Commonwealth of Pennsylvania

POSITION DESCRIPTION FOR JOB POSTING

Position Number:  00112738

Description Activated On:  1/12/2026 2:54:53 PM

Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively. 

 Position supports risk management activities at Selinsgrove Center and is responsible for oversight of Quality and Risk Management activities, Certified Investigations and Incident Management activities, and other related functions to assure compliance with CMS regulations. Position exercises initiative and independent judgment to ensure the facility's QM/RM program meets Departmental, governmental auditing, and CMS standards.
This position supervises professional, technical and other staff.

Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor.

Position plans, organizes, and directs the work of an integrated interdisciplinary staff engaged in the ongoing monitoring and evaluation of the facility's comprehensive Quality Management and Risk Management program activities. Work involves interpreting Federal and State requirements.

Develops and implements QM/RM operating structures, policies, procedures, evaluation studies and reports for the monitoring of practices and performance in the delivery of and accomplishment of non-clinical support activities to ensure the Center is in compliance with CMS regulations.

Functions as a liaison with Department of Health activities, leads development of Plans of Correction.

Assists Facility Director, Clinical Director and Program Director in the development of long-range policies, plans and goals for the Center and the residents.

Provides direction for the risk management program, directs the review of reports about incidents, medication, and third party liability and the investigation of problems, complaints and inquiries to recommend appropriate corrective action. Conducts need assessments and develops goals and objectives for the facility's annual plan and budget requests to insure cost effective improvements in individual care.

Consults with Facility Director, Division Directors, management, department heads and other clinical staff for clinical credential requirements and non-clinical practice issues affecting health care, treatment, habilitation and safety.

Collaborates with the applicable management and administrative staff, monitors QI activities, in medical staff audits, pharmacy and therapeutic services, risk management, infection control, restraint review, medical records, safety, and individuals’ rights; evaluates consumer satisfaction information from the IM4Q and LIFE monitoring to ensure that facility services are responsive to individual wants, needs and desires.

Initiates studies to analyze trends or patterns of unusual incidents, habilitative care, treatment interventions, practitioner performance, non-clinical support activities, community placements and other living area transitions to identify opportunities for improvement.

Chairs or participates at meetings of appropriate professional clinical and non-clinical staff and committees including Board of Trustees, HRC, Executive Staff and Risk Management, others as assigned.

Familiar with and meets all state, local and federal standards which govern the operations of the Center, specifically all standards associated with ICF/IID license.

Performs other related duties as required.

Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature.

Work is performed independently and consults with Facility Director for more complex issues.

Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License

Experience:



Licenses, registrations, or certifications:

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Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.
 
 1. Provides oversight of Risk Management functions associated with Care, Programs, and Services for Selinsgrove Center residents
 2. Provides leadership to staff involved in the implementation of Quality Management initiatives.
 3. Confers with other Discipline’s Professional Staff regarding program development and implementation; and evaluation of operations.
 4. Develops and maintains a system of program evaluation and effectiveness.
 5. Organizes and directs teams comprised of staff from various disciplines involved in developing “best practices” - strategies for success.
 6. Confers with department heads or other appropriate professionals to determine effectiveness of professional staff.
 7. Arranges for in-service training for staff as it relates to QM/RM initiatives.
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