Trinity Health PACE
Director, Quality Improvement and Compliance
Trinity Health PACE, Gaithersburg, Maryland, us, 20883
Director, Quality Improvement and Compliance
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Director, Quality Improvement and Compliance
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Trinity Health PACE Director, Quality Improvement and Compliance
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Director, Quality Improvement and Compliance
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Trinity Health PACE Description
Director, Quality, Improvement and Compliance
Employment Type
Full time
Shift
Day Shift
Description
Director, Quality, Improvement and Compliance
Location:
Trinity Health PACE of Montgomery County, Gaithersburg, MD
Status:
Full time On site
Shift:
Mon to Fri, 8 am to 5 pm
Incentives:
1st Day Health Benefits
Position Purpose
The primary purpose of this position is to develop, implement, organize, and monitor the Quality Improvement Plan for the PACE Organization (PO) and ensure overall CMS regulatory compliance. The Director, Quality Improvement and Compliance, in collaboration with the Medical Director, is responsible for developing and implementing the annual QI plan, including leading quality initiatives and projects. In addition, the Director ensures that data is collected from appropriate sources, is examined and results are shared with all stakeholders.
What You Will Do
Develop and implement the annual Quality Improvement (QI) Plan with the Medical Director In conjunction with Medical Director, initiates, develops, and guides the implementation of the annual Quality Improvement plan. Compiles annual report and shares results with leadership, staff, contractors, administration, the Participant Advisory Committee (PAC), and Board of Directors. Assist with scheduling and coordination of the PACE Quality Committee in collaboration with Medical Director. Communicate the QI plan to members, staff, contractors, administration, Participant Advisory Committee (PAC), and the Board of Directors. Ensure compliance with CMS regulations. Has overall responsibility for the Medicare Part D fraud, waste and abuse Compliance Program. Assure annual review and approval of Compliance plan. Ensure that colleagues complete the activities and responsibilities identified in the Compliance program and those related to the HIPAA privacy rule. Manage preparation for CMS site visits, audits/inspections, and all subsequent follow up activities. Analyze risk management data and quality data in order to identify and control loss. Coordinates and maintains all activities pertaining to complaints, service delivery requests, and grievances/appeals, assures regulatory compliance and incident reporting including trend analysis for necessary action plans and quality improvement initiatives. Plan, develop, organize, implement, evaluate, coordinate, and direct PACE program’s infection control program in accordance with current rules, regulations, and guidelines that govern such requirements. Prepare monthly summaries of all participant/personnel infections, corrective action taken, and the results of the corrective action. Lead and facilitate Participant Satisfaction and HOS-M survey process and analyze data. Ensure accurate and timely reporting to CMS, State, and all other Trinity Health PACE reporting requirements. Daily monitoring of HPMS complaints and memorandums for quality and compliance updates. Coordinate any necessary actions per HPMS memorandum guidance. Prepare and submit monthly quality metrics reporting to Trinity Health PACE and participate in Trinity Health PACE initiatives, meetings, and programs as required. Assist staff in establishing process evaluation, including root cause analyses and performance improvement initiatives. Provide oversight of PACE program Quality and Compliance team members, including developing annual performance reviews. Oversee and/or collaborate with HIM, education, and clinical informatics team members.
Minimum Qualifications
Must possess a comprehensive knowledge of healthcare delivery and management at a level as normally obtained through a bachelor’s degree (Masters Preferred) in Health Administration or other closely related field and approximately five (5) years or more of progressively more responsible related work experience that includes the development and implementation of programs for the elderly population, service operations, and staff development. A combination of education and experience may be acceptable. Minimum of one (1) year of documented experience working with a frail or elderly population preferred. Prior supervisory experience preferred Demonstrate strong business acumen, decision-making skills, manage conflict effectively and adapt to ongoing change. Maintain a customer-focused mindset with organizational agility and work independently with minimal supervision and sound judgment. Foster collaboration and productivity across cross-functional, virtual teams and communicate clearly and effectively in both written and verbal formats. Engage diverse audiences with well-developed presentation skills. Proficient in Microsoft Office Suite; skilled in email and calendaring tools Exhibit high personal accountability and strategic planning abilities Position may require 10% travel within the Centers geographic region.
Position Highlights And Benefits
Comprehensive benefits including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance. Access to daily pay and employee referral incentives. Supportive environment with a patient-centered focus. Opportunities for professional development. Up to $4,000 in tuition reimbursement annually
Ministry/Facility Information
Trinity Health PACE of Montgomery County , part of Trinity Health PACE, provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.
If you are passionate about serving the elderly community and meet the qualifications, we invite you to apply and become part of our dedicated team at Trinity Health PACE.
Submit your application today!!!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Quality Assurance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Trinity Health PACE by 2x Sign in to set job alerts for “Director of Quality Improvement” roles.
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Join to apply for the
Director, Quality Improvement and Compliance
role at
Trinity Health PACE Director, Quality Improvement and Compliance
6 days ago Be among the first 25 applicants Join to apply for the
Director, Quality Improvement and Compliance
role at
Trinity Health PACE Description
Director, Quality, Improvement and Compliance
Employment Type
Full time
Shift
Day Shift
Description
Director, Quality, Improvement and Compliance
Location:
Trinity Health PACE of Montgomery County, Gaithersburg, MD
Status:
Full time On site
Shift:
Mon to Fri, 8 am to 5 pm
Incentives:
1st Day Health Benefits
Position Purpose
The primary purpose of this position is to develop, implement, organize, and monitor the Quality Improvement Plan for the PACE Organization (PO) and ensure overall CMS regulatory compliance. The Director, Quality Improvement and Compliance, in collaboration with the Medical Director, is responsible for developing and implementing the annual QI plan, including leading quality initiatives and projects. In addition, the Director ensures that data is collected from appropriate sources, is examined and results are shared with all stakeholders.
What You Will Do
Develop and implement the annual Quality Improvement (QI) Plan with the Medical Director In conjunction with Medical Director, initiates, develops, and guides the implementation of the annual Quality Improvement plan. Compiles annual report and shares results with leadership, staff, contractors, administration, the Participant Advisory Committee (PAC), and Board of Directors. Assist with scheduling and coordination of the PACE Quality Committee in collaboration with Medical Director. Communicate the QI plan to members, staff, contractors, administration, Participant Advisory Committee (PAC), and the Board of Directors. Ensure compliance with CMS regulations. Has overall responsibility for the Medicare Part D fraud, waste and abuse Compliance Program. Assure annual review and approval of Compliance plan. Ensure that colleagues complete the activities and responsibilities identified in the Compliance program and those related to the HIPAA privacy rule. Manage preparation for CMS site visits, audits/inspections, and all subsequent follow up activities. Analyze risk management data and quality data in order to identify and control loss. Coordinates and maintains all activities pertaining to complaints, service delivery requests, and grievances/appeals, assures regulatory compliance and incident reporting including trend analysis for necessary action plans and quality improvement initiatives. Plan, develop, organize, implement, evaluate, coordinate, and direct PACE program’s infection control program in accordance with current rules, regulations, and guidelines that govern such requirements. Prepare monthly summaries of all participant/personnel infections, corrective action taken, and the results of the corrective action. Lead and facilitate Participant Satisfaction and HOS-M survey process and analyze data. Ensure accurate and timely reporting to CMS, State, and all other Trinity Health PACE reporting requirements. Daily monitoring of HPMS complaints and memorandums for quality and compliance updates. Coordinate any necessary actions per HPMS memorandum guidance. Prepare and submit monthly quality metrics reporting to Trinity Health PACE and participate in Trinity Health PACE initiatives, meetings, and programs as required. Assist staff in establishing process evaluation, including root cause analyses and performance improvement initiatives. Provide oversight of PACE program Quality and Compliance team members, including developing annual performance reviews. Oversee and/or collaborate with HIM, education, and clinical informatics team members.
Minimum Qualifications
Must possess a comprehensive knowledge of healthcare delivery and management at a level as normally obtained through a bachelor’s degree (Masters Preferred) in Health Administration or other closely related field and approximately five (5) years or more of progressively more responsible related work experience that includes the development and implementation of programs for the elderly population, service operations, and staff development. A combination of education and experience may be acceptable. Minimum of one (1) year of documented experience working with a frail or elderly population preferred. Prior supervisory experience preferred Demonstrate strong business acumen, decision-making skills, manage conflict effectively and adapt to ongoing change. Maintain a customer-focused mindset with organizational agility and work independently with minimal supervision and sound judgment. Foster collaboration and productivity across cross-functional, virtual teams and communicate clearly and effectively in both written and verbal formats. Engage diverse audiences with well-developed presentation skills. Proficient in Microsoft Office Suite; skilled in email and calendaring tools Exhibit high personal accountability and strategic planning abilities Position may require 10% travel within the Centers geographic region.
Position Highlights And Benefits
Comprehensive benefits including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance. Access to daily pay and employee referral incentives. Supportive environment with a patient-centered focus. Opportunities for professional development. Up to $4,000 in tuition reimbursement annually
Ministry/Facility Information
Trinity Health PACE of Montgomery County , part of Trinity Health PACE, provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.
If you are passionate about serving the elderly community and meet the qualifications, we invite you to apply and become part of our dedicated team at Trinity Health PACE.
Submit your application today!!!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Quality Assurance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Trinity Health PACE by 2x Sign in to set job alerts for “Director of Quality Improvement” roles.
Washington DC-Baltimore Area $135,000.00-$150,000.00 3 weeks ago Silver Spring, MD $108,000.00-$156,000.00 2 weeks ago Washington, DC $79,000.00-$101,000.00 3 weeks ago Clarksburg, MD $175,000.00-$250,000.00 2 weeks ago Director, Quality Improvement and Compliance
Director, Facilities & Equipment Quality Strategy, and Technical Oversight Support
Frederick, MD $191,250.00-$247,500.00 1 day ago Associate Director/Director, Clinical Quality Assurance
Sr. Director, Regulatory, Risk and Safety
District of Columbia, United States $179,000.00-$298,000.00 1 week ago Gaithersburg, MD $85,000.00-$100,000.00 1 month ago Washington, DC $157,400.00-$205,500.00 3 weeks ago Columbia, MD $80,000.00-$95,000.00 2 weeks ago Program Director, Eating Disorders, Residential
Fairfax, VA $90,000.00-$100,000.00 2 weeks ago Director of Revenue Cycle Behavioral Health Service Line
Washington, DC $110,000.00-$125,000.00 2 weeks ago Sr. Director, Product Management, Developer Experience - Quality Assurance
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Washington, DC $166,140.00-$240,918.00 4 weeks ago Washington, DC $114,746.00-$129,090.00 1 month ago Director of Clinical Services - Behavioral Health
District of Columbia, United States 4 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr