Job DescriptionJob Summary:
Coordinates the ongoing development and implementation of organization wide quality improvement activities. Collaborates with Home Health leadership, staff, and information systems in facilitating specific job activities to achieve organizational goals. Assists in the coordination of studies performed within the Quality Assurance program and prepare reports as required.
Job Requirements:
Education and Work Experience:
- Bachelor's Degree in Nursing (BSN): Preferred
- Experience in Home Health: Required
Licenses/Certifications:
- Registered Nurse (RN) licensure in the state of practice: Required
Essential Functions:
- Prepares first level analytical and statistical reports for the department. Maintains information systems and report results regularly to the department director and appropriate leadership and staff. Assists with the maintenance of the company's quality assurance program and identifies opportunities to improve patient care within the center.
- Conducts concurrent and retrospective chart audits and data extraction and focused studies as assigned. Assists in the planning, organization and direction of Quality Assurance programs and related activities. Develops and maintains a calendar of chart review activities, including focus studies. Ensures chart reviews are timely, accurate, and meet all data requirements for CHAP, CMS, Medical Staff and the Board Quality Council and Governing Board.
- Is responsible to perform initial screening and analysis of reported events, conduct data abstraction, and assist in facilitating meaningful Medical Staff case review documentation.
- Monitors compliance with both internal standards and regulatory requirements and makes recommendations for the adjustment of company programs accordingly. Works with QA Director to help implements appropriate plans of action to correct identified deficiencies as needed.
- Identifies peer review cases through internal and external sources as appropriate. Collaborates in planning, implementing, and evaluating department activities. Assists Department Heads and staff in the evaluation of programs and effect changes as necessary to improve programs and assure compliance with regulatory requirements.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
