PACE Quality Coordinator

Valir Health•Oklahoma City, OK

7d•Onsite

About The Position

Valir PACE provides integrated medical and social services to our most vulnerable seniors, helping to unlock their full potential. We are looking for team members who are energized by working in diverse teams toward our shared purpose. Those eager to drive groundbreaking innovation, and who will interact with those we serve and those who serve them in a spirit of understanding and compassion.

Requirements

Excellent verbal and written communication skills.
Excellent interpersonal and customer service skills.
Excellent customer service skills.
Excellent organizational skills and attention to detail.
Excellent time management skills with a proven ability to meet deadlines.
Strong analytical and problem-solving skills.
Strong supervisory and leadership skills.
Ability to prioritize tasks and to delegate them when appropriate.
Ability to function well in a high-paced and at times stressful environment.
Proficient with Microsoft Office Suite or related software.
High school diploma or equivalent.
1 year of experience minimum

Nice To Haves

College degree preferred
Licensed care giver preferred

Responsibilities

Oversight QA Assistant on all tasks including tracking, analyzing and trending participant encounter data
Track, analyze and trend quality indicators and level II reportable 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/or positive health outcomes; this may include creating new protocols and / or policies.
Create action plans to remedy deficiencies or to improve service/care.
Provide education to staff to improve performance and understanding.
Research grievances/incidents and act as liaison to the participant/family involved
Continuously audit organization to prepare for surveys and to ensure compliance with SAA, CMS, Joint Commission and all other regulatory agencies.
Conduct root cause analysis and impact analysis as needed or as requested by CMS or SAA.
Manages the tracking and reporting of all required quarterly and annual reporting to CMS, SAA and PACE team and the monitoring of all interventions to comply with regulations.
Manages QA staff to include schedule, behavior, performance and development.
Continuously audit participants & families to ensure care/services are delighting the customer.
Continuously audit charts and care to ensure compliance with CMS and SAA regulations and to ensure documentation is accurate and complete and reflects care authorized in the care plan
Other duties as assigned.