PEM-Quality Management Analyst (Care Management)
About this role
Overview
he 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.
Key Responsibilities
- Perform monthly case record reviews and internal billing audits.
- Make recommendations whether programs need to be on an internal performance improvement plan (PIP).
- 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 determination of 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
- BA/BS required in Social Work or related human services
- Must have 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 persons served.
- Must be able to write reports from database information.
- Excellent organizational & interpersonal skills.
- Good verbal /written communication skills.
Supervisory Responsibility
No
Work Environment: Office
Position Type/Expected Hours of Work: Full Time/35
Travel (if required): Other Rising Ground location if needed
Benefits & Compensation
- Competitive salary structure
- Health, dental, and vision insurance
- 401(k) with company match
- PTO policy (11 Paid Holidays, Paid Sick Time, Paid Vacation & Paid Personal Days)
- Remote / flexible work options (If applicable)
Company at a glance
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.
With an annual budget of $203 million and 101 programs at 138 sites throughout the New York City and lower Westchester area, we deliver dedicated support to promote safe environments for children and help families thrive through our family stabilization, family foster care and adoption programs; innovative special educational programs that advance learning from early childhood through high school; result-focused programs that help court-involved youth change the trajectory of their lives; caring services that promote independence for children and adults with developmental disabilities; and pro-active community health initiatives that foster well-being. Across programs, we continually engage new, innovative techniques and implement evidence-based models to increase our impact and promote better outcomes.
Top Benefits
- 11 Paid Holidays
- Paid Sick Time
- Paid Vacation
- Paid Personal Days
- Medical Insurance
- Dental Insurance
- Vision Insurance
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