Develops, organizes and monitors a Quality Assessment and Performance Improvement (QAPI) plan for the Immanuel Pathways program. Responsible for developing the QAPI annual plan, and guiding the implementation of the plan. Ensures that data is collected from all appropriate sources; and the data is examined and the results are shared with all stakeholders. Oversees the process to evaluate and resolve medical and non-medical grievances by participants, their family members, or representatives. Acts as the Health Insurance Portability and Accountability Act (HIPAA) Privacy Compliance Officer for Immanuel Pathways. Ensures all Centers for Medicare and Medicaid Services (CMS) and State required activities are implemented and maintained. Supports and lives out Immanuel’s Mission and CHRIST Promises.
Key Responsibilities and Duties of the Job
35% Quality Assurance
o Providing initial training to new hires, and ongoing training to existing staff;
o Maintaining an accurate inventory of all individuals who have access to Immanuel Pathways’ confidential information and what the information was used for and/or to whom it was disclosed;
o Cooperating with the Officer for Civil Rights, other legal entities, and Pathways’ management in any compliance reviews or investigations;
o Disseminating the Privacy Notice required by the Privacy Rule;
o Conducting periodic privacy audits and taking remedial action, as necessary;
o Preventing retaliation against individuals who seek to enforce their own privacy rights or those of others.
KSA- Knowledge Skills and Abilities-