PACE Quality Specialist (Central Valley PACE - Modesto)

ViziRecruiter,LLC.; Modesto (CA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

PPO coverage

Dental

Vision

401(k) with match

FSA plans

Gym discounts

Job summary

Golden Valley Health Centers in California's Central Valley seeks a Quality Specialist to support annual QA/QC work plans, monitor data, and prepare KPI reports for the Interdisciplinary Team and Administration.

The role involves data collection, analysis, EMR documentation, and interdepartmental collaboration to improve quality and safety across programs.

Qualifications

• Supports annual quality and Compliance (Q&C) work plans with data preparation and monitoring.
• Documents Quality and Compliance elements within the EMR.
• Assists in developing new QI projects and reporting to regulators.

Responsibilities

• Participates in Interdisciplinary Team (IDT) meetings to track quality and safety elements.
• Documents Quality and Compliance in the EMR.
• Assists in care plan documentation and IDT meeting minutes.

Skills

Data analysis

Excel

Data organization

Communication skills

Customer service

Integrity

Problem solving

Statistical knowledge

Microsoft Office

Education

Bachelor’s degree in quality assurance or related field

High school diploma or equivalent

Current BLS CPR Card

Tools

EMR

Excel

Job description

Introduction

At Golden Valley Health Centers, we proudly serve communities all throughout California’s Central Valley, serving with dignity, respect, and compassion. We are always seeking dedicated, service-oriented individuals to join our dynamic healthcare team.

Overview

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

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!

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.

Requirements

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.