Employment Type:
Full time
Shift:
Description:
Quality Management Specialist (Home Care & Hospice)
The Quality Management Specialist partners with home care and hospice leaders to drive clinical excellence, regulatory compliance, and continuous quality improvement initiatives. This role supports agency performance through quality monitoring, process improvement, staff education, documentation review, survey readiness, and data-driven performance enhancement.
The ideal candidate is a clinically experienced professional who is passionate about improving patient outcomes, ensuring regulatory compliance, and promoting best practices across home health and hospice operations.
Quality & Performance Improvement
- Lead and support quality assurance, performance improvement (QAPI), and process improvement initiatives.
- Analyze quality data, publicly reported outcomes, patient satisfaction results, and operational metrics to identify opportunities for improvement.
- Develop, implement, and evaluate action plans focused on achieving top-decile outcomes, regulatory compliance, and strategic goals.
- Conduct quality audits, clinical record reviews, and workflow assessments to promote documentation accuracy and patient-centered care.
Regulatory Compliance & Survey Readiness
- Ensure compliance with federal, state, accreditation, and payer requirements.
- Support agency survey readiness efforts and assist with accreditation activities.
- Monitor documentation practices and provide recommendations to strengthen compliance and quality performance.
- Participate in regulatory reviews, payer audits, and corrective action planning as needed.
Education & Clinical Support
- Provide education, mentoring, and consultation to agency leaders and clinical staff regarding quality standards, documentation requirements, and best practices.
- Support ongoing competency development through in-service education and quality-focused training initiatives.
- Serve as a resource for clinical documentation, OASIS accuracy, and quality improvement processes.
Data Reporting & Analysis
- Monitor and report key quality indicators, patient satisfaction scores, and publicly reported outcomes.
- Prepare monthly, quarterly, and annual quality reports and presentations.
- Utilize EMR reporting tools and quality software to identify trends and support continuous improvement initiatives.
Collaboration & Leadership
- Lead organizational quality meetings and participate in interdisciplinary committees.
- Collaborate with agency leadership, clinicians, risk management, infection prevention, and operational teams to achieve organizational goals.