Quality Assurance and Compliance Coordinator
2 weeks ago
Position Objective
The primary aim of this position is to perform comprehensive evaluations of PACE (Program of All-Inclusive Care for the Elderly) participants, working in close partnership with other members of the Interdisciplinary Team (IDT) to develop and execute effective, personalized care strategies. This role is accountable for designing a variety of activities and exercise initiatives aimed at improving the physical and emotional health of participants. Furthermore, the position entails collaborating with participants and their families to create and promote engaging recreational activities at home, nurturing a supportive and enriching atmosphere that enhances the overall quality of life for participants.
Key Responsibilities
- Provide training and mentorship to center staff to ensure daily operations align with DHCS and CMS standards.
- Ensure timely submission of all required information to DHCS and CMS, verifying the accuracy of all HPMS submissions.
- Act as the primary liaison with DHCS and CMS for HPMS quality reporting and corrective action initiatives.
- Develop and oversee various PACE Committees, including but not limited to the Medical Advisory Committee and Quality Improvement Committee.
- Coordinate with the center manager to conduct annual participant satisfaction surveys.
- Monitor compliance with all PACE regulations, providing ongoing training and updates to the day center and clinic teams.
- Track and report all PACE data within HPMS.
- Investigate and document any security incidents.
- Collaborate with the center manager to report all SDR, grievances, and appeals in HPMS.
- Participate in monthly and quarterly meetings, preparing reports for DHCS and CMS.
- Design and implement audit training, ensuring the team is prepared for audits.
- Safeguard the privacy and confidentiality of associates, participants, and sensitive agency information.
- Perform additional duties as assigned.
Qualifications
Education:
• Bachelor's degree in healthcare or a related field.
Experience:
• Experience in data management and analysis.
• Background in working with diverse populations and cultures.
• Minimum of one (1) year of experience with the elderly, particularly those who are frail.
Skills and Knowledge:
• Strong written and verbal communication abilities.
• Proven problem-solving skills and sound judgment.
• Ability to work independently and effectively.
• Proficient in workplace computer skills or willingness to learn.
• Demonstrated competencies as outlined in the position-specific Competency Assessment Profile.
Additional Requirements:
• Physical strength to fulfill job responsibilities.
• Routine travel between PACE sites and within the community is necessary.
• A valid driver's license is required.
Physical Demands:
• Must be able to remain stationary for 50% of the time.
• Ability to move around the office to access files and equipment.
• Capability to operate a computer and other office machinery.
• Must be able to reach, kneel, and crouch to maintain files in cabinets.
• Effective communication skills are essential for this role.
Commitment to Inclusivity:
Our organization is dedicated to creating an inclusive and accessible environment, welcoming all individuals. We adhere strictly to the guidelines set forth by the Americans with Disabilities Act (ADA), which prohibits discrimination in employment practices. By being part of our organization, you will contribute to a culture that values diversity, inclusivity, and equal opportunity, making a meaningful impact in our community.
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