PACE Quality Specialist (Central Valley PACE - Modesto)
About The Position
Under the supervision of the PACE Quality and Compliance Coordinator, the Quality Specialist works to support the annual quality and Compliance (Q&C) work plans and special initiatives by monitoring, gathering, and preparing Q&C data for use by the PACE Interdisciplinary Team and Administration. The Q&C Specialist is a key position that works with all PACE departments to monitor and identify potential Q&C issues, monitor Q&C improvement initiatives, and prepare Q&C summary reports. Schedule Monday – Friday, 8:00am - 5:00pm Compensation: $25.87 - $27.16 an hour Golden Valley Health Centers offers excellent benefits including Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages; Dental; Vision; 403(b) with match, FSA plans, gym discounts, and so much more!
Requirements
- Valid CA Driver’s License, acceptable driving record, and vehicle insurance.
- Ability to organize and manage large volumes of data.
- Detailed-oriented and organized.
- Excellent written and verbal communication skills with specific ability to maintain accurate records.
- Excellent customer service skills.
- Must have integrity, practice discretion and practice objective problem solving.
- Ability to collect, organize, and report meaningful data for decision making while using spreadsheets or other data processing software.
- Knowledge of basic statistical principles.
- Skilled in establishing and maintaining effective working relationships with participants, coworkers, medical staff, and the public.
- Skilled in identifying and recommending problem resolution.
- Knowledge of safety and infection control requirements for healthcare facilities.
- Demonstrated experience in quality assurance and performance improvement activities.
- Proficient in Microsoft Office applications; advanced Microsoft Excel experience required.
- High school diploma or equivalent.
- Minimum of two (2) years’ of demonstrated experience in an analytical capacity, which included the collection, organization and reporting of data.
- Current BLS CPR Card certified by the American Heart Association or Red Cross.
Nice To Haves
- Bachelor’s degree in quality assurance, business administration, or relevant field, preferred.
Responsibilities
- Participates in Interdisciplinary Team (IDT) meetings to ensure quality and safety elements are tracked and documented, including service delivery requests, grievances, appeals, hospitalizations and other institutionalizations, and enrollments/disenrollments.
- Documents Quality and Compliance elements within the EMR.
- Assists the IDT and Center Manager on recognizing and documenting periodic Participant assessment and care plans.
- Ensures that IDT meeting attendance is complete and recorded, contributing to meeting minutes as needed.
- Organizes and manages the Quality and Compliance committee meeting minutes.
- Provides Quality and Compliance administrative support to the IDT team.
- Gather data from a variety of sources and organizes it within spreadsheets and other software tools for analysis and interpretation.
- Analyze PACE quality and compliance data, making suggestions when potential issues arise.
- Works with PACE Site Operations Management to assist in addressing potential quality and safety issues.
- Works with PACE Health Plan Operations Management to assist in addressing potential quality and compliance issues.
- Assists in summarizing and interpreting Q&C Data.
- Coordinates with internal departments and external data system hosting vendors.
- Tracks real time data and provide feedback to the Interdisciplinary team (IDT) by participating in IDT meetings and huddles daily.
- Provides data entry within organizational data systems, as well as regulatory data systems of the State and Federal government.
- Prepares data for presentation through a systematized key performance indicator (KPI) methodology.
- Assists in the Plan-Do-Study-Act (PDSA) processes of Quality Improvement.
- Manage large data sets and organize them into an interpretable format using Excel and other software tools.
- Assists in developing new QI projects.
- Assists in reporting to state and federal regulators.
- Other duties as directed.
Benefits
- Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages
- Dental
- Vision
- 403(b) with match
- FSA plans
- gym discounts
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
