Intellectual/Developmental Disabilities Quality Assurance Reviewer - Tampa, FL area Job at @Orchard, Tampa, FL

eTFPYTlkL1pCN3pIN3VESVNkUFNadz09
  • @Orchard
  • Tampa, FL

Job Description

Job Description

Job Description

Intellectual/Developmental Disabilities Quality Assurance Reviewer
Must reside in the Tampa, FL metro area

@Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our Client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities.

The Quality Assurance Reviewer determines the degree to which individuals with intellectual or developmental disabilities (I/DD) are receiving person-centered supports and services according to their needs and goals. Determines the degree to which developmental disability service providers ensure individuals health and safety for individuals receiving services and conform to program standards while meeting state requirements.

Please Note: Candidate must live in the Tampa, FL area.

Essential Duties and Responsibilities :
  • Conducts detailed evaluations of provider performance and the presence of person-centered supports using applicable tools and guidelines.
  • Initiates contact with service providers to establish interview and review schedules and discuss associated protocols, expectations, and responsibilities.
  • Conducts interviews with individuals with I/DD, family members, providers of services and/or direct service staff.
  • Observes the service environment, follows professional protocols to gather pertinent information and makes decisions for the evaluation process.
  • Reviews required documentation to evaluate supports and services and gather pertinent information regarding the quality of the person-centered service delivery system.
  • Administers and makes determinations based upon the information gathered from the Person Centered Review (PCR), Provider Discovery Review (PDR) and other applicable tools in a manner that meets established proficiency standards.
  • Serves as an expert in identifying both problems and solutions to ensure quality assurance activities appropriately address the needs of individuals with I/DDs. Recognizes each personal situation may be different and uses analytical skills to customize the approach as needed.
  • Establishes and maintains a positive and respectful approach with individuals/family members/providers/support coordinators throughout the review process.
  • Uses professional judgment and discretion to determine when a report of abuse, neglect and/or exploitation is warranted or a referral to state staff is necessary to maintain the health and safety of individuals receiving services through the Medicaid Waiver program.
  • Takes immediate action in the case of abuse, neglect and/or exploitation by reporting directly to the Abuse Registry following established protocols of a mandated reporter.
  • Inputs data into a web-based application, summarizes findings, generates discoveries for quality improvement and completes a written report for submission to the provider/support coordinator/or other entity in accordance with pre-established timeframes.
  • Works closely with the State Agencies to provide information to facilitate follow-up and technical assistance.
  • Provides the State Agencies with information at quarterly meetings concerning provider performance, data trends, and opportunities for quality improvement initiatives.
  • Participates actively and effectively in associate development activities such as conference calls, professional meetings, and annual training activities.
Education and /or Skills and Experience Required:
  • Minimum of Bachelor's degree in a human services related field
  • At least five (5) years of direct experience working in the field of intellectual and developmental disabilities, which also meets the criteria of a Qualified Intellectual Disabilities Professional (QIDP).
  • Exceptions to the type of bachelor’s degree earned must be approved by the state.
  • Bilingual speaking and writing skills in English/Spanish are preferred.

Established in 2010, @Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at .

Job Tags

Immediate start,

Similar Jobs

System One

Graphic Designer Job at System One

Are you a talented graphic designer eager to take your career to the next level? Look no further! Our client is offering an incredible opportunity for designers like you who are ready to break out and make a significant impact in the industry. System One is actively... 

UDR Consulting

Electrical Principal Designer Job at UDR Consulting

 ...candidates an opportunityto support an Engineering, Procurement, and Construction (EPC) project.Work Location: Houston, TXElectrical Principal DesignerJob DescriptionThe purpose of this position is to provide essential technical knowledge and perform design work as... 

Manpower Group Inc.

Fundraising Coordinator (Medical Field) Job at Manpower Group Inc.

Exciting Opportunity: Fundraising Coordinator at Medical Company!Are you ready to make a splash in the world of fundraising? Manpower Healthcare has been retained to hire a new Fundraising Coordinator for a regional medical provider across Southern West Virginia. This... 

Kings Dominion

KD Leadership Intern (Spring 2025) Job at Kings Dominion

 ...rides, live shows, unique attractions, water slides, and special events throughout the season with something for everyone around each...  ...Culinary, Finance, HR, Marketing, Park Operations, Retail, Workforce Planning, etc.). All internship opportunities are paid with rates... 

myMDcareers

Chicago Seeks OBGYN Job at myMDcareers

 ...Description Twenty minutes southwest of downtown Chicago seeks BE/BC OBGYN for very stable private practice. Practice is very well established with a staff of 22. Call is reasonable and shared with another group. Very competitive compensation package with full line of...