Quality Coordinator

Job Summary and Specifications

Job Title
:
Quality Coordinator

FLSA Status
:
Exempt

Salary Range: See Salary Scale

Job Summary:

Under the general direction of the Medical Director and Quality and Compliance Manager, develops and implements a Quality Improvement (QI) program for Senior TLC, including an annual review and update of the quality improvement plan; development and implementation 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. Reports to the Quality & Compliance Manager.
Specifications

Education
:
Bachelor's or associate degree in nursing preferred

Experience
:2 years in healthcare quality improvement. Clinical background prefered. One year experience working with the frail elderly population.

Number and Type of Employees Supervised (opt): 1 to 2 - Quality Support Staff

Licensure, Registry or Certification Required
:

NAHCQ Preferred

Special Knowledge, Skills, Physical Requirements, or other factors
:

• Ability to communicate efficiently and effectively in a collaborative manner.
• Experience with Electronic Medical Record systems
• Proficient in Microsoft Office Suite Programs (Word, Excel, Power Point at a minimum)
• General understanding of behavioral patterns and attitudes common in varying degrees with aging population served and staff.
• Capable of learning new tasks quickly & efficiently
• Solid analytical & logical skills
• Ability to deal patiently and fairly with staff, participants and others.
• Ability to maintain effective working relationships and present and support an atmosphere of teamwork
• Work involves a broad range of problems, many of a complex nature – must be able to work and problem solve independently, make sound judgments based on assessment and data available and to act accordingly, must be flexible, innovative, and possess good interpersonal skills; must be able to prioritize multiple functions and/or tasks simultaneously

Immunizations: Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact

Ages of Patients Rendered Care:

Neonate/Infant Early Childhood Adolescent Adult Geriatric All  Age Groups

Key Responsibilities
: (
* denotes an age-related skill or task)

• Supports and assists with the creation and maintenance of the PACE Audit Universe Data Sets, which are required by CMS regulations.
• Assists the Center Managers to ensure the Senior TLC Service Determination Requests, Appeals, and Grievances (SDAG) process meets regulatory requirements. Advises IDT on regulatory requirements of the SDAG process.
• Oversees the completion of both internal and external third party appeals of denied service requests. Coordinates and leads next level appeal process beyond first level reconsideration.
• Conducts an annual review of the Quality Improvement (QI) program for their Pace program and updates plan as appropriate, from input from the Quality Committee, and Leadership Team. Communicates applicable policies and procedures to appropriate staff and prepares presentations for the STLC Board of Directors.
• Oversees and coordinates the development and implementation of program-wide and center-specific quality indicators. Plans and oversees education for STLC staff on QI activities and techniques including staff engagement activities (ex. Featured Friday program). Assists in performing the appropriate statistical analysis to ensure consistency and ease of presentation and review to detect trends, patterns, and opportunities for improvements as well as potential problems.
  
  Effectuates program specific quality program based on the annual Quality Plan and Quality Workplan. Schedules, coordinates, and facilitates site QI Committee meetings monthly and quarterly.
• Coordinates and participates with national and state initiatives in PACE quality management initiatives. Engages with the NC PACE Quality Committee.
• Oversees data management for QI activities including coordination of collection, entry, analysis and assessment of data. Responsible for ensuring…