
Quality Improvement Specialist
Required skills
- HPMS
- DataPACE33
- HOS-M
- RL Feedback
- Risk reporting
- QAPI Dashboard
- Grievance Log
- Appeals Log
- Root cause Analysis
- PACE policy/procedures
Nice to have
- performance improvement data
- statistical data
- statistical reports
- narrative reports
- data interpretation
- measurement systems
Role summary
UnityPoint Clinic- PACE is seeking a Quality Improvement Specialist to collect, evaluate, and prepare performance improvement data and reports. This role involves maintaining databases, assisting with measurement systems, and providing administrative and meeting support. The specialist will analyze data for administrative, clinical, and regulatory purposes, prepare reports for various agencies, and facilitate performance improvement committees. Responsibilities include tracking risk reports, assisting with audits, and supporting policy and procedure development and maintenance. The role requires strong data analysis, process improvement, and customer service skills within the PACE program framework.
Overview
UnityPoint Clinic- PACE (Program of All-Inclusive Care for the Elderly)
Quality Improvement Specialist
*Can be located in Bettendorf, Hiawatha, or Waterloo*
Monday-Friday 8:00AM-4:30PM
Full Time Benefits
Under general supervision, collects, evaluates and prepares performance improvement data and/or reports and/or other complex statistical data. Prepares statistical and narrative reports and recommendations and participates in the analysis and interpretation of data as appropriate. Develops, maintains, and ensures quality control of databases and assists in development and implementation of measurement systems. Provides full range of administrative and meeting support. Will independently administer assigned responsibilities, ensuring excellent Customer Service.
Why UnityPoint Health?
At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:
- Expect paid time off, parental leave, 401K matching and an employee recognition program.
- Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
- Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.
With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Quality Assurance & Process Improvement
• Collect, analyze and present data for administrative, clinical decision making, and regulatory requirements. Prepare and present reports for appropriate facility, system and other external agencies. Provide oversight to projects including data abstracting and entry as appropriate. Develop and/or utilize databases and software as required for collection, tracking and analysis of data. Examples include:1. HPMS2. DataPACE33. HOS-M
• With the assistance and guidance of the PACE QAPI Manager:1. Prepares Performance Improvement committee agenda and materials.2. Takes minutes at Performance Improvement and Participant Advisory committee meetings.3. Updates QAPI Dashboard/Work Plan on regular basis4. Maintains Grievance Log and Appeals Log5. Track, trend, and document risk reports6. Prepares reports for submission to regulatory and national benchmarking organizations.7. Facilitates and participates in required auditing.8. Assists with Annual Program Evaluation and QAPI Work Plan Development/Implementation.
• Prepares and distributes various Participant Appeals and Grievance information to various parties. Audits and reports on compliance with processes. • Assists QAPI manager and Directors with preparation of materials and packets for internal and external appeal reviews• Utilizes specified software to prepare data, as appropriate to the individual position (example RL Feedback and Risk reporting).• Assists Interdisciplinary team with interpretation and implementation of PACE policy/procedures and regulatory requirements.• Assists with Performance Improvement Team facilitation and maintenance of documentation. • Assists with Compliance Audit Processes and monitoring of staff compliance issues.
• Level II’s1. Identifies reporting severity level and completes required reporting process2. Conducts Root cause Analysis in coordination with Medical Director.3. Track, trend, log and document Level II’s• Assist PACE Administration with Policy and Procedure review, revision and document maintenance.• Assist all staff with QAPI education and processes as needed.
Qualifications
Education
HS Diploma or GED
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