Quality Outcomes Specialist - RN

The Quality Outcomes Specialist (QOS) is responsible for improving the understanding, knowledge base, expertise and quality of OASIS scoring and home health documentation through the mentoring of home health staff.

Job Responsibilities:

• Responsible for maintaining active participation with assigned teams by attending case conferences, huddle calls and other staff meetings.
• Responsible for monitoring and improving the outcome performance of assigned Regions and specific clinicians.
• Implements the Quality Outcomes Mentor Program for appropriate candidates using SHP scorecards, results from chart audits and staff identified by CTMs, Clinical Educators and Preceptors.
• Provides professional support to mentorship program at an assigned office location or on a patient visit and may have to travel within the assigned region to provide mentorship and/or training.
• Works with clinicians to master OASIS accuracy and documentation that supports medical necessity and homebound status by reviewing patient documentation including OASIS, referral, history, and physical and clinical notes.
• Consults with the clinician to clarify any data integrity issues and/or corrections to documentation; documents the same in the medical record and makes necessary corrections to the assessment. This may involve contacting the field RN/PT/OT/ST via telephone or electronic media to gain understanding of diagnostic assessment details.
• Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities and in developing the plan of care. Works with clinicians to obtain and master knowledge of how to complete a plan of care that is pertinent to the patient’s clinical social and emotional needs while promoting improved patient outcomes.
• May assist with other chart audit activities as needed. May monitor open and closed charts and may participate in regular clinical record reviews.
• Assists quality improvement teams with data collection for the Quality Assurance Performance Improvement Plan (QAPI) established by the Agency.
• Respects confidentiality of information in the client clinical record and only shares this information in accordance with Agency policy and HIPAA guidelines.
• Follows procedures to work within the frame of the law. Stays informed about changes in the field of home health care, including State and Federal regulations as well as the Agency’s accrediting Organization’s standards.
• Keeps the QAPI Manager, Director of Nursing or Administrator apprised of any problems or potential problems.
• Performs other duties as assigned

Job Qualifications:

• Graduate of an accredited school of professional nursing; BSN preferred.
• Registered Nurse or Licensed Professional Nurse with current/valid Florida Nursing license and approved CPR certification.
• A minimum of (3) years’ experience in home care.
• Certification in OASIS is required.
• ICD-10 Coding experience preferred.
• Ability to work in an on-site office and travel to other Branch locations is required.
• Ability to work in a weekend rotation is required.
• Demonstrates organizational and leadership ability.
• Demonstrates a working knowledge of Federal and State home care regulations including Medicare.
• Must have good verbal and written communication skills and evaluation techniques and demonstrate knowledge of clinical skills, judgment, current nursing practices and analytical capabilities.
• Knowledge of reimbursement sources and documentation requirements within home health care.
• Working knowledge of computer systems.
• Excellent time management and organizational skills.
• Ability to adapt to changing organizational needs.
• Demonstrated ability to motivate and educate others.
• Excellent customer service skills.
• Detail oriented and able to work independently to meet deadlines.

Locations:

• 6676 Corporate Center Parkway, Jacksonville FL, 32216