Quality Assurance Administrator

Recruitment #011923-MDBZ14-351400

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Introduction

Make a Difference with DHSS

Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas.

We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession.

For more information, please visit https://dhss.delaware.gov/dhss/ today!

Summary Statement

This incumbent develops, implements and oversees all quality assurance activities required by CMS (Centers for Medicare and Medicaid Services) and State of DE (Eagles’s Law) for skilled nursing facilities.  This incumbent also monitors, analyzes and audits programs, policies, procedures and data collection necessary to implement and update the QA requirements and the facility’s Plan of Correction for annual and complaint State/Federal surveys.  This incumbent chair three committees and works closely with Nursing, Social Services and other departments as part of our interdisciplinary team.  This position reports directly to the Facility Director.

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

  • Manages the quality assurance program which may include infection control, risk and utilization management programs.
  • Ensures facility activities/operations conform with programmatic policies and procedures, applicable standards and federal/state regulatory requirements.
  • Coordinates the facility remediation program for Quality Assurance; Reviews data from incident reports on accidents/injuries as it relates to facility wide Quality Assurance.
  • Maintains the master schedule of Quality Assurance activities within the facility.
  • Gathers and analyzes data through audits, interviews and other activities in order to monitor the quality and appropriateness of services and functions.
  • Designs tools, systems and methodologies for data collection and recommended action. Prepares reports of findings and recommended action.
  • Investigates incidents of non-compliance and allegations of abuse, neglect and mistreatment of patient, and conducts special studies as requested by superiors.
  • Recommends new/revised operational or administrative policies/procedures to maintain proper utilization of services and reduce facility liability.
  • Chairs and coordinates internal quality assurance committee.
  • Participates in other facility committees which impact the Quality Assurance Program.
  • Develops and conducts educational programs for and provides technical assistance to facility staff in all aspects of quality assurance.
  • Acts as a liaison with other agencies and external reviewers associated with quality assurance.
  • May supervise the work of professional, technical and/or support staff assigned to the program.

Job Requirements

JOB REQUIREMENTS for Quality Assurance Administrator
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

  1. Possession of a Bachelors degree or higher in Behavioral Science, Social Science, Health Science, Business or related field.
  2. Three years experience in quality improvement which includes evaluating the quality of services, identifying problems and needs and recommending corrective action and improvements to ensure optimum service delivery, goals and objectives are met and ensure compliance with applicable laws, rules, regulations and standards.
  3. Three years experience in ensuring compliance with regulatory and accreditation standards for health care facilities.
  4. Six months experience in developing policies or procedures.
  5. Knowledge of inferential statistics such as correlation, t-tests, f-tests or analysis of variance.
  6. Knowledge of descriptive statistics such as the mean, median, mode or standard deviation.

Additional Posting Information

Due to a new requirement from the Centers for Medicare & Medicaid Services (CMS) the following mandate is effective January 27, 2022: As a condition of employment, employees providing health care services and/or support services in covered facilities must show proof that they have received the dose of a single J&J dose or the 1st dose of Moderna/Pfizer two-dose vaccine effective date January 27, 2022, and proof of the single J&J dose or the 2nd dose of Moderna/Pfizer two-dose vaccine by February. 28, 2022. Employees may not provide any care, treatment, or other services until proof is provided.  Based on CMS guidance, the date for compliance may extend into March due to the health care facilities high vaccination rate of staff.  If you accept a position with the facility, your Human Resources representative can provide more guidance.  The only exception to these requirements is for those employees granted medical or religious exemptions from the COVID-19 vaccine as recommended by the Centers for Disease Control and Prevention, which may require weekly COVID-19 testing. This will be in effect until further notice.  More information can be found here. 

Conditions of Hire

Pre-employment Drug Testing:  Upon a conditional offer, you must undergo pre-employment drug testing as part of the hiring process.

Criminal background check:  A satisfactory criminal background check is required as a condition of hire.  The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire.

Upon a conditional offer, the applicant must undergo a pre-employment base line two step tuberculin skin test (TST) as part of the hiring process.


Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our Job Seeker Resources.

DHSS does not provide employment-based sponsorship.

Benefits

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

Selection Process

The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position.  It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties.  For education and training, list name of educational provider, training course titles and summary of course content.   Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

Once you have submitted your application on-line, all future correspondence related to your application will be sent via email.  Please keep your contact information current.  You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov.

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process.  To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.

The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.