RN Homecare Quality and Performance Improvement Manager
MASONICARE
WALLINGFORD CENTER CT US
RN Homecare Quality and Performance Improvement Manager
Masonicare Home Health & Hospice - Connecticut
Day Shift / 40hrs/wk
Manages, facilitates, and implements the quality management and quality improvement programs and infection surveillance at Masonicare Home Health & Hospice to achieve quality outcome goals. Understands and follows the quality and regulatory standards for the position, department and agency.
Essential Duties and Responsibilities:
- Champion’s quality improvement processes throughout Masonicare Home Health & Hospice, ensuring a standardized and unified approach to achieve documentation compliance and outcome goals [Value Based Purchasing -Rehospitalization; satisfaction; quality OASIS outcomes; star ratings].
- Manages clinical oversight of coding and 485 review to facilitate quality outcomes and documentation compliance with CoPs, state regulations, coding standards and payor requirements.
- Manages auditing of OASIS review outsource to facilitate timely, accurate and consistent performance; escalate performance concerns impacting quality outcomes.
- Uses Strategic Healthcare Programs software to support review of documentation.
- Discusses any noted documentation discrepancies with Directors, clinical managers and clinical staff as appropriate.
- Participates in quality and committee activities as necessary.
- Identifies and facilitates education regarding the key quality initiatives/targets/goals (based on federal, state and best practice guidelines) for the organization.
Facilitates appropriate documentation and OASIS education as indicated.
- Tracks infection trends for employees and patients based on DPH and CDC guidelines and participates in Masonicare Infection Committees
- Tracks, analyzes, and collects data for the purpose of demonstrating the efficacy of our improvement processes.
- Develops Performance Improvement projects based on key performance indicators and facilitates implementation in the agency.
- Assists with development of yearly and long-term quality management plans, including required and specialty audits based on service delivery trends and/or general agency/industry trends.
- Manages and assists with clinical record review and general chart audits per the PI Plan, federal and state regulations and guidelines.
- Participates in the completion of and presents quality reports as requested.
- Participates in branch staff meetings as needed.
- Works closely with Risk Management in regards to the tracking of sentinel and/or adverse events and translating this to the QI process.
- Responsible for processing additional documentation requests (ADRs) and appealing denials.
- Participates in requisite committee/board meetings, including the Professional Advisory Committee meetings
- Participates in CMS and DPH audits/visits/investigations as required/requested.
- Assists with the professional development of assigned staff, including participation in orientation, collaboration with education on necessary in-services, ongoing skill development and other mentoring activities.
- In conjunction with the Director and Human Resources, participates in staff recruitment and selection of potential hires.
- Understands the mission of Masonicare by recognizing the population we serve as unique persons, requiring individual alternatives to maintain full lives in their later years
Minimum Qualifications:
Education: Minimum of Associates Degree in Nursing from an NLN accredited college or university. Baccalaureate Degree preferred.
Experience: Five (5) years’ experience in acute care/home care/public health administration/SNF. Two (2) years’ experience in quality management preferred.
Certificates, Licenses, Registrations: Connecticut Registered Nurse license required. Maintains current Connecticut Drivers’ License and auto insurance.