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Manager III

Company: Texas Health & Human Services Commission
Location: Harlingen
Posted on: November 14, 2021

Job Description:

Quality Assurance Dir Mgr III The Quality Assurance Director (QAD) performs complex supervisory and consultative work requiring specialized knowledge in the planning, development, implementation, and monitoring of quality assurance systems. Ensures the facility conforms to the conditions of participation for the facility as an Intermediate Care Facility serving persons with Intellectual Disabilities (ICF-IID), the terms of the settlement agreement with the U.S. Department of Justice, and all other relevant state and federal laws, rules, and regulations. Interprets regulations/standards, develops and disseminates policy, performs advanced consultative services to program staff, and coordinates a comprehensive system of implementing and reporting on quality enhancement efforts. Ensures a system is maintained to effectively assess service delivery and compliance with HHSC policies and procedures and ICF/IID conditions of participation, including analyzing and evaluating program operations, procedures, and systems and recommending modifications for improvement. Develops and ensures provision of in-service/training modules to address issues as needed. Analyzes data from multiple sources for trends, systemic issues, and areas for improvement, including verifying accuracy of data. Proactively identifies issues and provides solutions. Implements directives. Responds to crisis/emergency situations and takes immediate action to resolve the issue(s). Develops, schedules, and prioritizes processes for achieving established goals. Oversees development and implementation of plans of correction and other plans of correction. Develop reports as directed. Hires, develops, plans, assigns, and supervises the work of others. Oversees the Quality Assurance/Quality Improvement (QA/QI) Council and serves on and/or chairs other committees and work groups. Acts as the liaison between HHSC Regulatory and the facility. Works collaboratively with the Settlement Agreement Coordinator and other department leads. Performs related work as assigned. Serves in the on-call rotation to respond to facility issues after hours and on weekends. Works under the general supervision of the SSLC Director, with moderate latitude for the use of initiative and independent judgment. Essential Job Functions: Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Serves in the capacity of the Executive or Administrator on Duty in rotation and is on-call as needed. Provides leadership and plans, assigns and supervises the daily activities of quality assurance department and client records department staff. Directly supervises program auditor(s), data analysts, records coordinators, Quality Assurance Nurse(s) and administrative/clerical staff. Supervises other types of staff as needed depending upon SSLC structure. Hires, trains, and promotes personal and professional growth of the employees within the department so that a competent workforce is maintained. Ensures that all departmental staff are compliant in training per agency and facility standards. Conducts performance evaluations of assigned staff to give employees timely feedback on their performance and oversees staff development plans and activities. Takes action to improve employee retention and reduce turnover. (15%) Directs and oversees the functions of the quality assurance department including providing support to departments in data collection, monitoring, analysis, and reporting. Ensures the collection of information in a timely and efficient manner and ensures the use of that information to identify performance issues and make decisions. Proactively identifies potential problems. Reports potential and actual problems to the appropriate supervisor/manager for corrective action. Provides feedback to discipline coordinators/department leads for process improvement. (15%) Acts as the liaison between HHSC-Regulatory and the facility before, during and after monitoring visits. During visits from HHSC-Regulatory, meets with surveyors at the entrance and exit meetings. Ensures surveyors receive all documentation requested, providing contact information for staff, residents and families as needed. Answers surveyor questions regarding policies/procedures. Notifies all required parties of the entrance of HHSC-Regulatory at the SSLC in accordance with established protocols. Responds to Regulatory concerns and takes immediate action to resolve the issue(s). Attends the HHSC- Regulatory quarterly provider meetings and regional trainings. (15%) Oversees the Quality Assurance/Quality Improvement (QA/QI) Council by creating the agenda and schedule of presentations, advising on presentation content, reviewing all reports, and, if requested by the Director, facilitating the meeting. Attends the daily Incident Management meeting to ensure that injuries and incidents are addressed appropriately. Functions as a member of the Executive Team and the QA/QI Council, and typically participates in the Executive Duty Officer/Administrative Duty Officer process and Administrative Death Reviews. Interfaces with the state office leadership via regular conference calls and face to face meetings. Participates on other work groups as needed to promote collaboration and operational effectiveness. (15%) Oversees the work of data analysts to ensure statistical analysis of data and database design is conducted, to maintain a center-wide list of all data collected by department, to maintain the databases that the QA and discipline departments use to enter results from monitoring tools. Ensures that data is collected via a facility-wide monitoring system that can be trended by program area, living unit, work shift, specific staff, time of day, day of week, resident served and area of care. Collaborates with, and oversees data analyst collaboration with, the state office data analysts to validate and correct datasets in the electronic records system (such as IRIS) and improve data integrity. (10%) Oversees the development and submission of a plan of correction (POC) for all deficiencies cited by HHSC-Regulatory. Ensures POCs include measurable outcomes and appropriately address the identified issue(s), that the outcomes are monitored. Ensures that all due dates noted in the POC are met, and that evidence supporting the plan is collected and organized in accordance with the SSLC protocol. Presents the evidence to the surveyors upon their return visit. (10%) Works with the SSLC's Settlement Agreement Coordinator to ensure that Quality Improvement Plans for facility are progressing as planned. Conducts face-to-face meetings with each department lead at least quarterly. Ensures samples are pulled and shared with the appropriate areas for monitoring the various sections of the Settlement Agreement. Makes monitoring assignments to QA staff. Maintains a system to accurately reflect all monitoring to be reviewed by QA/QI Council. Works with the SSLC Director to ensure all necessary data is reviewed by the QA/QI Council on a recurring schedule. (10%) Oversees the analysis, implementation, and documentation of HHSC and SSLC policies, and monitors compliance with policies and procedures as directed. Provides technical guidance for staff within the department or facilitates getting that guidance from other subject matter experts when needed. Develops localized policies and procedures to implement state policy and ensures those documents are posted on the required site and are updated as needed. Develops in-service/training modules as needed to address issues. Ensures all staff are trained on policy changes as required. Ensures in-services/trainings on policies and procedures are conducted in conjunction with POCs and documentation is accurately maintained. Prepares any required reports. (5%) Performs related work duties as assigned including but not limited to actively participating and/or serving in a supporting role to maintain the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. (5%) Knowledge Skills Abilities: * Knowledge of ICF/IID Standards, interpretive guidelines and survey process. * Knowledge of Texas Administrative Code, HHSC policies and procedures related to State Supported Living Centers, and the Department of Justice Settlement Agreement. * Knowledge of and experience in ensuring the provision of quality services, treatment, training and supports for individuals with intellectual disabilities * Skills in defining problems, collecting data, establishing facts, conducting root cause analysis; * Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. * Skills in using computers and agency/facility software including, but not limited to, Microsoft Word, Excel, PowerPoint, Access, Outlook, and SharePoint. * Skill in motivating all levels of staff. * Skill in facilitating change. * Skill in writing quality improvement plans. * Ability to develop written policies/guidelines to ensure facility compliance with applicable standards. * Ability to manage business functions and activities of the assigned department. * Ability to gather, assemble, and correlate data for trend analysis. * Ability to effectively facilitate work groups and meetings. * Ability to organize and present information effectively, both in spoken and written word, to a wide variety of audiences. * Ability to analyze and solve complex problems and to make effective decisions affecting the overall operation of the facility. * Ability to plan, assign, and supervise work of others. * Ability to manage time with latitude for independent judgement, * Ability to maintain flexibility in work hours, which may require overtime or extended hours. Registration or Licensure Requirements: None Initial Selection Criteria: * Bachelor's degree from an accredited college or university; and three (3) years of work experience in service delivery systems for persons with intellectual disabilities and/or in quality assurance; OR * Six (6) years of work experience in service delivery systems for persons with intellectual disabilities, including at least two (2) years in a role with duties relating to quality assurance. * Experience with ICF/IID standards and applicable rules and laws. * Experience with ensuring quality services for persons with intellectual and developmental disabilities is preferred. * Experience leading and/or supervising employees is preferred. Additional Information: Requisition # 501267 Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS OIG List of Excluded Individuals/ Entities. Males between the ages of 18 - 25 must be registered with the Selective Service. All State Supported Living Center employees are subject to random drug testing. Flexibility in work hours is required for this position. The position may be required to work overtime and/or extended hours. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. All new hire candidates will be required to receive COVID-19 medical screening (nasal test) as part of the due diligence process. MOS Code: There are no military occupation(s) that directly relate to the initial selection criteria and registration or licensure requirements. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Keywords: Texas Health & Human Services Commission, Harlingen , Manager III, Executive , Harlingen, Texas

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