Compliance, Quality Improvement, & Accreditation Coordinator

About This Role

The Compliance, Quality Improvement, & Accreditation Coordinator ensures staff training, manages the Therap database, and maintains agency adherence to regulatory policies for individuals with intellectual and developmental disabilities.

Responsibilities

• Assist with ensuring staff are adequately trained to provide consistent, timely, and accurate documentation in compliance with state agencies
• Monitor aspects of the Therap database in accordance with agency policies and external regulations
• Ensure users have appropriate access and knowledge of Therap to capture comprehensive records
• Proactively review and analyze all relevant state and federal statutes and regulations to monitor changes
• Communicate regulatory changes to relevant staff within the organization
• Submit all required reporting for the agency in a timely manner
• Assist in the implementation of audit processes to ensure compliance with federal and state statutes and regulations
• Conduct audits, analyze information, identify deficiencies, develop reports, and formulate recommendations for corrective action
• Inform the Chief Compliance and Quality Improvement Officer of situations of non-compliance
• Work with department directors and managers to implement corrective action plans and monitor progress
• Respond in a timely fashion to external requests for information and audit requests
• Review all General Event Reports and request further information and notifications as needed
• Submit Unusual Incident Reports to ORM Unit in a timely manner with accurate, complete, and thorough details
• Submit Follow up Unusual Incident Reports to DDD
• Assist the Compliance and Quality Improvement Director with completing and submitting investigation reports

Requirements

• Bachelor’s Degree
• Proficient in the use of Therap
• Knowledge of NJ Community Care and Supports Program

Qualifications

• Bachelor's Degree

Nice to Have

• Knowledge of Department of Vocational Rehabilitative Service

Skills

* Required skills