• Quality Manager

    Job Locations US-IA-Council Bluffs
    Posted Date 1 month ago(12/19/2018 12:23 PM)
    Job ID
    2018-2891
    # of Openings
    1
    Category
    PACE Pathways
    Location
    Immanuel Pathways Southwest Iowa
  • Overview

    The overall purpose of this job is to support and guide the implementation of all Quality Assessment and Performance Improvement (QAPI) activities for Immanuel Pathways. The Quality Manager is responsible for identifying, recommending and facilitating QAPI activities that positively impact clinical outcomes, satisfaction, compliance and financial utilization. The Quality Manager acts as a champion for all QAPI activities at the home office or Pathways centers. The Quality Manager partners directly with the Lead Quality Manager and Executive Director in the identification and implementation of quality improvement priorities, strategies and activities. Supports and lives out Immanuel’s Mission and CHRIST Promises.

    Responsibilities

    Key Areas

    Key Responsibilities and Duties of the Job

    Quality Assurance

    60%

    • In collaboration with the Lead Quality Manager, develops and guides the implementation of the Immanuel Pathways QAPI Plan.
    • In collaboration with the Executive Director, develops and guides the implementation of the center specific QAPI Plan.
    • Completes ongoing data collection and analysis as directed and in a timely manner.
    • Facilitates the quality assessment and performance improvement processes for various services areas within Pathways.
    • Populates and maintains comprehensive tracking mechanism of all QAPI activities and initiatives.
    • Analyzes risk management data, and QAPI activities data with the objective of identifying and controlling loss to protect the assets of the organization.
    • Continuously collects, reviews and analyzes quality measures and data metrics for compliance, quality assurance and performance improvement.
    • Provides data reports as required or requested by Centers for Medicare and Medicaid Services (CMS), State Administrative Agency (SAA), National PACE Association (NPA) and other external and internal entities such as Health Outcome Survey - Modified (HOS-M) and Vital Research.
    • Participates in regularly scheduled calls and meetings with CMS and state representatives.
    • Responsible for ensuring satisfactory resolution of all participant and caregiver grievances including ongoing tracking, analyzing for trends, and identifying areas for improvement.
    • Responsible for ensuring satisfactory and timely resolution of all participant requested and automatic appeals.
    • Participates in routine auditing and monitoring to ensure ongoing survey readiness and regulatory compliance.
    • Participates in the development and review of internal policies, procedures and forms.

    Performance Improvement

    35%

    • Identifies opportunities for process or performance improvement and implements corrective action and/or performance improvement activities as indicated or directed.
    • Provides ongoing education related to regulatory compliance and dissemination of audit results for Pathways.
    • Partnering with the Lead Quality Manager, participates and/or facilitates the quarterly CCAP audit process.
    • In collaboration with the Lead Quality Manager, facilitates the Pathways QAPI Committee meetings.
    • Participates in all pre-survey, onsite and post-survey activities, including the implementation of corrective action plans and the development of ongoing monitoring for continued compliance.
    • Facilitates communication of QAPI activities and outcomes with all staff, leadership, participants and contracted providers.
    • Coordinates the completion of annual participant satisfaction survey with contracted vendor prior to and during on site survey.
    • Leads, facilitates and/or serves on a variety of committees and work groups as assigned, including but not limited to QAPI, Utilization Review and Participant Advisory Committee.

    Other 5%

    • Performs relates duties as required or requested.

    Qualifications

    Education-

    • Bachelor’s Degree in health care field or related is required.
    • Equivalent years of experience may substitute for education requirement.

     

     

    Experience-

    • Two (2) years of demonstrated experience in QAPI activities in a health related work environment is preferred.
    • One (1) year of relevant experience in project quality improvement, process evaluation and data analysis required.
    • Experience in highly regulated environment required.
    • Project management experience preferred.
    • One (1) year experience working with frail or elderly population required.
    • Equivalent years of education may substitute for experience requirement. 

     

     

    Other Requirements-

    • Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
    • Must have a valid driver’s license, proof of insurance and have reliable means of transportation.
    • Basic Life Support (BLS) Skills i.e. Health Care Level Cardiopulmonary resuscitation (CPR); Automated External Defibrillator (AED); First Aide (FA).
    • Agree to abide by the philosophy, practices, and protocols of the PACE organization.
    • Job specific competencies for the Quality Manager will be met prior to assuming participant care.  

    KSA- Knowledge Skills and Abilities-

    • Knowledge of quality assurance and performance improvement concepts and methodologies.
    • Knowledge of basic statistical principles.
    • Strong mathematical skills with attention to detail and accuracy.
    • Skilled in data collection skills.
    • Ability to professionally and effectively communicate in both verbal and written forms with all types of people.
    • Skilled in serving customers.
    • Skilled in establishing and maintaining effective working relationships with participants, co-workers, medical staff and the public.
    • Skills in problem solving and analytical thinking and the ability to quickly troubleshoot complex issues and apply/recommend remedies.
    • Ability to lead effectively.
    • Ability to be innovative, detailed-oriented and organized.
    • Ability to facilitate effective meetings.
    • Ability to hold true to one’s integrity and practice discretion.
    • Ability to chart via Electronic Health Records.
    • Proven experience and basic computer proficiency (internet, email, Microsoft Office)

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