Clinical Quality Improvement Advisor

Responsibilities

• MUST RESIDE IN SOUTHERN CALIFORNIA
• Ensures standardization of processes, quality in care and compliance in operational and clinical practice throughout InnovAge and its affiliates.
• Supports the oversight for the provision of care and delivery of services per PACE regulations and performance goals set by the Quality Improvement Program and Quality Work Plan.
• Supports the Infection Control Program by tabulating data and investigating issues as needed.
• Acts in collaboration with the infection preventionist as a resource for infection and infestation control issues.
• Affords assistance to the Director of Quality in developing and maintaining clinical operational policies, procedures and protocols related to quality and compliance.
• Develops and maintains performance improvement projects based on the needs of the quality department as determined by quarterly quality performance measures and compliance audits while adhering to LEAN methodology standards.
• Develops and sustains Plan(s) of Correction that results from identified quality improvement initiatives, surveys and/or other regulatory body audits.
• Develops and implements audits to ensure consistent practice of current policies, procedures and protocols.
• Prepares for and actively participates in all surveys/monitoring audits and ensures that InnovAge and its affiliates are survey-ready.
• Supports and implements quality improvement in assigned areas and as needed.
• Performs pre-operational auditing and promotes smooth transitions from development to implementation.
• Works to integrate standard clinical practice(s) and documentation compliance throughout InnovAge and its affiliates.
• Reports on problem areas that fall outside of regulation, community or professional standards, and performs follow-through to see if issues have been addressed.
• Supports and implements quality improvement in assigned areas and as needed.
• Participates in CMS and State reporting and facilitates work groups within the PACE centers and regional leadership.
• Leads Root Cause Analysis activities to support process improvement activities as well as regulatory reporting.
• Prepares center-based teams and leadership for monthly and quarterly collaborative calls with state and CMS regulators.
• Collaborates with compliance team to support clinical quality oversight of community partners, including follow up on incidents and complaints.
• Facilitates and leads local and regional quality meetings in collaboration with PACE center staff and leadership.
• Participates in collaborative care meetings at PACE centers, including fall teams, wound care teams, Participant Council.
• Leads regional efforts related to participant satisfaction activities at the PACE center.
• Participates in PCMH education, readiness, and accreditation activities.
• Delegates quality activities to Quality Improvement Specialists according to Director of Quality.
• Provides support of quality contracted facilities oversight.
• Provides coverage for Director of Quality when needed.

Required

• State Registered Nurses License
• 3+ years health care experience with an emphasis in geriatrics
• 3+ years nursing leadership with a background in quality
• Current skill with auditing systems, follow-up for corrections and process improvement for healthcare areas
• Current knowledge of standards of clinical nursing practice and integration with regulations along with broad knowledge base of health care problems for the frail and elderly
• Working knowledge of project management, facilitation of work groups, quality improvement, and team meetings

Preferred

• Bachelor’s degree in nursing from an accredited college/university
• Certification as a Gerontological Nurse
• Lean or Six Sigma