Mgr- PACE Quality

Find your WHY at Reid Health

Under the direction of the Associate Director of PACE, the PACE Quality Manager is responsible for developing, organizing, and monitoring the PACE Quality Improvement Plan. This position is responsible for collecting data from all sources; tracking, analyzing, and trending the data; and creating reports to be shared with all stakeholders. The Quality Manager oversees the process to evaluate and resolve medical and non-medical grievances by participants, their family members, or representatives.

Let's Shine. Together.

 

Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve.  We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.

 

To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.

 

Overview of Responsibilities

• Responsible for developing the QI annual plan for PACE and guiding the implementation of the plan, in conjunction with the Medical Director.

• Works collaboratively with the Medical Director to establish quality initiatives and priorities.

• Responsible for collecting data from all sources; tracking, analyzing, and trending the data; and creating reports to be shared with all stakeholders.

• Communicates and educates on the QI Plan to participants, staff, contractors, and administration, and submits the plan to the governing body for approval.

• Develops, monitors, and submits quarterly quality reports via CMS’ Health Plan Management System (HPMS).

• Establishes and attends quarterly participant advisory committee meetings.

• Integrates and presents PACE quality education into orientation and training for new staff.

• Acts as a lead for investigating and developing action plans for incident reports.

• Develops, implements, and analyzes quality studies and quality surveys.

• Assures that all medical records documentation requirements are met, and that records and data of all types are maintained per policies and procedures and are retained for the state and federal mandated period.

• Coordinates internal quality audits and corrective action in collaboration with other PACE leadership.

• Manages preparations for site visits and inspections.

• Participates in formulation and maintenance of PACE policies and procedures.

• Complies with CMS PACE regulations as they pertain to this role.

Education/Experience

• Minimum Education Required: Bachelor’s degree in a health-related field or five (5) years of relevant experience in a health-related field. Registered Nurse preferred.

• Minimum Experience Required: At least five years’ experience in a hospital or clinical setting, including experience in quality assessment and improvement.

Schedule Details

Day Shift. Monday-Friday, no weekends, no holidays

What We Offer

       

 

Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022

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Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.

Other Information

EEO Statement: Reid Health is an Equal Opportunity Employer

 

No Search Firms:

Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health. 

 

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