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QI/Training Specialist in Henrico, VA at KEPRO

Date Posted: 7/6/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Henrico, VA
  • Job Type:
    Training
  • Experience:
    Not Specified
  • Date Posted:
    7/6/2018

Job Description

Since 1985, KEPRO has helped more than 20 million members lead healthier lives through clinical expertise, integrity and compassion. KEPRO was founded by physicians and clinical expertise is at the core of our organization. We are a leading quality improvement and care management organization. We offer innovative and outcomes-focused solutions to reduce the unnecessary use of health care resources and optimize the quality of care for public and commercial clients. KEPRO’s tailored programs maximize members’ quality of life, and realize greater cost savings for members and clients alike. KEPRO is on a journey to transform medical management and to develop customized solutions tailored to our client’s specific business requirements, while improving the quality of life for patients, reducing costs, and achieving return on investments for our clients. Our approach to medical management is holistic and compassionate and is coordinated around a patient’s entire healthcare experience.

Quality Improvement/Training Specialist

Summary Description

Plans, develops and maintains the internal monitoring program for review activities. Assesses the training needs of staff and develops educational material relative to those needs.  Participates in health education initiatives.

Accountabilities

  • Oversees and facilitates all Quality Improvement (QI) activities according to the Internal Quality Control (IQC) Plan, to include participation in local LQIC meetings and quorums.  
  • Maintains IQC databases and/or other required documentation.  Modifies data capture as necessary to reflect changes in contract requirements.
  • Coordinates staff performance measurements (Accuracy & Inter-rater Reliability) and other QI studies.  Prepares reports and documents as indicated/required.
  • Coordinates with the Medical Director the monitoring activities for clinical reviewers. Identifies training needs and participates in developing educational material and presenting educational programs to staff.
  • Monitor and provide oversight to the PRTF onsite audits to include reports and letters as appropriate.  
  • Develops or assists in developing training effectiveness indicators and outcome measurements to determine whether and to what extent the training effort produces the results desired to both the individual participants the contract.
  • Reviews, revise and maintain policies and procedures as well as job aides as appropriate for SC contract.
  • Participates in health education initiatives.
  • Maintain compliance with SC contractual obligations through Compliance 360 assessment assignments as appropriate. 
  • Ensures that the meeting and reporting requirements of the quality management/ quality improvement committee is in accordance with contract requirements. 
  • Promotes a culture of quality performance and quality improvement throughout the organization.
  • Assists in ongoing compliance with Federal, State and national accreditation standards/regulations.
  • Utilizes quality improvement methods, tools and techniques.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • RN, LPN or other licensed health professional with recent clinical background preferred. 
  • Bachelor’s degree in related discipline or equivalent combination of experience and education. 

Skills, Knowledge Abilities (SKA)

  • Ability to communicate effectively (verbal and written) persons of diverse backgrounds and educational levels.
  • Excellent organization and interpersonal skills required.
  • Ability to plan and oversee multiple assignments and adjust to changing priorities.
  • Skilled in working with others in a team environment.
  • Must be proficient in MS Office applications.
  • Proven skills using CI tools, methods and techniques.
  • Strong facilitation and presentation skills desirable.
  • Knowledge of Virginia Medicaid helpful.

Experience

  • Experience in quality assurance/quality improvement, preferred.
  • Two (2) years relevant experience including designing, developing and delivering educational sessions.
  • Experience assisting in developing and monitoring internal performance indicators.

Mental and Physical Requirements        

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

KEPRO offers challenging careers, excellent benefits and opportunities for advancement.  For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please.  Visit our website at www.kepro.com for more information on the KEPRO Family of Companies.

EOE AA M/F/Vet/Disability

KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.