Reports To: Executive Director / Agency Leadership
Supervises: Paraprofessionals (ITS, CLS, Respite, AFL staff)
Role Overview
The QP oversees service delivery, ensures documentation meets regulatory standards, supervises paraprofessionals, and monitors client progress according to the PCP/ISP. The QP ensures high-quality services that meet Medicaid, state, and agency requirements.
Core Responsibilities
Review and monitor PCPs/ISPs for accuracy and compliance.
Ensure services match the goals, interventions, and authorized hours in the PCP/ISP.
Adjust plans or request updates when client needs change.
Conduct monthly supervision with paraprofessionals (minimum 1 hour).
Review documentation, interventions, and staff performance.
Provide coaching and training to improve skill-building, engagement, and compliance.
Address performance concerns and follow agency protocols.
Complete required monthly client check-ins.
Track progress on goals, outcomes, and barriers.
Verify that the client receives services according to the plan and schedule.
Ensure client rights, safety, and dignity are always protected.
Approve or review staff notes, correcting errors before submission.
Ensure all notes include:
intervention
goal targeted
duration
effectiveness
staff signature
Submit timely QP documentation, supervision notes, and monthly reports.
Ensure all services follow NC Medicaid, 1915(i), and agency standards.
Communicate with care managers, guardians, natural supports, and other providers.
Attend treatment planning meetings, revisions, and interdisciplinary team meetings.
Document all coordination of care contacts.
Ensure paraprofessionals complete mandatory training and remain competent.
Provide guidance on crisis response, documentation, service delivery, and ethics.
Assist staff with understanding service definitions (ITS, CLS, etc.).
Participate in audits, monitoring reviews, and internal quality improvement.
Identify risks, gaps, or errors in service delivery and correct them promptly.
Ensure service authorizations, consents, and required forms remain current.
Essential Tasks
Monthly supervision with each staff
Monthly client contact and monthly summary
Review and approve staff documentation
Update service plans or request changes when needed
Respond to incidents, reports, or concerns
Ensure staff follow person-centered practices
Participate in meetings, training, and agency updates
Provide clinical support and problem-solving strategies to staff
Qualifications
Bachelor’s or Master’s degree (Human Services field or equivalent per NC Medicaid rule)
Minimum 2 years of experience with MH/I/DD/SE/SED/SPMI population
Knowledge of NC service definitions, 1915(i), and Medicaid requirements
Clean background check, HCP registry, and OIG list
Valid driver’s license and reliable transportation
Strong documentation and communication skills
Performance Expectations (85% Compliance Target)
Timely and accurate notes, supervision, and reports
Active participation in training and quality improvement
Positive feedback from clients, staff, and partners
Consistent follow-through on clinical oversight
Documented improvement in staff performance and client outcomes
Physical & Work Requirements
Ability to travel to client homes, community locations, and agency office
Able to complete in-person and telehealth visits
Occasional lifting up to 25 lbs
Flexible scheduling depending on client and staff needs