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.
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