Compliance and Quality Improvement Coordinator
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Join BoldAge PACE and Make a Difference!BE PART OF OUR MISSION!Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of ourparticipants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.Why work with us?A People First Environment: We make what is important to those we serve important to us.Make an Impact: Enhance the quality of life for seniors.Professional Growth: Access to training and career development.Competitive Compensation: BoldAge offers a robust benefits package, including medical, dental, paid time off, 401K, life insurance, tuition reimbursement, flexible spending account, and an employee assistance program.Compliance and Quality CoordinatorJOB SUMMARYUnder the supervision of the Director of Compliance the Compliance and Quality Coordinator will be responsible for serving as a point of contact for BoldAge PACE while collaborating with all sites for SDR/ISR completion. Perform care plan and assessment audit, conduct comprehensive care audits, follow up with team members with SDR/Grievance issues. Assist with reportable documentation and root causes.ESSENTIAL DUTIES AND RESPONSIBILITIES* Manage, evaluate, and refine quality and compliance strategy designed to meet the requirements and goals in collaboration with internal team and external standards.* Assist program management in building and refining policies and procedures related to care services.* Advising leadership and management on compliance/quality matters.* Developing and providing employee training on compliance/quality policies, practices, and reporting systems.* Identifying, quality and compliance issues, and assisting with investigating, and reporting irregularities, and violations.* Assist with ensuring grievances are being completed by team members.* Maintain records of compliance/quality activities.* Communicate with government agencies.* Prepare and file compliance/quality reports.* Assist with surveys and audits when necessary.* SDR/Grievance and team follow-up.* Comprehensive Care and Care Plan Audiits on an ongoing basis, Report finding to Executive Director, VP Operations and BoldAge Director of Compliance.* Collaborate with sites for SDR/ISR completion.* Generate reports for Compliance/Quality purposes and coordinate with the sites.* Educate process in PCO if necessary for SDR/ISR/Grievance/On-Call entry.* Assist with CMSA Agenda for Monthly calls.* Assist with All Surveys/Audits, as necessary.* Performs other duties as required and requested.REQUIREMENTS* RN license preferred* Associate degree or higher, preferably in health-related discipline* Experience in accountable care, managed care, compliance monitoring or quality improvement preferred.* Minimum of 1 year working with frail or elderly population.SKILLS AND ABILITIES* Ability to maintain a people first approach to all decision making, planning and program practices.* Working knowledge of PACE, PACE regulations, and related IT and EMR systems.* Effectively communicate with staff, colleagues, participants, and contracted vendors.* Promote services that exceed expectations and be assertive in creating a culture of doing the right thing in all situations.* Commitment to doing the right thing evidenced in all collaboration and communication.* Ability to be creative and innovative in working with teams, problem solving, and planning.* Ability to effectively organize, plan and fulfill responsibilities.* Demonstrated effective oral and written communication skills* Ability to collect and analyze date.* Detail-oriented approach to systems and processes.* Work independently and as an effective member of a team.* Establish and maintain effective interpersonal relationships with all levels of staff, other programs, agencies, members, providers and the general public.* Communicate effectively, both verbal and in writing, with individuals from varying cultural and their backgrounds. Prepare concise and clear reports.* Identify pertinent policy issues; develop strategies, solutions and procedures.* Organize and track numerous and diverse activities, timelines and issues.* Effectively use technology to process appropriate data and information and prepare reports.* Effectively utilize technology and appropriate software and interact as needed with PACE Information Systems.BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.