QUALITY ASSURANCE NURSE (Hospice)

The QAPI Practitioner reports directly to the Corporate Compliance Officer; provides oversight to assigned aspects of the organization QAPI/Corporate Compliance Program, EMR Documentation, Clinician Education, Team Support and Outcome Performance as well as department based specialty projects and responsibilities. Position may include driving for field evaluations and home visits.

Essential Responsibilities:

• Instruct staff on their responsibility in following the Compliance and Ethics Program
• Detect non-compliance and follow up as appropriate.

Overall Job Responsibilities:

• Provide organization support for all QAPI initiatives including but not limited to data collection, trending and improvement initiatives. Will lead and facilitate improvement activities as needed in keeping with the Avow Hospice QAPI Plan.
• Act as a resource and trainer for the quality analytics programs and customer satisfaction programs selected by the organization such as SHP and Deyta.
• Will initiate customer service driven improvement projects/education based on current trends and CAHPS® results.
• Provide clinical team support for QAPI and Compliance initiatives geared to improving outcomes, customer satisfaction, and successful external review.
• Oversee adverse event reporting for assigned areas of responsibility
• Responsible to provide IDG support for documentation review for eligibility and medical necessity outlier cases.
• Serve as an active coach for clinical and non-clinical teams to ensure increased understanding of Hospice criteria and documentation requirements. This is accomplished through one on one coaching and ongoing support and education.
• Support all aspects of all Avow quality/regulatory education initiatives from planning, assessment, program development and hands on training and support.
• Assist with HIS data processing and reporting for assigned teams in keeping with regulatory requirements.
• Initiate and recommend policy and procedure changes for the agency in keeping with regulations and best practices.
• Assume direct responsibility for assigned areas within the Joint Commission standards and ensures compliance through assessment, education, and monitoring and policy development.
• Perform internal audits as assigned as part of the annual corporate compliance plan and current priorities to ensure organization compliance.
• Analyzes patient records to ensure compliance with State, Federal and Joint Commission regulations and standards.
• Serve as a role model for customer satisfaction and investigates customer concerns at the request of the Corporate Compliance Officer ensuring timely resolution.
• Create a monthly/quarterly reports summarizing quality/compliance activity and trends for use for not only for the Department but Committees as needed.
• Participate actively in organization committees as assigned.
• Other duties as assigned.

Core Values:

Innovation:

We embrace change and are always looking at creative ways to solve problems and serve new populations.

Integrity:

We are honest, hardworking, fiscally responsible professionals driven solely by the well-being of our patients, their loved ones, and the communities we serve.

Collaboration:

We know we cannot achieve everything we want without working hand-in-hand with each other, with our healthcare partners, and with the community.

Celebration:

We believe in the importance of celebrating life and relationships.

Education:

We believe it is important not only to serve the community but to educate community members about our services and the role we can play at the end of life.

Job Requirements:

Computer Skills: Strong computer skills including database software and Microsoft programs.

Supervisory Responsibilities: There are no direct reports for this position.

Education/Experience: A Bachelor’s in nursing degree preferred with a current RN Florida license; Master’s degree desired. A minimum of 5 - 8 years’ experience in a healthcare organization including exposure to Homecare/Hospice, to include demonstrated leadership, familiarity with operational, financial, quality assurance, and human resource procedures and regulations; The Joint Commission Standards of care; OIG Corporate Compliance Program; Federal and State regulatory requirements and compliance guidance for health care providers.

Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information.

Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Math skills including addition, subtraction, multiplication, division, and percentages/fractions.

Certificates, Licenses, Registrations: Registered Nurse licensed in the state of Florida. Valid Florida driver’s license. Preferred certification in Healthcare Quality (CPHQ), and/or Certified Hospice and Palliative Nurse CHPN®. CHPN Certification to be completed within1 year from position start date (Hospice). CPR certification required.

All applicants offered a position are required to complete a screening through the Clearinghouse.  For more information, click here https://info.flclearinghouse.com.

Salary : $72,800 - $87,360