The Quality Improvement Specialist II is responsible for providing support services to PACE centers & staff in the areas of root cause analysis, process improvement techniques, and working with corporate operations staff in the definition and enhancement of existing processes in order to improve PACE site efficiencies and patient outcomes. Responsible for the administrative and quality management, planning, development, implementation and evaluation/assessment of clinical care services/programs. Reviews and performs medical records data review and analysis related to quality care issues, coordination with the PACE sites to sustain improvements in quality measures and service outcomes to meet the demands of regulations set forth by the California Department of Healthcare Services (DHCS), Centers for Medicaid Services (CMS) and other programs. This position coordinates with internal and external customers to meet deliverables throughout the year. Minimum Requirements: Bachelor’s Degree prepared in (Nursing, Social Work, and Healthcare Management) or Licensed as an RN in the State of California preferred. A minimum of two years’ experience in process improvement and/or other quality management/improvement related experience preferred. Geriatric experience as required by CMS PACE regulations. Advanced certification or licensure in health care or process improvement is preferred (Lean or six sigma, IHI). Prior experience a minimum of one year with an Electronic Health/Medical System (E.H.R/E.M.R) -NextGen preferred. Current BLS certification.
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