Job Information
Abraxas Youth and Family Services Quality & Compliance Specialist in MARIENVILLE, Pennsylvania
Now hiring *a QUALITY & COMPLIANCE SPECIALIST | LICENSING & ACCREDITATION SPECIALIST to join our team at Abraxas I in Marienville, PA.*
As a* LICENSING & ACCREDITATION SPECIALIST, you will *oversee licensing, contractual, and accreditation compliance.
Salary: $
Job Type: Full-time
Who We Are:
Abraxas Youth & Family Services is a national nonprofit human services provider dedicated to Building Better Futures for at-risk youth, adults, and families. Our diversified array of services includes alternative education, outpatient counseling, in-home services, shelter, detention, residential treatment and re-entry/transition services.
Since 1973, Abraxas team members have positively impacted the lives of those we serve and the communities in which they live.
Benefits & Perks:
We provide a competitive and comprehensive benefits program that offers the protection, peace of mind and flexibility designed to support you -- both at home and at work.
- Medical & Dental & Vision Insurance
- Flexible Spending Accounts
- Basic Life & Short-Term Disability Insurance
- 403(b) Savings Plan
- Life Assistance Program (LAP)
- Tuition Assistance Program
- Paid Time Off (PTO) * Paid Holidays * Paid Training
- Advancement Opportunities
QUALITY & COMPLIANCE SPECIALIST
LICENSING & ACCREDITATION SPECIALIST
RESPONSIBILITIES AND ESSENTIAL ELEMENTS:
Oversee Compliance with Licensing and Contractual Requirements:
- Liaison with licensing and contract representatives (e.g., inspections, complaints, child abuse investigations)
- Respond to questions, concerns, requests for information and updates
- Organize and oversee inspections and audits -- includes all preparation and gathering required documentation
- Develop and submit all corrective action plans (e.g., PA DHS, BOP, Department of Health, MD, Washington DC, Philadelphia DHS)
- Complete Annual License Renewals
- Verify completion of external incident reports (e.g., HCSIS Reports, MD Incident Report Form RCCP/CPA).
Oversee Joint Commission Accreditation:
- Monitor compliance with standards
- Training and technical assistance to all employees when needed
- Update application annually and monitor extranet site
- Organize and oversee survey -- includes all preparation and gathering required documentation
- Develop and submit all corrective action plans (e.g., Evidence of Standards Compliance)
Assist Executive Director with the Leadership Meeting:
- Develop meeting agendas and track follow-up items
- Develop and maintain meeting minutes
- Data collection, tracking, and presentations for analysis
Assist Safety Officer and Infection Control Officer:
- Assist with the development of meeting agendas and track follow-up items when needed
- Assist Safety Officer in monitoring fire drills and emergency drills
- Verify compliance with Joint Commission requirements
- Facilitate and organize data collection, presentation, and analysis (e.g., Workplace Violence incidents, Injuries, Infection Control data, Physical Interventions)
- Complete annual requirements for updates and analysis (e.g., EOC plans, Infection Control, Hazard Vulnerability Analysis, WVPP Annual Analysis).
Policy Development and Monitoring:
- Responsible for managing the policy directory
- Provide policies when requested (e.g., licensing, contracting agency)
- Develop new and revise existing policies when needed
- Submit new and revised policies to the Leadership Team and AYFS Policy Council for review and approval
- Distribute new and revised policies to facility employees, as appropriate
- Verifies compliance with Joint Commission requirements
- Complete annual policy updates (e.g., Environment of Care Plans, Infection Control Plans)
Privacy Officer for Facility:
- Report HIPAA incidents to the Chief Privacy Officer
- Gather information and complete required report to address HIPAA incident
- Verify annual HIPAA training is completed with all employees
Resident Grievances:
- Collect and distribute grievances to be processed
- Follow-up when necessary
- Track and file grievances
Training and Technical Assistance:
- Provide guidance, training, and consultation to Leadership Team, supervisors, and employees regarding licensing requirements, accreditation standards, and contractual requirements.
MINIMUM EDUCATION & EXPERIENCE REQUIREMENTS:
- Associate's degree or 60 credits from an accredited college or university, plus four years of related experience; OR
- Bachelor's degree or 120 credits from an accredited college or university, plus two years of related experience; OR
- Master's degree from an accredited college or university, plus one year of related experience.
REQUIRED SKILLS:
- Knowledge of the principles and use of tools used for data collection, data analysis, and performance improvement.
- Knowledge of applicable licensing (e.g., DHS, DDAP), contractual (e.g., MD DJS, BOP), accreditation (e.g., TJC), and certification (e.g., PREA) standards.
- Knowledge of the principles and practices related to the residential treatment of delinquent and dependent youth.
- Proficient writing skills (e.g., formulate and/or revise policies and procedures, develop corrective action plans/responses to licensing and contractual entities).
- Ability to communicate effectively, both orally and in written form, with a diverse group of people including regulatory agency representatives, employees, clients, governing body members, and the general public.
OTHER HIRING REQUIREMENTS:
- Ability to self-start, work independently and adhere to timelines on a consistent basis with a minimum of assistance and supervision.
- Ability to participate and maintain Safe Crisis Management (SCM) certification.
- At least twenty-one (21) years of age
- Driver's License
- Physical exam that includes TB and drug testing.
- Criminal clearances (State Police, FBI and State Child Abuse Clearances)
- Satisfactory completion of background screening and applicable pre-employment checks, including but not limited to employment and/or personal reference and driving records.
- Ability to work with computers and the necessary software typically used by the department.
Why Should You Consider Abraxas?
- At Abraxas, we celebrate the richness of our diverse employees and the communities we serve. We are actively committed to building a culture of awareness and belonging, as we strive to ensure we are a welcoming, inclusive, and culturally competent organization.
As we work to make a diff