Quality Improvement Specialist II

AltaMed•Commerce, CA

1d•Onsite

About The Position

AltaMed is seeking a Quality Improvement Specialist II who is passionate about helping those in need and growing their career. AltaMed nurtures, celebrates, and promotes its employees, allowing them to grow while making a meaningful difference in the community. AltaMed is an integral part of the communities it serves, raising expectations for community clinics and demonstrating that quality care is for everyone. The commitment to providing exceptional care is a calling that drives the organization daily. The Quality Improvement Specialist II provides support services to PACE centers and staff in areas such as root cause analysis and process improvement techniques. This role involves collaborating with corporate operations staff to define and enhance existing processes, aiming to improve PACE site efficiencies and patient outcomes. The specialist is responsible for the administrative and quality management, including planning, development, implementation, and evaluation/assessment of clinical care services/programs. Key tasks include reviewing and analyzing medical records data related to quality care issues and coordinating with PACE sites to sustain improvements in quality measures and service outcomes. These efforts must meet the regulatory demands set by the California Department of Healthcare Services (DHCS), Centers for Medicaid Services (CMS), and other programs. The position also involves coordinating with internal and external customers to meet deliverables throughout the year. AltaMed Health Services Corp. is the nation’s largest Federally Qualified Health Center (FQHC), providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties, serving over 400,000 patients.

Requirements

Geriatric experience as required by CMS PACE regulations.

Nice To Haves

Bachelor’s Degree prepared in Nursing, Social Work, and Healthcare Management
Licensed as an RN in the State of California
A minimum of two years’ experience in process improvement and/or other quality management/improvement-related experience
Advanced certification or licensure in health care or process improvement (Lean or Six Sigma, IHI)
Prior experience a minimum of one year with an Electronic Health/Medical System (E.H.R/E.M.R)
Experience with NextGen Electronic Health/Medical System

Responsibilities

Providing support services to PACE centers & staff in the areas of root cause analysis, process improvement techniques.
Working with corporate operations staff in the definition and enhancement of existing processes to improve PACE site efficiencies and patient outcomes.
Responsible for the administrative and quality management, planning, development, implementation, and evaluation/assessment of clinical care services/programs.
Reviews and performs medical records data review and analysis related to quality care issues.
Coordination with the PACE sites to sustain improvements in quality measures and service outcomes to meet the demands of regulations set forth by the California Department of Healthcare Services (DHCS), Centers for Medicaid Services (CMS), and other programs.
Coordinates with internal and external customers to meet deliverables throughout the year.