Under the direction of the Chief Quality Officer, the Quality Director oversees the Quality and Risk Management programs including oversight of investigative process for reportable and recordable incidents. Quality Director will conduct trend analysis to support program enhancements. The Director of Quality demonstrates knowledge of RCS’ quality mission, vision, and values. In addition, this position actively participates in quality improvement projects (e.g., communicating issues, and offering suggestions) to ensure ongoing excellence of services, programs, and staff to maximize the quality of life for individuals supported by RCS. Essential Job Functions 1. Manages and Reviews investigations on reportable injuries, and allegations of abuse, neglect, or any other significant incidents according to OPWDD, DOH and Justice Center guidelines and regulations. Reviews and prepares written investigative reports with appropriate recommendations, in consultation with relevant administrators and Human Resources. Ensures all investigations are completed within the timeframes established by OPWDD, DOH and NYS. 2. Ensures agency investigators investigate and document complaints that do not meet the criteria of “reportable" for the Justice Center or DDRO. Maintains a file of non-reportable complaints with supporting rationale. 3. Oversees and ensures proper entry into OPWDD’s Incident Report Management software for the Agency within 24 hours of reporting. Oversees and ensures the Quality Investigator completes all applicable notifications are completed whenever OPWDD Forms 147 and 148 are initiated. 4. Develops and oversees the process of reviewing records, T-Logs and GER’s to ensure any reportable incidents are reported and necessary reviews are completed. 5. Collaborates with Program Administrators to ensure the timely review of all incidents that do not rise to the level of reportable incidents. Ensure Quality Dept review and approval of all incidents. 6. Director of Quality Reviews and approves all incidents of unknown origin. 7. Provides feedback, information, and guidance to agency investigators and recommends improvements, as applicable. 8. Support the implementation and maximization and utilization of Electronic Health record, including facilitating training for all staff. 9. Develop policies and procedures to comply with all regulations and requirements of the Justice Center, OPWDD, DOH and the Hudson Valley DDRO. Submits new policies for Chief Quality Officer review. 10. Maintains up to date incident management tracking. Reviews incident management, EHR and other pertinent data collected to identify trends, and gaps for the Chief Quality Officer. Supports development of data tracking and analysis to monitor priority areas for Quality enhancement of services to individuals. Contributes to the quarterly and annual trend report by providing an analysis of all incident management activities and statistics for every site. 11. Chairs Incident Review Committee monthly and support committee role in reviewing and making recommendations related to incidents. Maintain committee minutes and follow-up on all recommended action plans. 12. Represent quality department at various agency committees and provide guidance, information and recommendations to support committee objectives. 13. Participates in meetings with clinical teams and/or other departments to discuss and/or resolve issues or problems in the areas of incident management and disseminates information to all appropriate Agency staff. 14. Keeps abreast of appropriate regulatory Agency requirements related to quality and incident management. Reviews proposed and adopted changes and recommends policy and/or procedure changes consistent with regulatory changes. Informs applicable staff of these requirements/changes. Stays abreast of incident reporting trends, management process techniques, and measurement tools through seminars, webinars, and written communications with OPWDD. 14. Participates in various administrative and other meetings as required at the Richmond Community Services corporate offices and at other locations. 15. May conduct orientation and other trainings related to quality department, incident reporting and incident management, as well as Justice Center, OPWDD, and risk management regulations, for various levels of staff and newly hired employees, as assigned. Work Schedule This is a full-time position. Exempt under the Fair Labor Standards Act. The salary for this position covers all hours worked. This position’s schedule includes an on-call schedule on a rotating basis. Positions Supervised Quality Investigators and Quality Specialist • Prioritizes and delegates job tasks and monitors performance of staff to ensure timely and accurate completion of required work. • Provides on-going direction and feedback (both positive and negative) regarding performance. Counsels employees and administers discipline as needed, in accordance with Richmond policies. • Objectively evaluates staff by completing performance appraisals in a timely manner utilizing program evaluations and self assessments from managers. Works closely with managers to create action plans for development. • Interviews, hires and terminates staff for functional area(s) of responsibility. Directs the day to day activities of staff. Prioritizes and delegates job tasks and monitors productivity of staff to ensure timely and accurate completion of required work. Knowledge, Skills, & Abilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. • Knowledge of statistics, data collection, analysis, and data presentation. • Knowledge of federal and state laws and HIPAA, Justice Center, DOH and OPWDD regulations. • Must be available to work a variable schedule and be on-call when off-premises, including frequent early morning/night/weekend hours. • Must be a quick learner, goal-oriented, a problem solver, and solution-driven. • Must have strong time management skills and balance multiple tasks while maintaining attention to detail and strict deadlines. • Must have proven ability to work both independently and as part of a team. • Excellent interpersonal skills. Ability to interact with all levels of staff, residents and families and represent the Agency with external groups/individuals. Utilizes patience, diplomacy and courtesy when interacting with people and maintains a neutral position to ensure unbiased investigating and reporting. • Strong communication and customer service skills and ability to maintain confidentiality and handle communications with discretion. • Excellent verbal and written communication skills; proficient use of the English language including spelling, grammar, and punctuation. • Computer experience including keyboarding skills, Microsoft Office (Word, Excel, Outlook, Access, Power Point), and Internet navigation required. • Strong commitment to RCS mission and values and to working with individuals with developmental disabilities and their families. Qualifications EDUCATION: Bachelor's Degree in clinical or allied health-related field, social work, criminal justice, or other relevant field of study is preferred. EXPERIENCE: A minimum of three years relevant work experience; in incident management, quality, or risk management with demonstrated experience in conducting investigations in accordance to OPWDD, the 624 Justice Center regulations and 483 Regulations OTHER: • Clean, valid NYS driver’s license with access to a vehicle to transport self. • Database management and/or development skills preferred Workplace Behavioral Characteristics 1. Flexibility and Adaptability: Adjusts to new or unusual situations or changes without affecting performance or work procedures within the department/unit. 2. Judgment/Problem Solving: Is able to compare and evaluate information/evidence, distinguish what is important, formulate a plan/make a decision and take action to effectively resolve a situation. 3. Communications/Listening Skills: Shares important and appropriate information with applicable personnel. Expresses written and oral communications effectively. 4. Credibility/Trust: Establishes a reputation for reliability. Builds relationships based on honesty and trust. 5. Financial Responsibility: Is aware of the relationship between budget and operations and is accountable for the appropriate use of resources. 6. Quality Assurance/Regulatory Compliance: Responsible for complying with current regulations/laws affecting the Agency. Ensures that the quality of services/programs delivered is consistent with Agency and ethical standards. Maintains confidentiality of all investigative findings and other relevant information. 7. Job Knowledge/Expertise: Is thoroughly familiar with the concepts and practices of field and stays abreast of new developments and trends. Incorporates these into practice as appropriate. 8. Professionalism: Performs job with skill, good judgment and polite behavior. Is honest, respectful of the rights and feelings of others and maintains a demeanor appropriate to a work environment. 9. Work Ethic: Demonstrates care, diligence and perseverance in carrying out tasks. Has a positive approach to the job and uses time effectively to ensure maximum productivity. Shows a willingness to put forth extra effort. 10. Negotiation: Supports a group decision making process and follows through in the development of an appropriate action plan. 11. Meets Deadlines: Accomplishes tasks or assignments accurately and on time. 12. Working with Pressure: Is able to maintain perspective in pressure situations so that optimal performance and standards are maintained. Organizational Responsibilities 1. Learns and follows the Agency's policies and procedures by attending mandatory in-service programs given by the Agency. 2. Responsible for full understanding of emergency procedures. He/she will perform specific duties designated to him/her, which includes but is not limited to, climbing and descending all flights of stairs throughout the facility while carrying up to sixty (60) lbs. With fully extended arms, he/she will also need to drag an individual on the floor (on a blanket) weighing up to 100 pounds, with fully extended arms, throughout the facility in a horizontal evacuation. 3. Uses the English language (oral and written) to report any incident or accident involving individuals served or oneself, as well as all unusual, questionable or dangerous situations to the appropriate personnel immediately. Provides all information necessary to assist in completing the required report and/or provides a written statement 4. Reports immediately to a Director or Nurse any suspicion of verbal, physical, sexual abuse or neglect of individuals served. 5. Reports immediately to a Director or Nurse any unusual, inappropriate or potentially harmful behavior on the part of anyone visiting an individual at any of the Agency sites. 6. Maintains confidentiality of organizational and individual information. 7. Promotes the Agency's mission and policies at all times. 8. Maintains personal hygiene. 9. Demonstrates concern and courtesy to staff and visitors. Physical Requirements Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Visual acuity, the ability to read, write, and communicate verbally using the English language. • Occasional walking may be required in order to accomplish the essential job functions. • Ability to climb and descend stairs may be required in order to accomplish the essential job functions. • Must have use of sensory skills in order to effectively communicate and interact with other employees and the public through the use of the telephone and personal contact as normally defined by the ability to see, read, talk, hear, smell, handle or feel objects and controls. • Manual dexterity necessary to efficiently operate office equipment including, but not limited to, computer, calculator, copier, fax machine, filing cabinets