Home Care Program Integrity

Central Boston Elder Services Inc

Boston, MA, USA

Published: 6/14/2022

Personal Care

Full Time

Job Description

POSITION SUMMARY:

The Program Integrity Manager provides oversight and execution of Home Care Program as required to maintain designation ASAP with Age and Independence. The incumbent will specifically focus on Compliance, Ongoing Performance Management, Quality Improvements, Outcome Evaluations, and Training within the Home Department. In addition, he/she will assume responsibility for ensuring requirements as outlined with all other applicable Federal and State regulations including CBES policies and procedures for Home Care are met.

The ideal candidate is a self-starter, detail-oriented, team player, and possesses excellent communication and organizational skills. Will be responsible for working collaboratively with management and non-managerial staff amongst departments to ensure integration across functional areas which include identify the needs, evaluating the workflow, creating standards, assessing outcomes, and developing performances systems. Stay abreast of the current and ever-changing landscape of providing services to consumers. He/She will be assigned a small case load to manage.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

Responsible for the management of a small Home Care case load with the oversight of two small Home Care programs.
Create a Home Care Training Module with emphasis on program health and integrity aligned with performance improvement.
In partnership with Training Department assist with the creation of tools to develop, implement, and training Home Care staff on the process and procedures as outlined by the program by Age and Independence.
Assist in developing a structure for the Home Care Program focused exclusively on ongoing components compliance and securing ASAP Designation.
Partner with Home Care stakeholders to thoroughly review the departments’ regulatory, contractual, and operational requirements.
Create an integrated program that incorporates defining task, standardizing measures, gathering feedback, engaging stakeholders, and offering ongoing training linked to creating efficiency and consistent delivery of quality standards.
In collaboration with Home Care Sr. Management identify areas of compliance and non-compliance and work with stakeholders to develop methodologies to institutionalize workflow processes yielding positive outcomes and addressing any deficiencies.
Collect data, review, clarify, and document measures of compliance, performance, quality, and training.
Partner with Home Care Managers to gather feedback to assess the effectiveness of performance management, quality improvement, compliance, monitoring, and training.
Create a tool to accurately identify workflow trends, processes, policies, and procedures to ensure compliance with all applicable regulatory agencies.
With the assist from Sr. Management analysis and measure the effectiveness of the systems and tools in place.
Provide monthly reports to Sr. Management describing the areas of compliance and non-compliance, recommended remediation, action steps, follow-through, identify new ways of conducting business more efficiently, and create a timeline for completion.
Conduct Home Care case reviews, identify trajectories, discrepancies, communicate feedback and create training tools to address areas of performance improvement and non-compliance.
Oversees program evaluation activities, prepares and reviews reports on program effectiveness.
Assist in setting program goals and objectives, and develop schedules, and priorities for completion.
In collaboration with Sr. Management develop and provide a reporting process for management outlining quality measures as required.
Coordinates and documents agency compliance with ASAP Performance Outcome Measures and identified QA performance indicators.
Actively participates as an advocate and expert to help promote the ongoing improvement of agency operations, including recommending innovative technologies, policies, or processes.
Designs, implements and documents technological and/or operational solutions.
Participates in interviewing and making hiring recommendations.
Attends internal and external meetings and serves on committees.
Report suspected Fraud, Waste and Abuse (FW&A) as required by CBES policy.
Protect Consumers’ Personal Health Information (PHI) and report any suspected security breaches.
Other duties and projects assigned.

QUALIFICATIONS:

One to five years of previous management experience, with proven expertise in training, detailed orientated individuals with strong analytical, conceptual, and problem-solving abilities.
Working knowledge of Home Care Programs with extensive experience accessing information from reporting systems (HAR, Explorer).
Ability to demonstrate, by education and experience, training and supervising in the areas of client needs assessment, service planning, use of community resources and reporting, record keeping, and service delivery.
ASAP and Age & Independence (formally EOEA) documentation experience preferred.
Strong written, interpersonal, and presentation skills that convey a positive attitude and build relationships with clients and coworkers in an urban, multi-ethnic, and racially diverse environment.
Must be capable of working with a high degree of independence, using good judgment to anticipate and resolve issues as they arise.
Strong computer knowledge, skilled in Microsoft Office programs, and proficient typing.
Ability to work in a fast-paced and changing environment.

EDUCATION, SKILLS, AND EXPERIENCE:

Master’s degree Preferred, bachelor’s degree required, with previous management within the Home Care Program.
Experience in Human or Elder Services, preferably working with older adults.

PHYSICAL REQUIREMENTS OF THE JOB:

Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.
Ability to climb stairs.
Ability to travel to the community to perform visits at consumers’ homes.
Work requires regular standing, stooping, and bending.