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Manager PACE Quality & Compliance

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Asheville, NC, United States

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Overview

CarePartners PACE (Program of All Inclusive Care for the Elderly) is seeking a
Manager PACE Quality & Compliance 

 

 

Role Summary:  Develops, organizes and monitors a Quality Improvement Plan (QI) for CarePartners PACE.  The Quality and Compliance Manager, in conjunction with the Medical Director, is responsible for developing the QAPI annual plan, and guiding the implementation of the plan. This position is responsible for collecting data from all sources; tracking, analyzing and trending the data; and creating reports to be shared with all stakeholders. The Quality and Compliance Manager oversees the process to evaluate and resolve medical and non-medical grievances by participants, their family members, or representatives; acts as the PACE Compliance and (HIPAA) Privacy Officer; and is responsible for over sight of the Contract Liaison, HIMS Clerk and Service Delivery, Appeals and Grievance (SDAG) Coordinator.

 

Required Education:        

Minimum of Bachelors Degree in health related field or five (5) years of relevant experience in health related field.

 

Preferred Education:       

Clinical training and licensure

 

Preferred License:            

RN (Registered Nurse), PT (Physical Therapist), SW (Social Worker)

 

Required Experience:      

Minimum of 1 year working with a frail or elderly population.

 

Preferred Experience:     

  • Knowledge of quality management techniques and methods that measure and improve services and service delivery
  • Knowledge of compliance and privacy laws and regulations related to health care systems
  • Ability to coordinate and effectively lead groups.
  • Ability to work in an interdisciplinary team and multi-ethnic community.
  • Ability as an educator, willing to share information and serve as a mentor to other staff.
  • Ability to bridge the communication and technical gap with diverse individuals.
  • Self-starter with strong organizational, detail oriented and with good time management skills.
  • Strong analytical skills
  • Able to plan and problem solve
  • Computer literate (MS Word, Excel, Access, Outlook)
  • Excellent written and oral communication skills.
  • Strong leadership abilities.

ABOUT MISSION HEALTH

Mission Health, an operating division of HCA Healthcare, is based in Asheville, North Carolina and is the state’s sixth largest health system. In 2018, for the sixth time in the past seven years, Mission Health has been named one of the nation’s Top 15 Health Systems by IBM Watson Health (formerly Truven Health Analytics). Mission Health is the only health system in North Carolina to achieve this recognition. Mission Health operates six hospitals, numerous outpatient and surgery centers, post-acute care provider CarePartners, long-term acute care provider Asheville Specialty Hospital, and the region’s only dedicated Level II trauma center. With approximately 12,000 colleagues and 2,000 volunteers, Mission Health is dedicated to improving the health and wellness of the people of western North Carolina. For more information, please visit missionhealth.org or @MissionHealthNC.

 

Mission Health is an Equal Opportunity Employer, and as such offers equal employment opportunities to applicants and employees without regard to race, color, religion, national origin, age, disability, gender, gender identity, sexual orientation, genetic information, protected veteran status or any other protected characteristic.

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CarePartners
Facility: CarePartners
Job ID: 45965
Category: Administrative/Professional
Contract: Regular Full-Time
Shift: 8-4:30
Job Class: Regular Full-Time

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