PACE Quality Coordinator

VALIR PACE LLC•Oklahoma City, OK

47d•Onsite

About The Position

Valir PACE provides integrated medical and social services to vulnerable seniors. The PACE Quality Coordinator develops and implements a continuous monitoring program for patient care practices and outcomes to maintain and improve services and the care environment, while ensuring compliance with CMS and state regulations. The position oversees Quality Assurance activities, reporting, audits, improvement efforts, and the performance and development of Quality Assurance staff.

Requirements

At least one year of experience.
High school diploma or equivalent.
Excellent verbal and written communication skills.
Excellent interpersonal and customer service skills.
Excellent organizational skills and attention to detail.
Excellent time management skills and a proven ability to meet deadlines.
Strong analytical and problem-solving skills.
Strong supervisory and leadership skills.
Ability to prioritize tasks and delegate when appropriate.
Ability to function well in a fast-paced and sometimes stressful environment.
Proficiency with Microsoft Office Suite or related software.
Ability to read, speak, and hear in English.
College degree preferred.
Licensed caregiver preferred.

Nice To Haves

College degree.
Licensed caregiver.

Responsibilities

Oversee the Quality Assurance Assistant’s tasks, including tracking, analyzing, and trending participant encounter data.
Track, analyze, and trend quality indicators and Level II reportables as required by SAA and CMS.
Create interdisciplinary interventions to ensure ongoing compliance.
Identify areas of concern or needed improvement to maximize participant satisfaction and positive health outcomes, including developing protocols or policies when needed.
Create action plans to remedy deficiencies or improve service and care.
Educate staff to improve performance and understanding.
Research grievances and incidents and serve as a liaison to the participant or family involved.
Continuously audit the organization to prepare for surveys and ensure compliance with SAA, CMS, Joint Commission, and other regulatory agencies.
Conduct root cause and impact analyses as needed or requested by CMS or SAA.
Manage tracking and reporting of required quarterly and annual reports to CMS, SAA, and the PACE team, and monitor interventions for regulatory compliance.
Manage Quality Assurance staff, including scheduling, behavior, performance, and development.
Audit participants and families to ensure care and services are satisfying customers.
Audit charts and care to ensure compliance with CMS and SAA regulations and that documentation is accurate, complete, and reflects care authorized in the care plan.
Perform other duties as assigned.