Quality Improvement Manager
Core
Oversees the Quality Improvement (QI) Program for a Program of All-Inclusive Care for the Elderly (PACE), ensuring regulatory compliance and driving data-informed improvements for low-income seniors aging in their communities.
Role type
Quality Improvement Manager (Healthcare Operations)
Builds
Coordinated medical care, transportation, meals, social activities, and caregiver support for PACE participants
Domain
Healthcare / Elderly Care / PACE Model
Deliverable
Dashboards & analysis
Required skills
Regulatory compliance (CMS, DHCS), Quality Improvement methodologies (QAPI, PDSA, Lean), Data analysis, Root cause analysis, Staff training, Audit preparation, KPI development
Preferred skills
Clinical background (RN/BSN/MSN), PACE or managed care experience, EHR proficiency (Epic), Healthcare quality certification (CPHQ)
Technologies
HPMS, Epic, Excel
Responsibilities
Maintain up-to-date CMS and ODA regulatory knowledge; Conduct internal audits and prepare for external audits; Develop and monitor key performance indicators (KPIs) such as hospitalizations and falls; Facilitate root cause analyses and performance improvement projects; Coordinate internal and external appeal processes; Educate staff on compliance and quality initiatives.
Seniority
Mid-level, hands-on IC
