Fallon Health

  • RN - Quality and Risk - Elder Services Day Program (PACE)

    Location US-NY-Amherst, NY
    Posted Date 4 months ago(1/3/2018 5:02 PM)
    Job ID
    # Positions
  • Overview

    This is a great new opportunity located in our Buffalo office (Amherst, NY). You will be an integral part of our elder services PACE program joining an established operation but you will have the opportunity to make your own mark and help us grow.      


    Responsible for supervising the quality and risk management activities of all Fallon Health Weinberg PACE Program. Efforts are focused on the development of systems for collection of clinical and other quality data, analysis and interpretation of data, and implementation and monitoring of corrective action plans. Provides clinical expertise and technical support for quality initiatives. Develops and maintains clinical quality databases. Develops reports and communicates with internal and external customers as needed. CMS Audit coordination. PAC Committee involvement. Quarterly reporting to BOD. Ongoing monitoring in the PACE program to identify areas of improvement.

    Level 1 and 2 reporting. Oversee QAPI plan, evaluation and amendments.


    • Provides support to the Quality and Performance Improvement Program,Performance Improvement Committees and Quality Design Teams including but not limited to the following activites: assistance with the scheduling and coordination of subcommittee meetings; preparation of meeting agendas; preparation of meeting minutes; committee correspondance and follow-up; development and implementation of annual work plans; provision of data and clinical management support for focused studies including measurement, analysis and reporting of data; assistance with maintenance of up to date documentaiton of committee/team activity in the preparation of annual evaluations, work plans and quality improvement activity forms.
    • Participate in the design, collection of data, analysis and reporting of clinical quality projects and quality initiatives as listed in the quality description; prepares high end reports for the FHW Service and Quality Oversight Committee and other outside agencies as necessary (such as Medicaid).  
    • Participates in the CMS survey process at FHW PACE and maintains necessary documentation, binders and logs as required by regulation (such as the infection control log).
    • Maintains and oversees the staff in-service and training which includes coordination of new hire orientation, initial and annual competencies/skill lists for clinical employees (nurses, health aides, social service, activities) and schedules required annual in-services on all staff.    
    • Performs medical record reviews on a quarterly and annual basis in all settings FHW settings including, but not limited to, day centers, nursing homes and alternative sites. Meets the requirements stated by FHW’s quality work plan and any regulatory requirements for PACE and ADHC. Monitors and maintains data bases as listed in the FHW quality work plan, annual and monthly satisfactin surveys, grievances, incident reports and infection control.   
    • Oversees the completion of the PACE reassessment submissions and the tracking of these.      

    • Coordinates FHW PACE policy and procedure manuals to support the continuous performance improvement process and the quality of service provided by the department.  
    • Oversees FHW Infection Control Program and log.   
    • Oversees FHW Risk Management Program including the tracking and trending of incidents to identify opportunities for quality improvement.

    • In collaboration with the PACE Director and Medical Director, ensures compliance with all regulatory and contractual requirements of CMS and NYS.

    • Responsible for the Annual NYS PIP

    • Responsible for HPMS reporting, quarterly and monthly MLTC reporting, and maintaining the quality committee minutes and reporting.

    • Safety committee member.

    • Annual QAPI plan review and QAPI Plan revisions.

    • Other duties as necessary.


    Education: Degree in nursing, Bachelor of Science in Nursing preferred     

    License: RN Licensed in NY State     

    Certification: Healthcare Risk Management or willingness to obtain same.      


    Minimum of 5 years related experience in a healthcare setting preferably with a geriatric population.


    Quality Management/Performance Improvement experience required.     


    Strong interpersonal, analytical and communications skills.


    Ability to multi-task. Ability to lead performance improvement teams.


    Strong computer skills, particularly Excel, Access and Power Point.


    Competence in medical record review and data extraction.




    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed