PACE Quality Specialist (Central Valley PACE - Merced)

Golden Valley Health Centers

37d • $26 - $27

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.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED