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