Qualified Professional (QP), IDD

Covenant Case Management Services is seeking an energetic and compassionate Qualified Professional (QP) with experience in intellectual and developmental disabilities (I/DD) to support individuals in the Raleigh this hybrid role you will help ensure high-quality service delivery build positive relationships and advocate fiercely for the people we serve.

Key Responsibilities

Staffing Caseload and Team Leadership

• Team Recruitment: Own staffing for your team and caseloads; actively recruit and fill open roles to ensure adequate coverage.

• Caseload Management: Manage a caseload of 2530 active cases (excluding cases held for coverage). Match staff to cases based on skills personality and fit while ensuring timely staffing and strict policy compliance.

• Supervision: Oversee direct care staff to ensure they adhere to CCMS policies and best practices. Lead monthly Direct Support Professional (DSP) supervision meetings and deliver ongoing training.

Compliance Documentation and Care Planning

• Regulatory Compliance: Maintain strict compliance with DHHS/state rules Medicaid/state waivers MCO requirements and CCMS policies. Act as a champion for policy adoption and ethical practice.

• Care Planning: Conduct comprehensive person-centered assessments; set measurable goals and develop clinically accurate medically necessary Individualized Support Plans (ISPs).

• Quality Review: Review and approve ISP documentation assessments progress notes and related records. Sign off on new or updated ISPs and coordinate with Medical Records for timely system uploads.

• Utilization Management: Daily review note reports to monitor compliance with staff-completed service notes. Train staff on correct documentation practices approve compliant entries and issue required corrections. Monitor underutilized reports and take swift action to optimize service delivery.

Incident Management & Quality Assurance

• Incident Reporting: Promptly report all incidents to Quality Management (QM) via the internal Incident Reporting (IR) process; fully support IR/IRIS entries for Level 2 and Level 3 incidents.

• Risk Mitigation: Partner with QM to identify risks recurring incidents or service gaps. Participate in risk-reduction activities and assist in developing implementing and monitoring Plans of Correction (POC).

• Audit Readiness: Lead and participate in internal audits and CARF-related activities. Collaborate with QM Clinical Directors and Medical Records to prepare documentation and regulatory responses for auditors. Ensure ongoing regulation-ready state across all assigned programs.

• Financial Accountability: Review data and billing for precision and compliance. Monitor authorization status monthly completing service limit sheets for every authorization received to support utilization management.

Client Engagement & Community Collaboration

• Consents: Secure valid consents from individuals and legally responsible persons supporting annual client consent updates when necessary.

• Stakeholder Relations: Build trusted relationships with MCOs collaborating agencies families and CCMS leadership. Proudly represent CCMS in community activities and interagency meetings.

• Administration: Manage ongoing administrative workflowsincluding authorizations progress reports and documentation reviewsto guarantee completely regulation-ready records.

Training & Staff Development

• Skill Building: Train staff members thoroughly on individual client needs ISP requirements and programmatic benchmarks. Lead staff development initiatives to maximize policy compliance.

• Accountability: Provide guidance and clear accountability metrics for DSP performance. Administer corrective actions in accordance with company policy and facilitate the rollout of ongoing policy updates.

Crisis & On-Call Support

• Crisis Response: Maintain availability for on-call crisis services as required. Uphold the highest quality and ethical standards to boost overall program performance and ensure compliance with federal state and local laws.

SCS & Nursing Collaboration

• SCS Coordination: Collaborate closely with the SCS Director regarding any service updates or adjustments for members assigned to Supported Career Services (SCS) or those adding SCS to their active treatment plan.

• Medical Compliance: Partner with the Nursing team to ensure all members have accurate documented medications on file that meet company compliance standards.

• Medication Tracking: Assist with the collection of medication administration documentation and periodically update physician order changes alongside the Nursing team.

• Clinical Reporting: Document and report side effects medical changes or hospital visits directly to the Nursing team for immediate specialized support.

Leadership Support

• Mentorship: Collaborate directly with Clinical Directors and executive leadership to aid in mentoring newly hired staff and incoming QPs.

• Special Projects: Assist with special agency projects targeted training curriculum job shadowing and customized one-on-one development of staff as requested.

• Flexibility: Complete additional operational duties and responsibilities as requested by leadership.

What We Are Looking For

Qualifications & Experience

• Credentialing: Must meet the official North Carolina definition of a Qualified Professional (QP).

• Experience: Have at least five years of supervisory and management experience and/or five years of dedicated experience working within human services.

• Knowledge: Possess a deep working knowledge of the behavioral sciences and allied disciplines related to Intellectual and Developmental Disabilities (I/DD).

• Skills: Demonstrate exceptional communication leadership adaptability and complex problem-solving skills.

• Resources: Must have reliable access to high-speed internet a functional cell phone and reliable transportation.

• Physical Requirements: Ability to sit stand walk and lift up to 50 pounds as required by field conditions.

Education & Licensure Pathway Requirements

Candidates must meet at least one of the following state-defined educational criteria:

• Hold a valid license provisional license certificate registration or permit issued by a governing board regulating a human service profession; OR

• Have a graduate degree in a human service field paired with at least one year of post-graduate experience; OR

• Have a bachelors degree in a human service field paired with at least two years of post-graduate experience; OR

• Have a bachelors degree in any non-human service field paired with at least four years of post-graduate experience.

Covenant Rewards for You Benefits

• Generous Total Rewards Plan including health insurance 401(k) match and career benefits.

• A diverse and inclusive community focused on professional growth compassionate care and a highly supportive work environment.

Equal Employment Opportunity Statement

Covenant Case Management Services actively encourages applications from individuals of all backgrounds and lived experiences. We believe diversity strengthens our ability to serve individuals and families with dignity respect and compassion.

Covenant Case Management Services is an Equal Employment Opportunity employer and does not discriminate on the basis of race color religion sex sexual orientation gender identity or expression national origin age disability genetic information veteran status marital status or any other protected characteristic under applicable federal state or local laws.

We are committed to providing a workplace free from discrimination and harassment and to fostering a diverse inclusive and respectful environment for all employees contractors and applicants. Employment decisions are based on qualifications merit and business needs.