Job Title: ECM Program Quality Specialist
Reports to: Senior Director of Quality
Education: Bachelors degree in health-related field required; License Clinical Social Worker or Registered Nurse preferred.
Competencies Desired
- Experience in quality management in a healthcare &/or social service or residential setting.
- Exceptional communication and customer relations skills.
- Ability to diplomatically incentivize improvement and, if necessary, require change through goals and standards.
- Sound decision making skills for clinical and nonclinical issues.
- Effective adult learning/training skills.
- Experience writing clear policies & procedures, training staff, and monitoring adherence to policies and standards.
- Cultural sensitivity with the ability to communicate orally and in writing to individuals and groups of varying cultural, ethnic, and educational backgrounds.
Quality Assurance Strategy
- Support a comprehensive clinical quality assurance strategy for ECM, ensuring alignment with DHCS and health plan guidelines.
- Directly responsible for triaging clinical oversight on mandated reporting, suicidal ideations, and red flag audits.
- Continuously monitor and assess the program’s clinical effectiveness, identifying areas for improvement and engaging key stakeholders to build ownership in the process.
- Partner in the development and evaluation of the QA dashboard using clinical expertise.
Compliance Oversight
- Partner with ECM Quality Manager on all NCQA related activities, including file review, drafting new P&Ps, and revising existing P&Ps.
- Assist in the rollout of P&Ps.
- Assist in leading interdisciplinary Care Team meetings.
Quality Improvement Initiatives
- Support continuous improvement efforts to enhance the clinical quality of care, services, and outcomes within the ECM program.
- Monitor clinical key performance metrics to track and report on quality improvements.
- Partner with ECM Quality Manager to review ECM QIRs and ensure follow up action and resolution takes place for incidents.
Documentation, Reporting, and Databases
- Reviewing documentation through internal audits and providing feedback to staff on outcomes, including care plan and assessment.
- Maintain accurate records of quality assurance activities and compliance efforts.
- Work with Operations Director to maintain/improve all ECM databases and EHR systems.
- Prepare and submit regular reports to relevant stakeholders.
If you are interested in the above position, please submit your resume to jobs@picf.org.
Partners in Care Foundation is an equal opportunity employer. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws. All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.