The PCS Process Specialist is responsible for assisting in planning, organizing, and implementing quality management and care delivery. Ensures compliance with state, federal and accreditation standards. This position promotes commitment to the corporate and subsidiary standards, policies, and procedures. The position assists in the monitoring of processes and the establishment of procedures, to reduce identified problem areas; in clinical standardization for effective and appropriate reimbursement practices for AccentCare PCS, works with corporate staff, agency personnel and reimbursement personnel to assure consistent performance of practice across the division. Advises or recommends solutions, utilizing knowledge of theory, principles or technology.
AccentCare, Inc. will make reasonable accommodations to "otherwise qualified individuals."
MAIN DUTIES AND RESPONSIBILITIES (Essential Functions of the Position):
- Provides leadership and support within the assigned areas of responsibility.
- Assists agencies in maintaining standardized procedures that provide for an independent, impartial, and objective system of surveys, quality audits and reviews for use by the Operations and AccentCare mangers as appropriate.
- Assist in developing standardized, pro-active survey, quality audit, and review procedures, data collection tools and reporting and follow-up processes for standard surveys and reviews.
- Identifies strengths and weaknesses and learning opportunities based on audit outcomes.
- Participates with corporate staff in the development of new programs, policies and training material.
- Promotes adherence to applicable legal requirements, standards, policies and procedures.
- Promotes interdisciplinary approach to holistic care.
- Develops and implements effective and efficient quality and business management systems.
- Instructs and directs staff in developing and utilizing QI data, collections procedures, analysis, methods and systems.
- Recommends new or improved organizational systems through the quality improvement approach.
- Serves as liaison between state regulators, offices and corporate staff.
- Serves as a resource for locations and identifies corporate resources and support for agency staff.
- Instructs agency personnel regarding compliance standards and best practices in the generation of appropriate, accurate and thorough documentation of client care.
- Develops all necessary training programs, training materials and implementation schedules to meet agency goals.
- Determines best metrics for evaluating success (in preparation for audit and ongoing agency performance) and follow -up schedule.
- Assists agencies in developing quality plans to effectively facilitate change and compliance with company and accreditation standards and state and federal regulations.
- Anticipates and adjusts for problems and roadblocks.
- Coordinates services with Administrators, Directors, RVP’s and VP.
- Builds and maintains appropriate relationships and communication with staff, co-workers and management
- Able to work effectively with and through corporate support teams; agency staff; peer groups; community resources; and local and state associations.
- Fosters a climate which encourages employees to bring forth issues without fear of retaliation.
- Gives prompt attention to customer needs
- Communicates consistently and effectively to include trends and outcomes from follow-up
- Properly reports concerns and suspected incidences of non-compliance.
- Completes all assigned tasks in a timely manner.
- Ensures timely and accurate reporting and responses to compliance-related issues and assists monitoring the implementation of corrective action plans related to such issues.
- Participates in divisional Quality Management and improvement meetings.
- Complies with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards.
- Maintains a commitment to the values and mission of Accent Care.
- Bachelor’s degree required.
- Minimum 5 years of health care experience
- Minimum 2 years of Hospice, PCS, Medical Home Care and or Home Health experience
- Computer literate: working knowledge of Microsoft Office ( Word, Excel, PowerPoint)
- Knowledge of regulatory standards for the home health, PCS, Hospice and or Medical Home Care industry
- Knowledge of Quality Improvement, Utilization Review and Risk Management
- Excellent interpersonal/verbal and written communications skills and demonstrated relationship building skills
- Strong project management skills, with the ability to influence and problem solve
- Flexibility with job location and travel