PACE Quality Specialist (Central Valley PACE - Modesto)

Quality Specialist

Under the supervision of the PACE Quality and Compliance Coordinator, the Quality Specialist works to support the annual quality and compliance 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.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.