50 programs in 70 locations throughout New York City and Westchester. Our strong belief and commitment to diversity shows not just through our work with supported persons but is integral to the building of a strong staff that reflects the communities we serve.
Rising Ground is headquartered in downtown Brooklyn.
Responsibilities:
Job Summary: The Quality Management Analyst (QMA) will lead the quality improvement process through the analysis and support of creating and implementing corrective actions and improvement plans for the Children’s Care Management Program. The QMA will assist in creating systems to help in collecting, coding, verifying, and monitoring data.The role of the QMA is to ensure that programs are meeting compliance standards, performance quality is maintained, and that specified goals and outcomes are met.
The Quality Management Analyst for Care Management serves as a liaison to: Collaborative for Children and Families (CCF), New York State Office of Children and Families Services (OCFS), Department of Health (DOH) and New York State Medicaid Program.
Job Responsibilities:
- Perform monthly case record reviews and internal billing audits.
- Make recommendations on whether programs need to be on an internal performance improvement plan (PIP) or corrective action.
- Develop and update instruments used to measure programmatic goals and outcomes.
- Ensure timely submission of Corrective Action Plans, internally and to external monitoring agencies.
- Process and input data as needed through various internal and external data collection and reporting systems.
- Assist departments in reporting and determining outcomes through the monthly Quality Management Compliance Meetings.
- Assist and guide programs with creating protocols and procedures.
- Collaboration with external monitoring and accreditation agencies
- Other administrative duties as assigned.
Qualifications:
Qualifications- BA/BS required in Social Work or related human services
- Must have the ability to analyze and manipulate data.
- Must have working knowledge of computer applications, preferably highly skilled with Microsoft Office.
- Knowledge of Foothold and MAPP systems.
- Must have commitment to enhancing the level of service delivery provided to people served.
- Must be able to write reports from database information.
- Excellent organizational, time management, & interpersonal skills.
- Good verbal /written communication skills.
SALARY $60,000-65,000
Supervisory Responsibility
No
Work Environment: OfficePosition Type/Expected Hours of Work: Full Time/35
Travel (if required): Some
Physical Requirements:
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
It is the policy of Rising Ground that the Agency wholly complies with equal treatment of all
employees and applicants for employment without unlawful discrimination as to an individual’s
perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, gender
identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or
veteran status in all employment decisions, including but not limited to recruitment, hiring,compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer,
layoff and termination and all other terms and conditions of employment.