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.

• 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.

• 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.

• 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.

• 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.

• 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.

• The noise level is usually quiet to moderate, but may at times be noisy and crowded.

• Valid CA Driver’s License, acceptable driving record, and vehicle insurance.

• Excellent written and verbal communication skills with specific ability to maintain accurate records.

• 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.

• 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.

• 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.