Job Specification
QUALITY ASSURANCE SPECIALIST, HEALTH SERVICES
DEFINITION
Under the supervision of a Quality Assurance Coordinator or other
supervisory official in an institution, agency, or central office location,
performs program and/or facility evaluations of clinical care and
administrative services provided by any departmental unit or facility,
may assess and evaluate reports or incidents of client safety and neglect;
does related work as required.
NOTE: The examples of work for this title are for illustrative
purposes only. A particular position using this title may not perform all
duties listed in this job specification. Conversely, all duties performed
on the job may not be listed.
NOTE: Appointments may be made to positions requiring bilingual skills.
55954C - Bilingual in Spanish and English
SPECIAL SKILL
Applicants must be able to read, write, speak, understand, or communicate
in Spanish and English sufficiently to perform the duties of this position.
EXAMPLES OF WORK:
Collects, reviews, and analyzes data to contribute to better utilization of
resources in such areas as risk management, program evaluation,
infection control, utilization review, and staff development.
Identifies and analyzes factors that contribute to inappropriate utilization
of services, situations, or processes, and which promote or reduce optimum
client care.
May assess, review and evaluate reports or allegations of abuse, neglect,
exploitation, or incidents which may impact a client's safety and well-being.
Refers substantiated incidents or issues involving abuse and neglect to
state or federal investigating or licensing agencies, police, protective
services, or other agency for appropriate disposition.
Reviews clinical and social service records, individual habilitation plans,
treatment team functioning, and/or facility programs/services for compliance
with policies, procedures, federal and state accreditation and professional
standards, and other related standards for optimum clinical care.
Participates as a member of the Quality Assurance Team in the analysis
and evaluation of a variety of documents to identify problems and
recommend appropriate changes including but not limited to the areas of:
a) clinical necessity for admission/discharge
b) necessity for extended stay
c) clinical necessity for professional care/services rendered
d) quality of care/services rendered
e) timeliness of care/services rendered
f) incident review and others (e.g. neglect and abuse)
Reports findings and provides recommendations to the Quality Assurance
Coordinator and quality assurance committees and/or administrative staff.
Provides technical assistance and serves as resource person to various
levels of staff, as needed.
Assists in organizing and preparing for surveys by the Joint Commission
on Accreditation of Hospitals, an Intermediate Care Facility Mental
Retardation Committee, Medicaid, the Bureau of Standards and Inspections,
the U.S. Department of Veterans Affairs, and other organizations which may
conduct surveys.
Identifies staff development needs and provides recommendations.
Will be required to learn to utilize various types of electronic and/or
manual recording and information systems used by the agency, office,
or related units.
REQUIREMENTS:
LICENSE:
A license as a Registered Nurse in the State of New Jersey.
EXPERIENCE:
Four (4) years of experience as a Registered Nurse, one (1) year
of which is specialized experience including the monitoring and/or
evaluation of clinical or human services records and programs in
a mental health, geriatric, health care setting, or human services
agency.
NOTE: A Bachelor's degree, and three (3) years of specialized
experience in the field of quality assurance in a mental health,
geriatric, health care setting, or human services agency which
includes monitoring and/or evaluation of clinical or human services
records and programs which may include allegations of abuse,
neglect, exploitation, or incidents of client abuse or safety and
well-being, may be substituted for the above license and experience
requirements.
NOTE: A Master's degree in Public Health or a health care related
field may be substituted for one (1) year of indicated specialized
experience.
LICENSE:
Appointees will be required to possess a driver's license valid in
New Jersey only if the operation of a vehicle, rather than employee
mobility, is necessary to perform essential duties of the position.
KNOWLEDGE AND ABILITIES:
Knowledge of quality assurance and utilization review principles
and methods.
Knowledge of the techniques used to gather, review and analyze
data.
Knowledge of the signs of inappropriate (e.g. neglect and abuse)
or sub-standard patient care practices.
Ability to interpret and apply division rules, regulations, and
policies concerning care, treatment, and rehabilitation of clients
in an institutional or community setting.
Ability to comprehend and apply provisions, standards and
regulations such as those of the Social Security Act, JCAH, and
ICF/MR and the manuals of operational procedures and policies
related to disability insurance provisions of the Act and Federal
Social Security and related parts of New Jersey Public Law, and
to comprehend, analyze, and interpret basic legislation, regulations,
and procedures.
Ability to analyze data collection forms, methods, procedures,
techniques, and workflow in order to identify and resolve problems.
Ability to comprehend and interpret information and data.
Ability to arrive at sound and accurate judgmental decisions
concerning areas involving interpretation.
Ability to prepare clear, sound, accurate, and informative reports.
Ability to use, comprehend, and interpret descriptive and
inferential statistics.
Ability to maintain essential records and files.
Ability to learn to utilize various types of electronic and/or manual
recording and information systems used by the agency, office or
related units.
Ability to read, write, speak, understand, or communicate in English
sufficiently to perform the duties of this position. American Sign
Language or Braille may also be considered as acceptable forms of
communication.
Persons with mental or physical disabilities are eligible as long
as they can perform essential functions of the job with or without
reasonable accommodation. If the accommodation cannot be
made because it would cause the employer undue hardship,
such persons may not be eligible.
This job specification is applicable to the following title code(s) which
are different work week or work month and/or variants of the job class title: | | Job
Spec
Code | Variant | State,
Local or
Common | Class of
Service | Work
Week | State
Class
Code | Local
Class
Code | Salary
Range | Note | | 55954 | | C | C | NL | 26 | 28 | P26 | - | | 55954C | Bilingual In Spanish And English | S | C | NL | 26 | N/A | P26 | - | | 62356 | | S | C | 40 | 26 | N/A | P27 | - |
This job specification is for state and local government use.
Salary range is only applicable to state government.
Local salaries are established by individual local jurisdictions.
11/30/2013 |
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