Performance Improvement Specialist

Why NVNA & Hospice?

NVNA and Hospice is a mission-driven, non-profit organization providing home health, palliative, hospice, and wellness services across 27 communities, from Milton to Plymouth. Consistently earning five-star CMS ratings, we lead with innovation, quality, and heart.

Join us and make a difference every day—because here, caring is more than what we do, it’s who we are.

We are looking for an experienced, talented, and compassionate Performance Improvement Specialist for a full time position.

The Performance Improvement Specialist will be responsible for the quality and compliance review of coding, OASIS, and Plan of care review for Home Health

What Will You Do

• Review SOC, ROC, Recert, Transfer, and Discharge OASIS assessments for accuracy and CMS compliance.
• Review medical records to identify disease processes that need a diagnosis code assigned and apply appropriate diagnosis codes following guidelines and conventions in MatrixCare
• Review OASIS and ensure consistency between OASIS scoring and clinical narrative.
• Identify missing elements, scoring issues, or inconsistencies that require clinician revision.
• Ensure documentation supports PDGM clinical grouping and Medicare standards.
• Review plan of care and if needed make recommendations related to the patient’s plan of care based on clinician documentation
• Collaborate with the clinical managers regarding trends and outcomes for the clinical teams
• Ensures Agency compliance with federal and state laws and regulations including the Medicare Conditions of Participation and Benefits Policy Manual
• Assists in the preparation of accreditation/certification surveys
• Assists, conducts and/or coordinates performance improvement studies as requested.
• Ensures agency compliance with all federal and state laws as well as adhering to the Norwell Visiting Nurse Association, Inc. Corporate Compliance policy in the prevention of fraud and abuse on behalf of the agency.
• Comply with HIPAA regarding privacy and security of medical record
• Performs other responsibilities as assigned.
  
  

Skills/Abilities

What we’re looking for in you:

• Strong clinical skills
• Strong communication skills, both verbal and written
• Proficient in Microsoft Office (Excel, Word, PowerPoint)
• Able to work under pressure
• Able to problem-solve and troubleshoot quickly and effectively
• Strong organizational, decision-making, and time management skills
• Able to be flexible and dependable.
  
  

Education

• Graduate of an accredited School of Nursing or Therapy Program
• OASIS certification
• ICD-10 coding certification
• Current MA. Professional License (in good standing).
  
  

Experience

• (5) years of home health coding experience
• (5) years of OASIS experience
  
  

What's in it for you?

• Medical, Dental and Vison Benefits
• Company paid Life Insurance and Long-Term Disability
• Generous Paid Time Off Package
• 401 (k) match program
• Tuition Reimbursement and Scholarship Program
• Mileage Reimbursement (in field positions only)
  
  

NVNA and Hospice complies with applicable federal and state civil rights laws and does not discriminate, exclude people or treat them less favorably because of race, color, creed, religion, national origin (including limited English proficiency and primary language), sex (including sex characteristics, including intersex traits, pregnancy, or related conditions, sexual orientation, gender identity and sex stereotypes), age, disability (including mental illness and substance abuse disorders), genetic material, veteran status, communicable disease, natural or protective hairstyles or any combination, thereof with regard to admission, access to treatment or employment.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.