SPECIFIC RESPONSIBILITIES

Assist ICF programs in meeting and maintaining compliance with all applicable local, state, and federal regulations. Complete program audits to review systems and processes to ensure compliance with OPWDD, CMS, DOH, and agency standards. Conduct internal audits and inspections annually and as needed to identify areas of non-compliance. Prepare detailed written reports of findings and recommend corrective actions. Respond to OPWDD and Department of Health (DOH) audits, including preparing documentation, coordinating responses, and implementing corrective action plans. Support program staff in implementing and sustaining compliance with Council on Accreditation (COA) standards. Incident Management & Investigations. Ensure timely and thorough documentation of all incidents, including illness, injuries (including unknown origin), and behavioral events. Review and complete SCO In-House Occurrence Reports within five (5) business days of submission. Conduct independent investigations of reportable incidents in accordance with OPWDD Part 624, Justice Center, and agency guidelines within five (5) business. Prepare detailed, timely written reports using OPWDD and Justice Center-approved formats. Maintain certification as an investigator through the Justice Center and OPWDD-approved Incident Investigation Certification Program. Participate in Incident Review Committee meetings and assist with incident monitoring and trend analysis. Travel to multiple sites as necessary to conduct program visits and onsite investigations. Complete entries into the OPWDD Incident Report and Management Application (IRMA) as needed. Assist with the maintenance and accuracy of the agency’s incident database. Review, complete, and document RIA - restrictive intervention application OPWDD forms in accordance with regulatory requirements and agency protocols. Track and review Behavior Management Training and the use of Restrictive Behavior Management Interventions. Support the review of level of supervisions (LOS) for individuals with behavioral challenges. Participate in the Clinical Behavior Review (CBR) process. Collaborate with clinical teams to ensure appropriate behavioral supports are in place. Assist with case record reviews and the administration of consumer satisfaction surveys. Prepare and submit detailed quarterly and annual reports summarizing trends, findings, and recommendations. Participate in agency-wide Quality Council meetings and contribute to continuous improvement initiatives. Identify training needs related to incident management, documentation, and regulatory compliance. Support the development and delivery of training to program staff as needed. Other Duties Any additional tasks to support PQI and/or the program. Perform all other duties as assigned by the supervisor or agency leadership.

  QUALIFICATIONS

Bachelor’s degree in Human Services, Psychology, Social Work, or related field (Master’s preferred). Minimum of 3–5 years of experience in developmental disabilities services, with at least 2 years in incident management or quality assurance. Certified Investigator through the Justice Center and OPWDD (or ability to obtain certification upon hire). Strong knowledge of OPWDD regulations, including Part 624, DOH standards, CMS 483 regulations and COA requirements. Working knowledge of ICF CMS regulations and compliance expectations. Excellent written and verbal communication skills. Strong analytical, organizational, and problem-solving abilities. Proficiency in Microsoft Office and incident management systems (e.g., IRMA).

 RELATIONSHIP WITH OTHERS

In addition, employees need to possess the following characteristics:

Be a team player and able to interact in a positive manner with Administrative, Managerial, Supervisory, and line staff as well as persons receiving services and their family members I am sensitive to cultural differences among staff and clients within our organization, the people we serve, and their families. Ability to set limits, maintain role, and work collaboratively and respectfully to intervene appropriately as a quality improvement staff person.

  WORKING CONDITIONS

Local Office and all OPWDD Program environments.