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Quality Assurance Specialist

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Zufall Health

1mo ago

  • Job
    Full-time
    Junior Level

AI generated summary

  • You need a related Bachelor's (Master's preferred), NJ RN license (if applicable), 2 years in ambulatory care and QA/PI, strong communication, problem-solving skills, and computer proficiency.
  • You will monitor performance reports, support accreditation compliance, aid QA projects, gather and analyze data, facilitate communication with health plans, and train staff on documentation practices.

Requirements

  • Bachelor’s degree in related field required, Master’s degree preferred.
  • If RN, valid, current license in NJ.
  • Minimum 2 years experience in an ambulatory care setting as a clinical staff or relevant experience in a clinical setting.
  • Minimum 2 years experience performing QA/PI activities.
  • Knowledgeable of basic organizational improvement processes such as the Care Model and IHI’s Model for Improvement and PDSAs.
  • Excellent verbal and written communication and interpersonal skills.
  • Strong problem-solving skills and detail-oriented.
  • Able to educate and communicate to a varied audience on subjects such as performance improvement, the collaborative model, and initiatives being introduced at the health center.
  • Able to relate well to a diverse group of patients and staff.
  • Able to work on as needed basis in order to meet operational needs of the clinic.
  • Proficient with computers, electronic medical records and relevant database software, and knowledge of Microsoft Office applications including Word, Excel and PowerPoint.
  • Able to learn and apply principles of trauma informed care to all aspects of work.

Responsibilities

  • - Assist in preparing and monitoring performance reports, and conducting continuous data reviews across various programs, including UDS, Board reports, and grant-funded projects.
  • - Support the maintenance and updating of Policies & Procedures.
  • - Help ensure compliance, maintenance, and renewal with accreditation standards, including Joint Commission accreditation and NCQA’s PCMH accreditation.
  • - Participate in the QA/PI/RM Committee, aiding in meeting preparations and minute-taking.
  • - Assist in the implementation and management of QA projects and initiatives such as Wise Woman, SMBP, and various health-related grants.
  • - Act as a liaison for HealthEfficient, Relevant, and other data collaborators.
  • - Aid in maintaining AHA Recognitions and ADCES/DSMES Accreditation by compiling and submitting necessary data.
  • - Serve as the liaison between Zufall, health plans, and Atlantic Health System’s ACO, facilitating effective communication and collaboration.
  • - Assist in data gathering and reporting for Atlantic Health System’s ACO and requests received from health plans regarding HEDIS measures and other required metrics.
  • - Conduct periodic meetings with health plans and ACO to address care gaps, analyze incentive payment data, audit charts per HEDIS standards, and report findings.
  • - Educate teams on current incentive requirements and develop streamlined processes for compliance and contribute to the enhancement and implementation of value-based care.
  • - Support the enhancement, development and expansion of QA processes, including regular assessments and reviews in various departments/domains, such as, Behavioral Health, Dental, Perinatal Health and Ryan White program.
  • - Engage in data aggregation, mining, analysis, and validation to pinpoint areas for improvement.
  • - Support the conversion of data into actionable insights, including data gathering, analysis, and presentation.
  • - Collaborate with data analysts and IT to ensure accurate reporting of services, supporting the maintenance of reports for compliance with regulatory requirements and assist in maintaining Tableau and other data reports ensuring data integrity.
  • - Review and support the enhancement of data collection systems.
  • - Provide assistance and training to staff on documentation and data entry practices.
  • - Adhere to HIPAA standards for information confidentiality.
  • - Performs other related duties as assigned by their supervisor.

FAQs

What is the main responsibility of a Quality Assurance Specialist at Zufall Health?

The main responsibility of a Quality Assurance Specialist at Zufall Health is to support and assist in the implementation of the overall Quality Assurance and Performance Improvement programs and initiatives to ensure high-quality patient care.

What qualifications are required for this position?

Candidates are required to have a Bachelor’s degree in a related field, with a Master’s degree preferred. Additionally, if the candidate is an RN, they must hold a valid, current license in NJ, and have a minimum of 2 years of experience in an ambulatory care setting and in QA/PI activities.

Is experience in a clinical setting necessary for this job?

Yes, a minimum of 2 years of experience in an ambulatory care or relevant clinical setting is required.

What skills are important for the Quality Assurance Specialist role?

Important skills include strong problem-solving abilities, detail orientation, excellent verbal and written communication, and proficiency with computers and electronic medical records, as well as knowledge of Microsoft Office applications.

Does the position involve data analysis?

Yes, the role involves extensive data analysis, including data aggregation, mining, and validation to identify areas for improvement and support the conversion of data into actionable insights.

Is there a requirement for vaccination when being hired at Zufall Health?

Yes, as a condition of employment, all staff are required to be fully vaccinated against the flu and provide documentation upon hire during flu season (typically between September-May).

What kind of teams will the Quality Assurance Specialist collaborate with?

The Quality Assurance Specialist will collaborate with data analysts, IT staff, health plans, and the Atlantic Health System’s ACO, among other teams.

Will the Quality Assurance Specialist need to take meeting minutes?

Yes, the Quality Assurance Specialist will participate in the QA/PI/RM Committee, aiding in meeting preparations and taking minutes.

Does the job involve education and training responsibilities?

Yes, the position involves educating teams on current incentive requirements and providing training to staff on documentation and data entry practices.

What are the career advancement opportunities for this role?

While the job description does not explicitly mention career advancement, the role offers a strong foundation in quality assurance and performance improvement, which can lead to higher-level positions within quality management or clinical risk management in healthcare settings.

Zufall Health

501(c)(3) nonprofit & FQHC providing high-quality, affordable, & culturally competent care in northwest & central NJ.

Science & Healthcare
Industry
201-500
Employees

Mission & Purpose

Founded in 1990, Zufall Health is an award-winning, nonprofit, state-licensed community health center that provides access to high-quality, affordable medical, dental, and behavioral treatment to people and communities who experience barriers to care. Nearly 45,000 patients are served at its headquarters site in Dover as well as offices in Bridgewater, Flemington, Franklin Township, Morristown, Newton, Plainsboro, Somerville, Hackettstown, West Orange, and on its Highlands Health Van and Zufall Health Delta Dental Mobile.