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Accreditation & Quality Assurance Consultant

J  o  b    D  e  s  c  r  i  p  t  i  o  n

 

 

Job Information

Title:

Accreditation & Quality Assurance Consultant

Market Range:

MR17

Approved Date:

5/11/2021 8:06:10 AM

FLSA:

Exempt

EEO Code:

PROFESSIONALS

Career Level:

P1

Career Level Description:

Professional Level 1

Job Code:

100007

Job Family:

Health Services

Sub Family:

Health Services Administration

 

Primary Purpose

Ensures consistent quality of program services, operations, staff development and professional credentials relative to established standards, regulations and contractual obligations. Monitors, reviews and documents the work products of others; and advises remediation and prevention when indicated.  

 

Essential Functions

 

 

Priority

% Time

•

Offers consultative services related to quality assurance and compliance. Reviews information submitted by programs, business operations and individual employees to determine compliance with federal and state regulations, standards and contractual obligations. Ad hoc training to management to ensure adherence to quality assurance and compliance when developing, evaluating, and operating programs.

1

35%

•

Monitors time-sensitive key indicators of quality status. Communicates concerns related to potential risks and corrective action needed. Produces periodic and specialized on-demand quality status reports for senior management.

 

2

20%

•

Researches and interprets regulations to advise directors, managers, supervisors and staff on content and local application of mandatory requirements. Facilitates compliance by providing and promoting applicable training for staff development.

3

20%

•

Participates in the development, implementation, evaluation, revision and maintenance of multiple electronic databases related to the documentation of mandatory quality assurance requirements. Applies advanced knowledge to instruct users on system functions and resolve issues.

 

4

15%

•

Leads Quality Improvement (QI) initiatives utilizing QI processes and assists teams in developing appropriate tracking metrics to monitor performance. 

5

5%

•

Leads and/or participated in designated external and internal compliance reviews.

6

5%


Position(s) may perform other duties in addition to the above as assigned by management.

 

*IMPORTANT* In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.

 

Career Level Dimensions

Career Level:

P1

Career Level Description:

Professional Level 1


County Impact

•

Works on small, routine projects or task-related activities that have some impact on the overall the Work Group.

•

Work is closely supervised.


Innovation and Complexity

•

Responsible for making minor changes in systems and processes to solve problems.

•

Identifies, defines and addresses problems that are not complex. Problems are typically within the immediate Work Group.


Communication and Influence

•

Communicates within or outside of the Work Group to provide information about policies, procedures, or analyses.


Leadership

•

N/A – Jobs at this level are focused on self-development.


Knowledge and Experience

•

Requires basic, theoretical understanding of professional principles and skills, typically obtained through advanced education.


Qualifications


Required Education

•

Bachelor's degree


Required Experience

•

Five years of experience in project management development or program leadership


Qualification Equivalency

•

Equivalent education and experience are accepted


Preferred Education

•

Master's Degree

 

 


Preferred Licenses and Certifications

 

Licenses/Certifications

Licenses/Certification Details

Time Frame

 

•

 

Certification in Quality Management

 

 


Knowledge, Skills and Abilities

•

Ability to read, analyze, interpret and apply applicable County, State, and Federal Regulations, contractual obligations, accreditation requirements and other regulatory standards.

•

Review documents and data to determine compliance with standards.

•

Ability to quickly learn electronic applications and databases as a power user, research and resolve system issues, and instruct others in gaining basic user skills.

•

Ability to work independently and as part of a multidisciplinary team.

•

Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Applies quality improvement strategies to promote compliance in services and operations.

•

Demonstrates high degree of adaptability and organizational skills.

•

Excellent interpersonal skills to interact effectively with all levels of staff, management and external organizations.

•

Proficiency in Microsoft Office (Word, Excel, Outlook).

•

Superior customer service skills, integrity, and commitment to collaboration and forward-thinking efficiency.


An individual must be able to perform each essential duty satisfactorily to perform this job successfully. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Competencies


Individual Contributor Competencies

Customer Service

Balances interests of a variety of clients, and readily readjusts priorities to respond effectively to pressing and changing demands for information, advice and assistance.  Anticipates and meets the needs of clients; achieves quality end products; and commits to continuous improvement of services.

Attention to Detail

Thoroughness in accomplishing a task through concern for all the areas involved, no matter how small. Monitors and checks work or information and plans and organizes time and resources efficiently.

Initiative

Does more than is required or expected in the job; does things that no one has requested that will improve or enhance products and services, avoid problems, or develop entrepreneurial opportunities. Plans ahead for upcoming problems or opportunities and takes appropriate action.

Quality Assurance

Produces results or provides service that meets or exceeds organizational standards. May audit the work of others to ensure quality standards are met.


Leadership Competencies

Relationship Building

Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect.

Technology Management

Keeps up-to-date on technological developments. Makes effective use of technology to achieve results. Ensures access to and security of technology systems.


Core Competencies

Integrity

Act with honesty, transparency and respect in our interactions with co-workers and those we serve. Adhere, without exception, to laws, policies, procedures and professional standards.

Accountability

Establish high-quality standards for work. Add value. Measure results and hold self and others accountable for making progress toward desired outcomes. Take a logical and data-driven approach to decision-making.

Diversity

Believe that different backgrounds and experiences strengthen the organization and produce better results. Value inclusion across race, gender, age, religion, identity and experience, and strive to reflect in our workforce the diversity of our community.

Collaboration

Foster a work culture in which different ideas and opinions are encouraged and expected. Listen carefully and speak thoughtfully. Work together toward shared goals with mutual respect and cooperation.

Continuous Improvement

Continuously improve work processes and products. Provide a safe environment to be innovative and creative and try new things. When things don't go as planned, use it as an opportunity to learn, regroup and begin again. Provide time and resources for individuals to grow and develop both personally and professionally.

Wellness

Take proactive steps to be physically fit and healthy, emotionally strong, financially secure and socially fulfilled, while inspiring and empowering others to do the same.

Service Orientation

Commit to making a difference within the community. Actively engage in and enjoy our work. Deliver services that exceed expectations, with courtesy, politeness and sensitivity to the experiences, concerns and feelings of all co-workers and customers.



ADA Checklist

 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

 

 

Standard ADA Selection:

Office Environment


Physical Demands

 

N/A

Rarely

Occasionally

Frequently

Constantly

Standing

 

 

X

 

 

Walking

 

 

X

 

 

Sitting

 

 

 

X

 

Lifting/Carrying 0-10 pounds

 

 

X

 

 

Lifting/Carrying 10-20 pounds

 

 

X

 

 

Lifting/Carrying 20-50 pounds

 

X

 

 

 

Lifting/Carrying 50-100 pounds

 

X

 

 

 

Pushing

 

X

 

 

 

Pulling

 

X

 

 

 

Climbing

 

X

 

 

 

Balancing

 

X

 

 

 

Stooping

 

X

 

 

 

Kneeling

 

X

 

 

 

Crouching

 

X

 

 

 

Crawling

 

X

 

 

 

Reaching

 

 

 

X

 

Handling

 

 

 

X

 

Grasping

 

 

 

X

 

Fingering

 

 

 

X

 

Feeling

 

X

 

 

 

Talking

 

 

 

X

 

Hearing

 

 

 

X

 

Visual Perception

 

 

 

X

 

Repetitive Motions

 

 

 

X

 

Eye/Hand/Foot Coordination

 

X

 

 

 


Mental Demands

 

N/A

Rarely

Occasionally

Frequently

Constantly

Memorization/Concentration

 

 

 

 

X

Learning/Knowledge Retention

 

 

 

 

X

Preparing/Analyzing Numerical Figures

 

 

 

X

 

Use of Interfaced Commmunication Devices (Phone, Computer, Radio etc.)

 

 

 

X

 

Analyzing/Examining/Testing Data

 

 

X

 

 

Emotional/Behavioral Self-Regulation

 

 

X

 

 

Interacting with Others

 

 

 

X

 

Comprehension

 

 

 

X

 

Organization

 

 

 

 

X

Decision Making

 

 

 

X

 


Mental Capability/Cognitive Requirements

Comprehension

Understand complex problems and collaborate to explore alternative solutions

Organization

Organize and prioritize the work schedules of others to manage multiple tasks and/or projects

Decision Making

Make decisions that have significant impact on a department's credibility, operations and/or services

Communication

Communicate in-depth information for the purpose of interpreting and/or negotiating


Working Environment

 

N/A

Yes

No

Extreme cold

 

 

X

Extreme heat

 

 

X

Humid

 

 

X

Wet

 

 

X

Noise

 

 

X

Hazards

 

 

X

Temperature Change

 

 

X

Atmospheric Conditions

 

 

X

Vibration

 

 

X

Computers/Monitors

 

X