Manager of Quality and Performance Improvement - RN

Regional Hospice And Home Care Of W; Mill Plain (CT); On-site; USD 90,000 - 120,000; Full time

Job summary

Regional Hospice And Home Care Of W is seeking an experienced Registered Nurse to lead the clinical quality assessment and performance improvement program in hospice and home care settings. You will develop, implement, and maintain data-driven processes to improve patient outcomes and safety.

The role requires an active CT RN license, a BSN, and at least ten years of nursing experience with five in hospice.

Qualifications

• Active Connecticut RN license.
• Baccalaureate degree in nursing; Master's degree preferred.
• Ten years of nursing experience, five in hospice.
• Knowledge of QA/PI activities, HQRP and COPs.

Responsibilities

• Develop, implement and maintain a data-driven clinical quality assessment and performance improvement program.
• Review and oversee clinical documentation for quality and compliance with COPs and state regulations.
• Coordinate QAPI activities including 120-Day Report, Quarterly Record Review, HQRP reporting.
• Oversee timeliness/completeness of Plans of Care/Treatment and ensure documentation and coding consistency across records.
• Abstract information and run QAPI reports; analyze findings and report to management.
• Identify and develop Performance Improvement Plans based on outcomes and agency needs.

Skills

Quality assurance

Performance improvement

Regulatory compliance

Data analysis

Leadership in nursing

Medical record review

Education

Baccalaureate degree in nursing

Master's degree preferred

Job description

This position has the responsibility of developing, implementing and maintaining an effective, ongoing,, data-driven clinical quality assessment and performance improvement program. The focus is on indicators related to improving clinical outcomes measured for patient/family care, and activities that impact patient health and safety.Responsible for ongoing review and oversight of clinical documentation ensuring quality of care and compliance with Conditions of Participation, state regulations/ licensing requirements and local coverage determinations.Assists with completing Quality Assurance and Performance Improvement (QAPI) activities which may including the 120-Day Report, Quarterly Record Review and QAPI initiatives for inpatient and home hospice settings in coordination.Oversees the timeliness and completeness of Plans of Care/ Treatment and assures that documentation and coding is consistent and supported across the record including visit notes, certificate of terminal illness, face to face, and referral.Monitors accuracy of ICD-10 coding, determination of terminal illness relatedness and choice of applicable comorbidities.Responsible for oversight of the quarterly medical record review, analysis of findings and identification of areas for improvement. Abstracts information and runs QAPI reports utilizing tools that measure and analyze compliance and reports findings to management.Responsible for Hospice Quality Reporting Program (HQRP) outcome data, utilizing findings for quality improvement efforts.Identifies, develops and monitors Performance Improvement Plans (PIP) based on outcome analysis, industry changes and agency opportunities/needs.QualificationsA current license to practice as a Registered Nurse in the State of ConnecticutBaccalaureate degree in nursing (Master's degree preferred).A minimum of ten years’ clinical experience in nursing, at least five years of which were in a hospice agency.Knowledge of quality assurance performance improvement activitiesKnowledge of Medicare Hospice COPs and State of Connecticut regulations