Tri-County Care

Role Description The Quality Data Analyst is responsible for analyzing quality metrics, identifying trends and areas for improvement, and providing actionable insights to support organizational quality initiatives. This role informs data-driven decisions, evaluates the effectiveness of improvement efforts, and contributes to the achievement of overall quality goals. Qualifications - Familiarity with OPWDD regulations and implementation of policies and procedures - Ability to effectively communicate verbally and in a written manner - Microsoft Office experience; particular familiarity with the use of Microsoft Excel - Strong analytical and problem solving skills with attention to detail - Ability to organize, schedule, prioritize and utilize time effectively - Excellent interpersonal skills, confidentiality, and professionalism Requirements - Familiarity with OPWDD regulations and practices - Minimum 2 years in a Quality Assurance role, preferred - Experience building reports and dashboards using BI tools, preferred

Role Description The role of the Care Manager Trainer is to manage the workflow, delivery of training, and supervision of newly hired Care Managers during the first 12 weeks of employment to ensure the appropriate acquisition of skills and competencies and the delivery of high quality, person-centered Care Management meeting all regulatory and TCC requirements. Applicant must be fluent in English & Yiddish. Qualifications - Instructional and adult learning skills, such as presentation skills, mentoring, problem analysis and solving - Knowledge of CCO/HH Provider Policy Guidance and Manual - Time management and attention to detail - Data collection and analysis, preferred - Critical thinking and analysis - Self-directed, demonstrating high degree of initiative, and with the ability to work in a team environment - Prioritization and high-volume workload organization - Professional presence and comfortability with presenting to a group - Articulate, with strong oral and written communication skills - Computer skills: Windows, Word, PowerPoint, Excel, SharePoint, CareHub Requirements - Experience conducting training, preferred - Experience with OPWDD training requirements, preferred - Bachelor's degree with two years of relevant experience, OR Master's degree with one year of relevant experience Essential Responsibilities - Maintains professional standards while fostering a positive and supportive work environment that promotes healthy balance, encourages growth, recognizes achievements, and prioritizes open communication to help staff thrive and excel. - Responsible for training, mentoring, and supervising newly hired Care Managers through their first 12 weeks (+/-) of employment based on the NEO curriculum and best practice. - Provides oversight and guidance to newly hired Care Managers, ensuring they meet organizational standards and objectives in line with TCC's mission statement. - Communicates, updates and resolves concerns related to the assigned group of new hires on a regular basis with the Training and Staff Development Supervisor. - Guides staff through the technical aspects of the new hire set-up process, i.e. voicemail greeting, email signature, CHOICES application etc. - Delivers training on care management expectations including, but not limited to, delivery of the 6 core Health Home service requirements through active care management activities. - Conducts live training as assigned and as needed. - Responsible for conducting regular check-ins and case reviews throughout the 12-week supervisory period, including but not limited to weekly one-on-one supervision meetings to provide guidance, support, and performance feedback. - Accountable for the entirety of the new hire training process, ensuring new hires achieve required competency and job readiness, aligned with TCC expectations for delivery of quality services and documentation. - Responsible for observing and evaluating the newly hired Care Manager's interactions, documentation, and care management activities and subsequently providing corrective guidance as needed. - Ensures the Care Managers are engaging individuals, representatives, and providers in a manner and cadence that is reflective of the individual's needs. - Monitors compliance and quality related functions of the CM role, as outlined in the CM Job Description, in accordance with OPWDD regulations and TCC policies. This includes, but is not limited to, Life Plans, Medicaid eligibility, contemporaneous documentation, etc. - Ensures collaboration with the Clinical Team and participation in meetings regarding complex cases and follow up on recommendations/completion of action items. Ensure QA audit corrections are responded to and completed by the Care Manager timely. - Responsible for collecting and tracking data metrics for pre-established milestones using tools to periodically evaluate staff comprehension of the Care Manager expectations. - Collaborates with CMT team members to assist with the training and mentoring of newly hired Care Managers. - Collaborates with Human Resources to ensure consistent completion of KPI evaluations at the expected cadence for new employees. - Acts as the liaison with the respective OPWDD regional office and address escalated issues, as needed i.e., waiver services approval, crisis cases, special POPs, etc. - Responds to all inquiries and requests with a commitment to addressing and resolving issues within 24 hours to maintain efficient operations and employee/individual satisfaction. - Maintains an up-to-date Outlook calendar to accurately reflect work-related appointments and availability. - Assists with specialty projects which may include updating training curriculum content and/or policy documents as needed. - Assists with coverage as needed. - Participates in mandatory staff meetings. - Performs other activities, as assigned, to support overall organization's goals and objectives.