PACE Quality Specialist (Central Valley PACE - Merced)

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.