Lead Packet Review Quality Improvement Specialist - Home Health

Job Qualifications

Education:

• Current and unencumbered Registered Nurse License

Licensure/Certifications:

• RN License required

Experience:

• 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 and Skills:

• 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.

Environmental and Working Conditions:

• Prolonged periods of sitting at a desk and working on a computer/laptop

• Must be able to lift to 50 pounds at times.

• Ability to work a flexible schedule with extended hours.

• Ability to travel nationally.

Physical and Mental Effort:

• Must be able to work under stressful conditions and time constraints of the agency or projects.

• Capable of gathering and analyzing branch data.

• Ability to prioritize and multitask assignments.

Essential Functions:

• 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

Equal Employment Opportunity:

Traditions Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination of any kind based on race, color, sexual orientation, national origin, disability, genetic information, pregnancy or any other legally protected characteristic.