PACE Compliance and Safety Specialist (Central Valley PACE - Modesto)

The PACE Compliance and Safety Specialist is responsible for ensuring the safety and regulatory compliance of the PACE program, monitoring program adherence to CMS regulations, identifying and mitigating safety risks, and supporting continuous improvement efforts.

Requirements

• Monitor and ensure compliance with PACE program regulations, policies, and standards as outlined by CMS and state requirements.
• Conduct regular audits and inspections to verify adherence to safety and compliance protocols.
• Manage and oversee all Service Delivery Requests, Appeals, and Grievances (SDAG), including tracking, auditing, trending, and analyzing data to identify areas for improvement.
• Partner with PACE Interdisciplinary Teams to manage and process SDAG requests within CMS timelines and guidelines.
• Provide support in resolving participant and family grievances, including documenting outcomes and coordinating follow-up as necessary.
• Prepare compliance reports for management and regulatory agencies, ensuring accuracy and timely submission.
• Stay updated on changes in CMS regulations and implement necessary updates to the PACE program’s compliance protocols.
• Develop and implement workplace safety policies and procedures to maintain a safe environment for participants, employees, and visitors.
• Conduct regular site inspections and safety audits to identify potential hazards and ensure compliance with health and safety regulations.
• Coordinate safety training for staff, including emergency preparedness, infection control, and workplace hazard mitigation.
• Investigate incidents and accidents, perform root cause analysis, and develop corrective actions to prevent recurrence.
• Track and maintain records of all safety-related incidents and training activities.
• Manage Personal Protective Equipment (PPE) procurement and distribution in alignment with OSHA and CMS guidelines.
• Facilitate and lead safety meetings, including monthly reviews, to discuss program safety performance and compliance updates.
• Participate in emergency preparedness drills and review the center's emergency response plan regularly.