Clinical Quality Improvement Advisor

InnovAge•San Bernardino, CA

16h

About The Position

The Clinical Quality Improvement Advisor ensures standardization of processes, quality in care and compliance in operational and clinical practice throughout InnovAge and its affiliates. Supports the oversight for the provision of care and delivery of services per PACE regulations and performance goals set by the Quality Improvement Program and Quality Work Plan. Supports the Infection Control Program by tabulating data and investigating issues as needed. Acts in collaboration with the infection preventionist as a resource for infection and infestation control issues. Assists the Director of Quality in developing and maintaining clinical operational policies, procedures and protocols related to quality and compliance. Develops and maintains performance improvement projects based on the needs of the quality department as determined by quarterly quality performance measures and compliance audits while adhering to LEAN methodology standards. Develops and sustains Plan(s) of Correction that results from identified quality improvement initiatives, surveys and/or other regulatory body audits. Develops and implements audits to ensure consistent practice of current policies, procedures and protocols. Prepares for and actively participates in all surveys/monitoring audits and ensures that InnovAge and its affiliates are survey-ready. Supports and implements quality improvement in assigned areas and as needed. Performs pre-operational auditing and promotes smooth transitions from development to implementation. Works to integrate standard clinical practice(s) and documentation compliance throughout InnovAge and its affiliates. Reports on problem areas that fall outside of regulation, community or professional standards, and performs follow-through to see if issues have been addressed. Participates in CMS and State reporting and facilitates work groups within the PACE centers and regional leadership Leads Root Cause Analysis activities to support process improvement activities as well as regulatory reporting. Prepares center-based teams and leadership for monthly and quarterly collaborative calls with state and CMS regulators. Collaborates with compliance team to support clinical quality oversight of community partners, including follow up on incidents and complaints. Facilitates and leads local and regional quality meetings in collaboration with PACE center staff and leadership. . Participates in collaborative care meetings at PACE centers, including fall teams, wound care teams, Participant Council. Leads regional efforts related to participant satisfaction activities at the PACE center. Participates in PCMH education, readiness, and accreditation activities. Delegates quality activities to Quality Improvement Specialists according to Director of Quality. Provides support of quality contracted facilities oversight. Provides coverage for Director of Quality when needed. Other Responsibilities Demonstrates a commitment to the quality improvement process and the philosophy of continuous improvement; identifies and responds actively and with sensitivity to the needs of all concerned; participates as a team player in all phases of the organization; and is open and responsive to change. Communicates and interacts with co-workers and all others in a pleasant and professional manner at all times. Maintains strict confidentiality of personnel data, proprietary information, and sensitive materials as required. Maximizes cost efficiency and productivity in the use of all resources of the department and organization. Attends all required department events, staff meetings, and any other job-related functions. Attends and successfully completes all mandatory trainings. Does not communicate with any news media or volunteer business information to other agencies. Directs public relations issues to the appropriate person. Does not enter into any contract without approval which commits the organization to any obligation, or which transfers company assets to any outside interests, or which involve expenditures of a capital nature. Performs within position and personal limitations and provides information to employees, co-workers, business contacts, and others only as able and appropriate for position.

Requirements

State Registered Nurses License
3+ years health care experience with an emphasis in geriatrics
3+ years nursing leadership with a background in quality
Current skill with auditing systems, follow-up for corrections and process improvement for healthcare areas.
Current knowledge of standards of clinical nursing practice and integration with regulations along with broad knowledge base of health care problems for the frail and elderly.
Working knowledge of project management, facilitation of work groups, quality improvement, and team meetings.

Nice To Haves

Bachelor’s degree in nursing from an accredited college/university
Certification as a Gerontological Nurse
Lean or Six Sigma

Responsibilities

Ensures standardization of processes, quality in care and compliance in operational and clinical practice
Supports the oversight for the provision of care and delivery of services per PACE regulations and performance goals
Supports the Infection Control Program by tabulating data and investigating issues as needed
Assists in developing and maintaining clinical operational policies, procedures and protocols related to quality and compliance
Develops and maintains performance improvement projects based on the needs of the quality department
Develops and sustains Plan(s) of Correction that results from identified quality improvement initiatives, surveys and/or other regulatory body audits
Develops and implements audits to ensure consistent practice of current policies, procedures and protocols
Prepares for and actively participates in all surveys/monitoring audits
Supports and implements quality improvement in assigned areas and as needed
Performs pre-operational auditing and promotes smooth transitions from development to implementation
Works to integrate standard clinical practice(s) and documentation compliance
Reports on problem areas that fall outside of regulation, community or professional standards
Participates in CMS and State reporting and facilitates work groups
Leads Root Cause Analysis activities to support process improvement activities as well as regulatory reporting
Prepares center-based teams and leadership for monthly and quarterly collaborative calls with state and CMS regulators
Collaborates with compliance team to support clinical quality oversight of community partners, including follow up on incidents and complaints
Facilitates and leads local and regional quality meetings
Participates in collaborative care meetings at PACE centers
Leads regional efforts related to participant satisfaction activities at the PACE center
Participates in PCMH education, readiness, and accreditation activities
Delegates quality activities to Quality Improvement Specialists according to Director of Quality
Provides support of quality contracted facilities oversight
Provides coverage for Director of Quality when needed
Demonstrates a commitment to the quality improvement process and the philosophy of continuous improvement
Communicates and interacts with co-workers and all others in a pleasant and professional manner at all times
Maintains strict confidentiality of personnel data, proprietary information, and sensitive materials as required
Maximizes cost efficiency and productivity in the use of all resources of the department and organization
Attends all required department events, staff meetings, and any other job-related functions. Attends and successfully completes all mandatory trainings
Does not communicate with any news media or volunteer business information to other agencies. Directs public relations issues to the appropriate person
Does not enter into any contract without approval which commits the organization to any obligation, or which transfers company assets to any outside interests, or which involve expenditures of a capital nature
Performs within position and personal limitations and provides information to employees, co-workers, business contacts, and others only as able and appropriate for position.