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Quality Improvement Manager

2 months ago


Corbin, United States Mountain View Pace Full time
Job DescriptionJob Description

The One Senior Care family of businesses, including LIFE-NWPA, Cherry Blossom PACE, and Mountain View PACE. We work as a team to help seniors stay safe, healthy, and independent within their homes and communities for as long as possible. We are a premier healthcare provider striving to provide excellent, all-inclusive patient care, free from the traditional boundaries of medical insurance plans.

Find a rewarding role with a dedicated, supportive team that includes exceptional career growth opportunities as we continue to expand locally and nationally.

Location:

This is a hybrid position that will support our Pikeville and Corbin KY and Alexandria VA clinics.

Schedule:

Standard operating hours are 8:00 am – 5:00 pm; Monday-Friday. Specific work hours will be established through discussions with your supervisor.

Hourly Wage:

$38.50 /hr.

Benefits:

  • 9 paid holidays
  • Paid Time Off accrued from the date of hire
  • Medical, Dental, & Vision benefits with employer contribution (pre-taxable savings)
  • Retirement Plan with 100% employer match after 1 year of service (pre-taxable savings)
  • Free Life and AD&D insurance plan
  • Health Savings and Flexible Spending Accounts (pre-taxable savings)
  • Short Term Disability Insurance
  • Group Voluntary Term Life Insurance for employee, spouses, and dependents

Job Summary:

Under the direction of the Chief Quality & Compliance Officer or Chief Compliance Officer, we are looking for a Registered Nurse with demonstrated expertise in quality and nursing leadership as our next the Quality Improvement Manager to assist with developing and implementing the quality improvement program, including an annual review and updates. You will also assist with the development, quality control, and improvement of program-wide and center-specific quality indicators, data management, education and training of program staff around quality improvement, preparation of routine and special reports, and coordination of improvement efforts arising from monitoring activities. Also, you will perform an in-the-field review of clinical care quality issues.

Duties/Responsibilities:

  • Preparing routine and special reports of quality improvement activities and performance.
  • Coordinate the development and implementation of program-wide and center-specific quality indicators.
  • Assist with data management for quality improvement activities, including assisting with the coordination of collection, entry, analysis, and assessment of data.
  • Coordinates with national initiatives in PACE quality management.
  • Educate for staff on quality improvement activities and techniques.
  • Assists in the interface between consumers and program management for quality-related complaints.
  • Review of quality-related issues within the operation of One Senior Care.
  • Complete re-occurring audits that have been defined by the Quality Program.
  • Submit required CMS/State data on a monthly and quarterly basis or when applicable.
  • Conduct audits of nursing documentation to ensure accuracy and compliance with regulatory standards.
  • Review participant records for completeness, consistency, and appropriateness of care.
  • Identify documentation discrepancies and provide feedback to the IDT members for correction.
  • Analyze trends and patterns in documentation to identify areas for improvement.
  • Analyze and adjust systems as necessary to meet outcomes, budget and/or productivity targets
  • Develop and monitor systems to achieve quality measures by participating in the selection and utilization of materials and supplies and monitoring change.
  • Promote quality result behavior in staff through observation, feedback, and education.
  • Utilize improvement processes to identify and remove complex or recurring operational barriers to achieve quality outcome results, consulting leadership
  • Collaborate with leadership and interdisciplinary teams to develop and implement strategies for enhancing quality of care.
  • Stay updated on industry standards and best practices in nursing documentation.
  • Identify progress toward goals on an ongoing basis with measurable outcomes.
  • Participate in bringing organizational strategic plans to the local level.
  • Participate in quality improvement initiatives and committees.
  • Other duties as assigned.

Required Skills/Abilities:

  • Outstanding time management skills with a proven ability to meet deadlines.
  • Strong analytical and problem-solving skills.
  • Interpersonal skills necessary to interact with a diverse stakeholder.
  • Must be comfortable with an interdisciplinary culture of collaboration.
  • Excellent verbal and written communication skills with a communication style that is open and fosters trust, credibility, and understanding.
  • Ability to prioritize tasks and to delegate them when appropriate.
  • Ability to be resourceful and develop/share knowledge of best practices, even in disciplines outside of the candidate’s background.
  • Ability to work under and handle stress.
  • Ability to adapt and lead through change.
  • Ability to negotiate, resolve conflicts
  • Relates well with people of all ages but has a deep sensitivity and commitment to the elderly.
  • Must be able to deal tactfully and patiently with team members and government agencies/personnel
  • Proficient with Microsoft Office Suite or related software.
  • Must possess a valid driver’s license and reliable transportation with frequent regional travel.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must be able to deal tactfully and patiently with personnel, Participants, family members, visitors, government agencies/personnel, and the public.
  • Must have the cognitive ability to process and perform tasks for Participant safety.
  • Travels to multiple facilities and locations. Traveling overnight, including via a vehicle and/or airplane, may be required. (Approximately 20% overnight travel).
  • CPR and First Aid Certification.
  • Excellent written and verbal communication skills.

Education and Experience:

  • Current RN License.
  • Post-secondary education related to Nursing, Business, Social Services, or Healthcare.
  • One year of experience in healthcare quality improvement/management, one year of experience working with the frail and elderly population.

Requirements:

  • Requires valid State driver’s license with a clean driving record.
  • Successful completion of background check, physical, drug screening, TB Screening

Physical Requirements:

  • Must be able to move intermittently throughout the workday.
  • Must function independently, maintain confidentiality, have flexibility, personal integrity, and the ability to work effectively with personnel, visitors, government agencies/personnel, etc., under all conditions/circumstances.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and sometimes hostile people within the facility.
  • Is subject to lifting, carrying, and supporting participants.

Our organizations provide equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

The OSC family of businesses will only hire qualified individuals to work in a federally funded healthcare program. Please note that this excludes anyone convicted of a crime that could jeopardize the safety and well-being of the frail senior population that OSC/LIFE-NWPA/MVP/CBP serves. All individuals must disclose any conflicts of interest upon applying for a position and agree to a thorough background check when an employment offer is extended.

Employment Requirements: Successful completion of Pennsylvania Criminal History Check, PA DHS Child Abuse Clearance, Office of Inspector General check, and FBI Fingerprinting for Child Protective Services Law (at employer’s expense). Successful completion of post-offer employment drug screening and physical (at employer’s expense). CPR and First Aid Certification, or willing to obtain at employer’s expense. Individuals must have one year of prior experience caring for the frail elderly or willing to complete Company paid training to meet this requirement.


This position has full access to Participant, program, and staff records and reports, requiring discretion to protect individuals and the program.