PACE Quality Specialist (Central Valley PACE - Modesto)

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!

Duties and 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.

Physical Demands

• Requires standing, walking, occasional pushing and pulling and lifting.
• Ability to lift up to 30 pounds. Moving or lifting greater than 30 pounds should be done with assistance as appropriate.
• Requires manual and finger dexterity and eye-hand coordination.
• Requires corrected vision and hearing to normal range, with or without reasonable accommodation.
• Must be able to communicate verbally with all staff, caregivers, participants, and community at large.
• Ability to interact professionally and respectfully with geriatric individuals including those with cognitive decline and/or physical frailties.
• Requires working under stressful conditions.
• Moderate pressure to meet scheduled appointments while dealing with frail and confused participants.
• Subject to participants that may have the potential for verbal or physical aggression.

Work Environment

• Exposure to biohazards, including infectious material and waste and any other conditions common in a health care environment.
• Subject to unpleasant odors
• The noise level is usually quiet to moderate, but may at times be noisy and crowded.

Education/Experience Requirements

Minimum Qualifications

• 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.

Education/Experience

• High school diploma or equivalent.
• Bachelor's degree in quality assurance, business administration, or relevant field, preferred.
• 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.