What are the responsibilities and job description for the QA Specialist position at Accord Hospice?
Hospice QA Specialist | Monday - Friday 9am-5pm
We are GROWING! We are seeking a Hospice QA Specialist. As the QA Specialist, you will be reviewing documentation, clinical processes, asses care plans, etc. This role is essential in upholding state compliance and regulations. Along with a culture of continuous improvement and organization. The QA Specialist is a professional, registered/licensed nurse responsible for analyzing data integrity and consistency of Hospice documentation and assessment processes.
Responsibilities:
- Prospectively reviews clinician charting to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
- Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
- Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
- Understands and promotes principles of continuous QAPI.
- Responsible and assist with the orientation of new staff to Hospice’s QAPI program.
- Participates in Quality Improvement and Corporate Compliance activities as assigned.
- Assistant in the preparation and implementation of policies and procedures which meet Medicare, Medicaid, accreditation standards and state and local laws.
- Facilitates survey readiness activities such as mock audits, training, and the development of corrective actions plans.
- Participate in on-boarding educational training and education programs based on company needs.
- Advises the leadership regarding the clinical compliance needs/ concerns of each program.
- Conducts the ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance through reporting and measurement studies/ methodologies.
Qualifications:
- Excellent and clear communication, organizational, problem-solving, and multi-tasking skills.
- Current Registered Nurse (RN) licensure, in good standing, in the state of Illinois with at least 1 year of experience under license.
- Ability to collaborate with an interdisciplinary team, physicians, and allied health professionals.
- Ability to work independently and as apart of a team.
- One (1) to two (2) years of clinical hospice experience required.
- Reliable transportation available on all work days, valid driver's license, current insurance for vehicle.
- Knowledge of federal regulations and state licensure requirements.
- Working knowledge of computer systems.
Job Type: Full-time
Benefits:
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
Medical specialties:
- Hospice & Palliative Medicine
Schedule:
- Monday to Friday
Experience:
- Nursing: 1 year (Required)
- Associate (Required)
License/Certification:
- RN License (Required)
- RN license in state of IL (Required)
Job Type: Full-time
Pay: From $85,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
Experience level:
- 2 years
Schedule:
- Monday to Friday
Work setting:
- In-person
- Office
Experience:
- Nursing: 2 years (Required)
- Hospice: 1 year (Required)
License/Certification:
- RN License (Required)
Work Location: In person
