Quality Director PACE
Company: Capital Health
Location: Bordentown
Posted on: January 27, 2023
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Job Description:
Overview:Develops, implements, organizes, and monitors the
Quality Assurance and Performance Improvement Plan (QAPI) for the
PACE Organization (PO) and ensures overall CMS regulatory
compliance. Oversees the developing and implementing the annual
QAPI plan, including leading quality initiatives and projects
alongside the Medical Director. Ensures that data is collected from
appropriate sources, is examined, and results are shared with all
stakeholders.Responsibilities:Demonstrates Capital Health values to
all internal and external customers (participants, visitors,
volunteers, and colleagues.) Creates and maintains an atmosphere of
warmth while propagating a calm environment throughout the office.
Executes assignments in a culture that is shared and collaborative
across all divisions within Capital Health PACE.Reflects the skills
knowledge and abilities serving in the role of a leader. Defines
and shares a strategy and vision. Aligns resources toward
achievement of organization results. Grows and sustains the
organization. Identifies, leads, and embraces change. Establishes
and maintains as a member of the leadership team a plan to achieve
operating goals.Promotes and maintains collaborative relationships
with managers, peers, direct reports, and customers by effectively
fostering a team environment, building consensus and resolving
conflicts.Maintains department budget, places orders for equipment
and supplies as necessary. Identifies financial vulnerabilities and
makes cost reduction recommendations as needed. Evaluates,
develops, mentors, coaches, counsels, and disciplines department
staff. Supports other personnel from other departments through
coaching and mentoring to help achieve optimum standard of
excellence. Addresses issues of concern through courageous
conversation and notifies department manager of any interactions
requiring attention.Maintains a working knowledge of applicable
Federal, State, and local laws and regulations, as well as other
policies and procedures in order to ensure adherence in a manner
that reflects honest, ethical, and professional behavior.Assesses
disaster recovery, crisis management, and business continuity plans
and acts within role that is developed within the business
continuity plan, including working at another location, remotely
from home, and maintaining constant contact with key personnel.
Attends and participates in scheduled training, in-service
training, mandatory annual in-service training, and educational
classes as required or needed.Initiates, develops, and guides the
implementation of the annual Quality Assurance Performance
Improvement plan (QAPI) alongside Medical Director. Compiles annual
report and shares results with leadership, staff, contractors,
administration, the Participant Advisory Committee (PAC), and Board
of Directors. Communicates the QAPI plan to members, staff,
contractors, administration, Participant Advisory Committee (PAC),
and the Board of Directors.Assists with scheduling and coordination
of the PACE Quality Management Committee in collaboration with
Medical Director including preparation of meeting agenda,
preparation of minutes, and assistance with committee
correspondence and presentation materials. Assures annual review
and approval of Infection Control plan.Ensures compliance with CMS
regulations. Oversees the Medicare Part D fraud, waste, and abuse
Compliance Program. Assures annual review and approval of
Compliance plan. Ensures that colleagues complete the activities
and responsibilities identified in the Compliance program and those
related to the HIPAA privacy rule.Manages preparation for CMS sites
visits, inspections, and all subsequent follow up activities.
Analyzes risk management data and QAPI data in order to identify
and control loss. Coordinates and maintains all activities
pertaining to complaints, service delivery requests, and grievances
and appeals, assures regulatory compliance and incident reporting
including trend analysis for necessary action plans and quality
improvement initiatives.Plans, develops, organizes, implements,
evaluates, coordinates, and directs infection control program in
accordance with current rules, regulations, and guidelines that
govern such requirements. Prepares monthly summaries of all
participantand personnel infections, corrective action taken, and
the results of the corrective action. Leads and facilitates
Participant Satisfaction and HOS survey process and analyzes
data.Ensure accurate and timely reporting to CMS, State, and all
other Capital Health PACE reporting requirements. Monitors HPMS
complaints and memorandums for quality and compliance updates
daily. Coordinates any necessary actions per HPMS memorandum
guidance. Prepares and submits monthly quality metrics reporting to
Capital Health PACE and participates in Capital Health PACE
initiatives, meetings, and programs as required.Assists staff in
establishing process evaluation, including root cause analyses and
performance improvement initiatives. Provides oversight of Quality
and Compliance staff, including developing annual performance
reviews, if applicable. Maintains confidentiality of participant
information.Requirements:Bachelor's degree in a healthcare related
field required. Degree in quality management preferred. BSN or
Master's degree preferredNew Jersey RN license.Five years of
experience that includes the development and implementation of
progressive programs for the elderly population, service
operations, and staff development. One year of documented
experience working with a frail or elderly population. Prior
supervisory experience preferred.Posseses business acumen, manages
conflict well, is customer focused, and has high decision quality.
Has flexibility to adapt to ongoing change and have organizational
agility. Ability to work with minimal supervision and exercise
independent judgment. Demonstrates superior written and verbal
communication and presentation skills appropriate for audience
comprehension. Has well-developed communication skills, both
written and oral, that may be used either in an on-site or virtual
environment is required. Communicates effectively with individuals
and groups representing diverse perspectives. Ability to research,
analyze and assimilate information from various on-site or virtual
sources based on technical and experience based knowledge. Must
exhibit critical thinking skills and possess the ability to
prioritize workload. Excellent organizational skills. Ability to
perform multiple duties and functions related to daily operations
and maintain excellent customer service skills. Ability to perform
frequent detailed tasks and provide immediate service with frequent
interruptions. Ability to change and be flexible with work
priorities. Strong problem solving skills.Comprehensive to expert
proficiency with Microsoft product suite (MS Word, Excel, Power
Point, etc.); basic knowledge and experience with electronic mail
and calendaring system. Knowledge of systems necessary, experience
preferred. Ability to type with speed and accuracy. Ability to use
other software as required to perform the essential functions of
the job.Our Network:IND123
Keywords: Capital Health, Trenton , Quality Director PACE, Executive , Bordentown, New Jersey
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