Quality Improvement Assistant

Published: 6/14/2022

Manufacturing

Job DescriptionDescription:

The Quality Improvement (QI) assistant for Enhanced Care Management (ECM) is responsible for

monitoring, evaluating, and ensuring the effectiveness and compliance of ECM services. This role

involves developing quality assurance processes, analyzing performance data, identifying areas for

improvement, and regulatory requirements.

Requirements:

Develop and implement quality assurance policies and procedures for Enhanced Care

Management.

• Monitor progress on Managed Care Accountability Set (MCAS) measures, ensuring compliance

with performance benchmarks and regulatory requirements

• Monitor ECM program performance by conducting audits, reviewing patient documentation, and

ensuring compliance with internal and external regulations.

• Analyze key performance indicators to assess program effectiveness and identify areas for

improvement.

• Collaborate with ECM leadership to develop corrective action plans and process improvement

strategies.

• Conduct root cause analyses for identified issues and implement solutions to enhance service

delivery.

• Prepare and present quality reports to leadership, highlighting trends, risks, and

recommendations.

• Stay informed about changes in regulatory requirements, accreditation standards, and best

practices in ECM.

• Foster a culture of continuous quality improvement within the ECM team