PACE Quality Manager

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.

WHAT WE OFFER

• Competitive pay, retention and referral bonuses
• Outstanding Medical, dental, and vision insurance
• Paid day off for your birthday
• 401K Company match on day one
• Company paid life insurance
• Generous PTO
• Career development opportunities
• Employee Gym
• Employee Recognition

#PACE

Qualifications

Job Summary:

Responsible for the development, implementation, and oversight of the PACE Quality program for continuous monitoring of patient care practices and outcomes, in a consistent effort to maintain and improve the services and environment provided in alignment with CMS and State quality-related regulations and standards.

Duties/Responsibilities:

• Oversight of quality team members on tasks including tracking, analyzing, and trending participant encounter data, in alignment with the Quality Improvement Plan (QIP) and guidance from the Quality Director and Medical Director.
• Manage tracking, analyzing, and trending quality indicators and level II reportable as required by SAA and CMS. Oversight the creation and implementation of interdisciplinary interventions to ensure continuous quality improvement and alignment with regulatory standards.
• Proactively 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.
• Collects and analyzes audit results to support required quality reporting to OKHCA, CMS, and internal QAPI initiatives.
• Attends and assists with preparation for OKHCA, CMS, QAPI, Infection Control, PAC and other meetings. Will lead meetings as directed by Quality Director.
• Ensure the QA team is researching grievances/incidents and acting as liaison to the participant/family involved.
• Create action plans to remedy deficiencies or to improve service/care.
• Provide education to staff to improve performance and understanding.
• Oversite of grievances/incidents and act as liaison to the participant/family involved
• Supports organizational readiness for regulatory surveys (SAA, CMS, etc.) by monitoring quality-related processes and documentation.
• Conducts root cause and impact analyses to support quality improvement efforts and respond to internal or external inquiries.
• Manages tracking and reporting quarterly and annual quality data to CMS, SAA, and internal stakeholders.
• Manages QA staff to include schedule, behavior, performance, and development.
• Continuously audit participants & families to ensure care/services are “delighting” the customer.
• Audits charts and care to monitor quality of care, documentation accuracy, and consistency with care plans
• Any and all other duties and responsibilities as assigned.

Supervisory Responsibilities:

• Counseling and performance conversations as needed with direct reports.
• Train and develop other members of the team

Education, Licenses, Certifications and Experience:

• College degree preferred
• 1 year of experience minimum
• High school diploma or equivalent.