Quality Assurance Specialist

Quality Assurance Specialist

It is the responsibility of the Quality Assurance Specialist to assemble assigned departmental reports and documentation related to quality management and performance improvement activities within the Centers for Disease Control, any State, and Federal requirements.

The Quality Assurance Specialist works with the Quality Improvement, Compliance and Risk Departments to plan, organize, and assist the quality improvement process. This role involves developing, implementing, and monitoring quality assurance processes to maintain compliance with relevant regulations and standards in the Medical and Dental fields.

Responsibilities include:

• Develop and implement quality management systems to ensure compliance with regulatory requirements, standards, and company policies.
• Conduct internal audits and assessments to evaluate compliance with quality standards, procedures, and regulations.
• Maintain current copies of clinical staff credentials to present during audits.
• Collaborate with cross-functional teams to identify quality issues, root causes, and corrective actions.
• Review and interpret regulatory guidelines, standards, and requirements to ensure alignment with organizational practices.
• Provide guidance, in-person and remote training to employees on quality assurance procedures and requirements; maintain a tracking system for all performed training.
• Attend department meetings when required.
• Participate in the development and revision of quality policies, procedures, and documentation.
• Monitor and analyze quality data and metrics to identify trends, opportunities for improvement, and areas of non-compliance.
• Coordinate and support external audits and inspections by regulatory agencies or Health Management Organizations.
• Stay current with developments in quality management, regulatory requirements, and industry best practices.
• Assist the Compliance Department with any NCQA and State licensing activities whenever requested.
• Works after-hours when requested.
• Participate as an active member of the Infection Control Committee by attending meetings and performing training for on-boarding employees, annually and when requested by supervisor, accordingly.
• Manages 340B orders and ensures the compliance of the program by keeping track of the medication requests.

Additional duties and responsibilities include:

1. Attend staff meetings.
2. Performs other duties as assigned.

Patient Centered Medical Home Essential Responsibilities (Principals) include:

• Collaborate with individual patients, their personal physicians, and when appropriate the patient's family to ensure accessible, comprehensive, compassionate, and culturally competent care.
• Facilitate care by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.
• Ensure all decisions respect patients' wants, needs, and preferences and that patients have the education and support they require to make decisions and participate in their own care.
• Continually strive to attend to each patient "whole person," in the context of the patient's personal and medical history and life circumstances, rather than focusing on a particular disease, organ, or system.

Job requirements include:

• Education: Medical Assistant Certificate, Registered Dental Assistant, and/or Bachelor's Degree preferred.
• Certification Required: Current valid CPR certificate
• Experience: 3 years of experience in a related field preferred.
• Verbal and Written Skills to perform the job: Bilingual preferred. Familiarity with basic word processing, spreadsheet, and database applications. Accurate keyboarding skills.
• Technical knowledge and skills required to perform the job: Excellent verbal, written and interpersonal communication skills and the demonstrated ability to work with diverse individuals and groups. Demonstrate high levels of self-initiation and direction. Knowledge of communities we serve. Knowledge and experience working in medical settings and interacting collaboratively with medical teams. Skill in analyzing situations and making timely decisions.
• Physical and Mental Requirements: Work involves sitting, talking, hearing, using hands to handle, feel or operate objects, tools, or controls, and reaching with hands and arms. The employee may be required to push, pull, lift, and/or carry up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

General requirements include:

• Pre-employment requirements include I-9 verification, physical examination, positive background and reference check results, completed employment application, new hire orientation attendance.
• Comply with all regulations and required schedules regarding OSHA training.
• Required physical to be performed annually.
• Responsible for following all La Maestra Family Clinic policies and procedures.
• Punch out before 5 hours from the start of shift for meal periods.
• Comply with all regulations and required schedules regarding sexual harassment training.