Area Quality Assessment & Performance Manager

Location
Boca Raton, FL
Salary
Competitive
Posted
2/15/2018
Closes
2/16/2018
Specialty
Risk Mgmt / UR / QA
Contract Type
Permanent
Hours
Full Time
 
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  Primary function is to oversee and monitor the Outcome Based Quality Improvement Program for the assigned agency/branch locations, provide education and guidance for clinicians, direct and conduct orientation of new clinicians, and develop and present CE programs for clinicians and referral sources.
  • Promote /exemplify Company mission, vision and values at all times.
  • Provides daily oversight and coordination for Quality Assessment and Performance Improvement activities for the assigned area locations.
  • Directs activities to promote organization’s ability to meet internal policy and procedures and to be in compliance with applicable Federal, State, Local regulatory and applicable accreditation requirements and agency set outcome goals.
  • Keeps current in knowledge of home health, private duty or other post-acute care provider requirements such as Chronic Care Management (CCM) and Transition Care Management (TCM).
  • Participate in committees and additional activities as assigned by the Chief Clinical and Quality Officer and/or the Corporate Director of Clinical Services and Quality Management.
  • Develops teaching materials, educational programs and power point presentations as determined by learner needs analysis and in conjunction with other resources.
  • Coordinates with various data vendors in tracking, monitoring, analyzing, and reporting performance and quality areas of positive performance and areas requiring interventions to improve outcome and patient satisfaction scores and star ratings.
  • Investigates and provides further analysis and information of patient related incident reports, clinical record reviews, infection control, specialty program and/or other adverse or unusual event reports for the Chief Clinical and Quality Officer and/or the Corporate Director of Clinical Services and Quality Management.
  • Performs root-cause, or gap analysis in situations as needed to improve clinical performance and outcomes of patient/client care delivery working closely with leaders agency location leaders.
  • Develops and implements interventions and outcome related PI tools. Reviews, revises and provides suggested revisions to annual Corporate-Wide Performance Improvement Plans for the organization.
  • Is responsible to ensure Performance Improvement accreditation and state-specific standards are met successfully during survey activities.
  • Ensures timely submission, tracking and trending of required documentation as it relates to additional documentation requests (ADRs), various audits from CMS sub-contractors and insurance companies, and addressing appeals for denials in a timely manner.
  • Travels as assigned by Chief Clinical and Quality Officer and/or the Corporate Director of Clinical Services and Quality Management to meet urgent needs of the organization related to Accreditation, Performance Improvement or Regulatory/Compliance issues that may arise and/or to assist the agency location team in meeting their goals to support operations.
  • Conducts monthly PI calls with agencies and develops and delivers presentations as needed to educate others on how to do interventions to improve outcomes and how to achieve successful accreditation and State surveys.
  • Maintains successful tracking and assistance to agencies for accreditation services and prepares corporate required accreditation survey reports, annual updates, and summaries related to accreditation.
  • Responsible for conducting ongoing, comprehensive, integrated agency assessment of the quality and appropriateness of the care provided, including services provided under arrangement.
  • Assist with and provide oversight of the auditing of clinical records to assure they meet state and federal regulations: Assure care is provided as ordered by the physician.
  • Mentor Administrator, Director of Clinical Services, and Clinical Manager staff to aggregate and trend data collected to correctly identify problems in collaboration with management. Assist Administrator, Director of Clinical Services, and Clinical Manager staff to write Performance Improvement Plans based on findings.
  • Provide written feedback to clinicians to educate, reinforce and improve documentation, clinical practice and patient outcomes.
  • Provide reports to management teams on critical areas of patient care.
  • Conduct quarterly QAPI committee meetings per state and federal law.
  • Prepare quarterly Quality Improvement reports
  • When required by State Regulations, prepare annual agency evaluations and assist Administrators with use of the annual eval to identify problems, develop corrective action and/or policy revisions as applicable.
  • Demonstrate an in-depth knowledge of, and ensure compliance with all local, state and federal laws relating to all the operations of the agency.
  • Interface with Clinical Managers and Corporate Management – provide insight into performance related issues.
  • Participate in delivering orientation, on-boarding and mentoring of new employees.
  • Participate in competency testing for new employees and assist with yearly competency review for nurses.
  • Provide education (both in-house and in-field) to staff and/or branch for Performance Improvement.
  • Develop and conduct CE programs for clinicians and referral sources.

Requirements

Experience:
  • One year of quality improvement experience in a home health setting.
  • Two years of home health experience.

Skills:
  • Ability to establish and maintain effective working relationships with all segments of the staff, and the Agency leadership team.
  • Ability to guide staff towards excellence in patient care.
  • Shall be able to read, write and comprehend English.
  • Ability to travel to all Agency locations.
  • Knowledge of Word, Excel, PowerPoint, Outlook. Kinnser knowledge preferred.

Education:
  • Graduate of an accredited college/school of nursing is required.

Licensure/Certification:
  • Current driver’s license in good standing. It is the responsibility of the employee to renew their driver’s license before it expires in order to continue employment.
  • Current and unencumbered State professional RN license.

Physical Requirements:
  • Prolonged sitting required.
  • Ability to handle stressful situations in a calm and courteous manner at all times.
  • Requires working under some stressful conditions to meet deadlines and Agency needs.

Environmental/Working Conditions:
  • Works in a routine office environment.
  • Ability to work a flexible schedule and extended hours, as needed.
  • Some exposure to unpleasant weather.
  • Ability to travel.
  • Field Mentor will require home visits, which may include climbing up and down stairs and will require performing necessary physical tasks in providing patient care.

Machinery/Tools/Equipment Requirements:
  • Reliable transportation and auto liability insurance