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Posted : Sunday, October 01, 2023 06:14 PM
Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home.
Our team supports 66,000 clients monthly with the help of 49,000 compassionate caregivers across 12 states.
We’re focused on serving people and the communities we are part of.
Job Summary: The Clinical Quality & Compliance Program Manager collaborates with key stakeholders to develop strategy for Quality and Compliance Program.
Identifies scope of program and associated metrics.
Develops, implements, maintains, and evaluates an effective, data-driven, quality assessment and performance improvement program(s) with participation from other members of the interdisciplinary team.
This role serves as a quality improvement champion, role model and educator by promoting, supporting, and leading the use of Continuous Quality Improvement principles, methods, and tools to improve processes and patient outcomes.
The Program Manager helps to inform the business of potential areas of risk and opportunities for improvement – in both Care Coordination and Care Delivery and informs policy and procedures to drive compliance, including that related to government agencies such as Medicare and Medicaid.
This role must have effective communications across multiple stakeholders and must manage an effective quality and compliance program that mitigates risk and positively influences clinical quality outcomes.
This is a REMOTE position.
As a key member of the team: You are flexible and can embrace change.
You value progress over perfection You care about your work, the team you’re on, and the people we are helping You make it a priority to get to know the people around you – build relationships with your colleagues and business partners You say what needs to be said, while considering how it’ll affect culture and output Hold others to a high standard Essential Duties/Responsibilities: Helps to inform strategy related to Clinical Quality and Compliance for both lines of business – Care Coordination and Care Delivery.
Informs senior leaders of potential areas of risk related to quality and compliance.
Mitigates risk through the execution of an effective quality management program.
Leads the development of quality programs and initiatives that result in improvements in processes, practices and initiatives that positively affect clinical quality outcomes.
Facilitates the implementation and integration of the quality programs and initiatives into standard operating procedures through teamwork and collaboration with clinical and operations teams.
Serves as a subject matter expert for clinical quality matters.
Identifies clinical quality improvement opportunities in care coordination and care delivery.
Collaborates with operations and learning and development on the tactical execution of quality and other clinical initiatives, interventions, and standardized education materials.
Collaborates with appropriate stakeholders including but not limited to the Clinical Quality leadership, Education, Clinical Services, Regulatory and Compliance and Value-based partnerships to take the appropriate steps to facilitate achievement of quality goals and ongoing patient safety improvement.
Participates in interdisciplinary and process improvement teams to identify potential future uses of the information systems and potential improvements in the current use of the systems.
Mentors and trains staff to collect, trend, and analyze data on a day-to-day basis to monitor the effectiveness of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity and mortality.
Provides guidance, interpretation, and subject matter expertise to clinical and operations teams regarding quality related clinical policies and procedures, clinical standards, quality improvement tools and electronic applications.
Supervises and maintains all quality reporting related to reimbursement and quality ratings.
Identifies risk areas and opportunities for improvement and assists with root cause analysis and action plan development and evaluation as needed.
Utilizes adult education principles in the execution of education programs and processes that facilitate the implementation and incorporation of the company's quality standards and the practice of Continuous Quality Improvement in standard procedures.
Directs Quality functions, supporting both Care Coordination and Care Delivery, to ensure high value, safety, compliance, and quality of care and to drive continuous process improvement.
Ensures that regulatory guidelines are met regarding Joint Commission standards, Department of Health regulations and CMS Conditions of Participation.
Analyze and report the impacts of outcomes on CMS Star Ratings and Pay for Performance Programs.
Plans and coordinates survey activities, audits, and improvement activities; Ensure that the Quality Assurance and Performance Improvement (QAPI) plan is implemented, and outcomes are reviewed and reported to key stakeholders.
Assists in conducting focus studies to measure and assess patient care services’ process stability and the achievement of patient outcomes and organizational goals.
Assists in coordinating investigations of reportable incidents/complaints, sentinel events, citations, and data collection for corrective actions.
Coordinates and manages comprehensive quality assurance and performance improvement efforts throughout the organization; Monitors status of compliance with corrective action plans until each citation has been corrected and closed.
Required Skills and Abilities: Ability to maintain knowledge of clinical core measures established by CMS.
Detail oriented; strong problem/situation analysis.
Strong communication skills, oral and written.
Excellent interpersonal skills; ability to build collaborative relationships with Matrix partners Ability to thrive in an ambiguous environment.
Proficient with Microsoft Office Suite, especially Excel.
Education and Experience: BSN or Bachelor's Degree in healthcare related field Minimum of seven (7) years of experience in a Healthcare Quality role.
Experience in Clinical Compliance preferred.
CPHQ® certification preferred.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.
They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.
Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants.
Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.
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Our team supports 66,000 clients monthly with the help of 49,000 compassionate caregivers across 12 states.
We’re focused on serving people and the communities we are part of.
Job Summary: The Clinical Quality & Compliance Program Manager collaborates with key stakeholders to develop strategy for Quality and Compliance Program.
Identifies scope of program and associated metrics.
Develops, implements, maintains, and evaluates an effective, data-driven, quality assessment and performance improvement program(s) with participation from other members of the interdisciplinary team.
This role serves as a quality improvement champion, role model and educator by promoting, supporting, and leading the use of Continuous Quality Improvement principles, methods, and tools to improve processes and patient outcomes.
The Program Manager helps to inform the business of potential areas of risk and opportunities for improvement – in both Care Coordination and Care Delivery and informs policy and procedures to drive compliance, including that related to government agencies such as Medicare and Medicaid.
This role must have effective communications across multiple stakeholders and must manage an effective quality and compliance program that mitigates risk and positively influences clinical quality outcomes.
This is a REMOTE position.
As a key member of the team: You are flexible and can embrace change.
You value progress over perfection You care about your work, the team you’re on, and the people we are helping You make it a priority to get to know the people around you – build relationships with your colleagues and business partners You say what needs to be said, while considering how it’ll affect culture and output Hold others to a high standard Essential Duties/Responsibilities: Helps to inform strategy related to Clinical Quality and Compliance for both lines of business – Care Coordination and Care Delivery.
Informs senior leaders of potential areas of risk related to quality and compliance.
Mitigates risk through the execution of an effective quality management program.
Leads the development of quality programs and initiatives that result in improvements in processes, practices and initiatives that positively affect clinical quality outcomes.
Facilitates the implementation and integration of the quality programs and initiatives into standard operating procedures through teamwork and collaboration with clinical and operations teams.
Serves as a subject matter expert for clinical quality matters.
Identifies clinical quality improvement opportunities in care coordination and care delivery.
Collaborates with operations and learning and development on the tactical execution of quality and other clinical initiatives, interventions, and standardized education materials.
Collaborates with appropriate stakeholders including but not limited to the Clinical Quality leadership, Education, Clinical Services, Regulatory and Compliance and Value-based partnerships to take the appropriate steps to facilitate achievement of quality goals and ongoing patient safety improvement.
Participates in interdisciplinary and process improvement teams to identify potential future uses of the information systems and potential improvements in the current use of the systems.
Mentors and trains staff to collect, trend, and analyze data on a day-to-day basis to monitor the effectiveness of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity and mortality.
Provides guidance, interpretation, and subject matter expertise to clinical and operations teams regarding quality related clinical policies and procedures, clinical standards, quality improvement tools and electronic applications.
Supervises and maintains all quality reporting related to reimbursement and quality ratings.
Identifies risk areas and opportunities for improvement and assists with root cause analysis and action plan development and evaluation as needed.
Utilizes adult education principles in the execution of education programs and processes that facilitate the implementation and incorporation of the company's quality standards and the practice of Continuous Quality Improvement in standard procedures.
Directs Quality functions, supporting both Care Coordination and Care Delivery, to ensure high value, safety, compliance, and quality of care and to drive continuous process improvement.
Ensures that regulatory guidelines are met regarding Joint Commission standards, Department of Health regulations and CMS Conditions of Participation.
Analyze and report the impacts of outcomes on CMS Star Ratings and Pay for Performance Programs.
Plans and coordinates survey activities, audits, and improvement activities; Ensure that the Quality Assurance and Performance Improvement (QAPI) plan is implemented, and outcomes are reviewed and reported to key stakeholders.
Assists in conducting focus studies to measure and assess patient care services’ process stability and the achievement of patient outcomes and organizational goals.
Assists in coordinating investigations of reportable incidents/complaints, sentinel events, citations, and data collection for corrective actions.
Coordinates and manages comprehensive quality assurance and performance improvement efforts throughout the organization; Monitors status of compliance with corrective action plans until each citation has been corrected and closed.
Required Skills and Abilities: Ability to maintain knowledge of clinical core measures established by CMS.
Detail oriented; strong problem/situation analysis.
Strong communication skills, oral and written.
Excellent interpersonal skills; ability to build collaborative relationships with Matrix partners Ability to thrive in an ambiguous environment.
Proficient with Microsoft Office Suite, especially Excel.
Education and Experience: BSN or Bachelor's Degree in healthcare related field Minimum of seven (7) years of experience in a Healthcare Quality role.
Experience in Clinical Compliance preferred.
CPHQ® certification preferred.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.
They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.
Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants.
Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.
yJ0CsEyPxb
• Phone : NA
• Location : Remote
• Post ID: 9006206193
