UnityPoint Health

  • Manager Quality Assurance/Performance Improvement-PACE

    Requisition ID
    2018-52055
    Category
    Leadership - Non-Nursing
    Location
    US-IA-Sioux City
    Address
    1200 Triview Avenue
    Affiliate
    7520 UnityPoint Heath SC St Lukes
    City
    Sioux City
    Department
    PACE Administration
    State
    IA
    FTE
    1.0
    FLSA
    Exempt
    Scheduled Hours/Shift
    M-F 8am-4:30 PM with some rotating after hours on call
    Work Type (Portal Searching)
    Full Time Benefits
  • Overview

    Manages Quality Assessment/Performance Improvement and Compliance of Siouxland PACE, according to PACE regulations. The PACE organization must develop, implement, maintain, and evaluate an effective data-driven QAPI program by the use of objective measures to demonstrate improved performance. (42 C.F.R. § 460.134). The QAPI Manager works in collaboration with the entire PACE Leadership team, and directs efforts for the entire PACE staff to meet CMS and Iowa Medicaid guidelines for Quality Assessment/Performance Improvement.

    Responsibilities

    Quality Improvement/Performance Improvement/Clinical Excellence - 90% annually

    • Maintains ongoing knowledge of CPI concepts, PACE CMS, Iowa Medicaid, and regulatory body requirements and authors the Siouxland PACE QAPI Plan as necessary to maintain the Performance Improvement program to meet the UnityPoint Health St. Luke’s and Siouxland PACE goals.
    • Serves as a facilitator of Performance Improvement Teams.
    • Provides assistance to PACE staff in recognition of Performance Improvement issues and the implementation of the Siouxland PACE QAPI plan for resolution of issues.
    • Analyzes results from Performance Improvement processes to identify trends, track issues, provide broad interpretation of data and monitor follow-up activities.
    • Provides Quality Improvement and Performance Improvement updates on a regular basis to the team members and others involved in a Quality Improvement issue.
    • Identifies educational needs organization-wide and provides presentations as necessary to meet the needs and requests of PACE Management and staff.
    • Collects, organizes and sends data in an accurate and timely manner to external agencies for external comparative databases.
    • Promotes teamwork and demonstrates innovative thinking and positive response to change.
    • Assumes responsibility for personal and professional growth and development.
    • Facilitates QI Committee agenda and materials
    • Facilitates Participant Advisory Committee meetings.
    • Maintains Grievance and Appeals log
    • Track and document Risk Reports and Level II events.
    • Coordinates Health Outcomes Survey (modified) survey process.
    • Responsible for revision process for Siouxland PACE policies/procedures.
    • Coordinates response to all regulatory survey findings.
    • Coordinates completion Annual PACE Program Evaluation and QAPI Plan.
    • Prepares Quarterly reports to PACE Board.

    Basic UPH Performance Criteria - 10% annually         

    • Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
    • Demonstrates ability to meet business needs of department with regular, reliable attendance.
    • Employee maintains current licenses and/or certifications required for the position.
    • Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA, CMS, IME and other federal/state regulatory agencies guiding healthcare.
    • Completes all annual education and competency requirements within the calendar year.
    • Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance.

    Qualifications

    Education:

    • Preferred 4 year degree Health related field, such as RN, Social Work, Therapy, Administration, Quality/Process Improvement.

    Experience:

    • 3-5 years of work in a Health care setting.

    License(s)/Certification(s):

    • Valid Driver’s license.
    • Valid Auto Insurance.

    Knowledge/Skills/Abilities:

    • Use of Microsoft Office products.
    • Health Care quality improvement skills.

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