What are the responsibilities and job description for the Quality Manager (PACE) position at Piedmont Health Services?

Job Description

This Position has been filled effective 1 / 27 / 25.

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) Senior Care facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What is PACE?

At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve.

Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each .

Job Title – Quality Manager

Department - PACE

Reports to – PACE Medical Director

Benefits -

Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
403(b) Plan
Paid Holidays
CME (Continuing Medical Education)

About Position : The primary responsibility of the Quality Manager (QM) is to oversee the development and implementation of the Quality Improvement Plan for the PACE program. Additionally, the position is responsible for on-going data collection, synthesis and analysis for Quality Indicators and collection and submission of data for DataPACE3, bench data, and any other required data reports; data and information management; and preparation of routine and special reports and coordination of improvement efforts arising from monitoring activities, Focus Areas, and recommendations. Understanding that quality and compliance overlap in many areas, the QM works closely with the compliance team to ensure mutual support and efforts between these areas to meet overall program goals. This position serves as a champion for performance improvement projects by supporting team members in the development of quality improvement initiatives through education and project management support. This position functions as a liaison between the IT department and clinical staff to optimize health information systems. Finally, the QM facilitates the Interdisciplinary Team care plan conferences at the PACE centers.

Work Location : PACE Burlington

1214 Vaughn Road, Burlington, NC 27217

Schedule : Required Travel : None

Duties / Responsibilities –

Conduct an annual review of the Quality Improvement Program for PHSC and update plan as appropriate with Quality staff and Quality Committee.

Maintain readiness, along with Compliance Coordinator and other team members, for CMS recertification audit.

Prepare routine and special reports of Quality Improvement activities and performance.

Guide the Quality Committee in the development and implement program-wide Quality Indicators that are supported by evidence-based guidelines, PACE policies and reflect the clinical team's priorities.

Develop measures to ensure data validity, identify data's significance and report data in a meaningful format.

Maintains daily compliance with regulations pertaining to quality, such as appeals, grievances, service determination requests, incidents, and Level IIs.

Conducts data analysis, focusing on population health management indicators to include cost, patient satisfaction, quality / clinical outcomes, and workforce morale.

Conducts PDSA, identifies opportunities for improvement, and implements performance improvement initiatives

Submit PHSC Quality Data to HPMS and DataPACE2.

Prepare PACE Quality Indicators Quarterly Summary and works closely with Medical Director on improving the utilization measures and Risk Scores.

Coordinate and attend monthly Quality Committee Meeting, subcommittee meetings, program management, and utilization meetings.

Assist in interface between consumers and Program Management for Quality-related complaints.

Assist in execution of internal / external participant appeals, as well as annual HOS-M and Participant Satisfaction Surveys.

In collaboration with the Quality leadership team, gain an understanding of new resources, models, ideas in quality improvement and evaluate them in terms of cost-benefit, usability and relevance, potential improvement in outcomes, etc. for the program.

Educate and arrange for education of team members on quality improvement changes in PACE and in health care in general.

Qualifications –

Education : Two years' experience in healthcare quality improvement, two years' progressive experience data analysis and management.

Required : Experience working in clinical informatics within healthcare or managed care setting.

Evidence of successful implementation of process improvement projects .

Technical and analytical competency.

Experience with EMRs and / or database planning, development, implementation, customization, and maintenance.

Excellent interpersonal, written, and oral communication skills.

Familiarity with the design and interpretation of data analyses.

Demonstrates good judgment, resourcefulness, flexibility and problem solving.

Strong time management & organizational skills, as well as attention to detail.

Must have the ability to get along in a team environment and to motivate staff interest in quality improvement.

Must possess the ability to learn, teach and research as well as to solve problems and think analytically / critically

Preferred : One year of experience with the frail or elderly preferred.

Current / valid License : Clinical training strongly preferred. Bachelor's required. Master's degree preferred.

Immunizations : Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.

Pay Range - $76,424 - $102,707

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

DEI Statement

Piedmont Health Services, Inc. (PHS) endeavors to maintain an inclusive workplace, one that is reflective of the patient population that we serve and the individuals whom we employ. We strive to incorporate inclusiveness throughout our work culture, including the way that we recruit, support, and retain employees. We believe that having employees from diverse backgrounds, cultures, and experiences is an asset. It helps us to view the world through different lenses embodying the perspectives, opinions, approaches, and values that our employees bring to work daily. In fact, inclusion is woven into the very fabric of our work life, which allows our employees to perform at their highest possible potential.

Salary : $76,424 - $102,707

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