RN Quality Assurance Specialist

Description

Salary: $75,000 - $85,000 per year depending on experience 

Location: Odessa, TX

Position Summary: Primary function is to oversee quality improvement program based on agency policies and procedures. 

Essential Functions

•  Conduct comprehensive clinical record reviews for clinical notes/charting, starts of care, resumptions, recertifications, and discharges for Home Health to ensure Home Health eligibility per CMS standards. 
•  Conduct comprehensive clinical record reviews for clinical notes/charting, starts of care, resumptions, recertifications, and discharges for Hospice to ensure Hospice eligibility per CMS standards. 
•  Ensure OASIS assessments accurately reflect patients’ current health status to improve outcomes, star ratings, VBP. 
•  Perform ongoing patient chart audits to identify and resolve documentation discrepancies and collaborate with the team to implement improvement. 
•  Collaborate with the team to develop ongoing educational programs that improve documentation quality and compliance.
•  Maintain proficiency in CMS and industry best practices for OASIS standards, coding, PDGM. 
•  Development of QAPI quarterly reports and on-going Quality compliance program. 
•  Conduct remote mock surveys for all sites to ensure survey readiness for Home Health, Hospice and PCS. 
•  Responsible for conducting an ongoing comprehensive and integrated Agency assessment of the quality and appropriateness of the care provided, including services provided under arrangement
•  Demonstrates an in-depth knowledge of, and ensures compliance with, all local, state, and federal laws relating to the operations of the Agency. 

Other Related Functions

•  Monitors and review all documentation submitted to clinical record for Home Health and Hospice for compliance.
•  Responsible for staying up to date with ongoing CMS updates for Oasis, VBP, Outcomes, HIS and HOPE updates, Casper reports, Star Ratings. 
•  Multistate knowledge of federal and state regulations for Texas and New Mexico. 
•  Utilize BI tool and identify trends to improve overall clinical compliance. 

Requirements

Experience

•  At least three (3) years of clinical nursing experience required (Home Health and Hospice preferred).
•  Candidates must have at least three (3) years of QAPI experience in Home Health and Hospice.

Education/Training

•  Graduate of an approved school of professional nursing, with current licensure in the practicing state(s).
•  Proficiency in QAPI, documentation, time management, and organizational skills. 
•  Experience with Axxess software or similar software is highly preferred.
•  OASIS certification and Oasis coding is highly desirable.
•  Experience with quality compliance program, VBP, outcome measures, star ratings. 
•  Knowledge of Hospice HIS/HOPE measures for improvement. 

Licensure/Certification

•  TX and/or NM nursing license.