Lead Packet Review Quality Improvement Specialist – Home Health
| Company | Traditions Health |
|---|---|
| Location | Nashville, TN, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Mid Level, Senior |
Requirements
- Current and unencumbered Registered Nurse License
- RN License required
- Three (3) years’ experience as a Registered Nurse with at least one year of direct patient care in the home health setting experience required
- One year supervisory/management preferred
- At least two (2) years of home health experience preferred
- Oasis Certification preferred
- Knowledge of home health operational standards
- Active knowledge of quality measurements in relation to homecare, including Medicare Star Ratings
- Able to assess patient status and identify requirements relative to age-specific needs
- Demonstrates knowledge of CMS and state regulations that apply to home health, and all other regulatory requirements
- Knowledge and proficiency of OASIS assessment
- Demonstrates understanding of visit utilization and planning accuracy correlates to billing and financial outcomes
- Effective communication to support collaboration with agency team members and leadership
- Must be familiar with the general use and functions of the computer
- Ability to self-manage online training programs and other applications
Responsibilities
- Responsible for maintaining monthly productivity reports
- Responsible for reporting on OASIS completion rates
- Provides guidance, support and motivation to PERQI team members, fostering a positive and productive work environment
- Delegate PERQI tasks and responsibilities to meet deadlines
- Monitor team performance to ensure productivity and quality standards are met
- Review Start of Care, Resumption of Care, Recertification, and Discharge assessments
- Process OASIS-related workflow in the electronic medical record
- Review and correction of: 485, ROC order, SCIC order
- Review and resolution of SHP alert for all assessments
- Review of Discharge outcomes
- Coordination and communication/education with assessing clinician for identified issues within the assessment and/or plan of care or order and follow through to completion
- Coordination and communication with Executive Director, Branch Director and/or Clinical Team Leader (DCS/CTL) for identified issues and trends per clinician
- Actively participate in Patient Care Conference to provide feedback regarding trends, opportunities and improvements
- Provides education based on this information
- Annual completion of OASIS training courses as designated by the Professional Development Department
- Assists with and coordinates training of appropriate staff to ensure quality care, compliance, and fiscal responsibility
- Participates in branch quality assurance activities designed to improve documentation and OASIS outcome-based measures
- Maintains clinical expertise through continuing education opportunities and retraining
- Uses knowledge, experience, and other resources as necessary to make logical decisions and solve problems
- Act and enforce rules; have conversations with others about issues when necessary
- Adheres to company infection control and safety policies, including reporting issues related to infection control and safety, and demonstrates use of infection control and safety policies in job positions
- Recognizes when others need information, assistance or direction and offers/provides help
- Works toward resolution of interpersonal conflicts as they arise
- Demonstrates respect, patience and understanding in interactions with others
- Assists in orientation of new personnel
Preferred Qualifications
- One year supervisory/management preferred
- At least two (2) years of home health experience preferred
- Oasis Certification preferred