QAPI and Regulatory Compliance RN

ZipRecruiter; Minneapolis (MN); On-site; USD 80,000 - 100,000; Full time

Job summary

A healthcare provider is seeking a QAPI and Regulatory Compliance RN responsible for ensuring compliance with relevant healthcare standards. Key duties include reviewing documentation, developing corrective plans, and educating staff on hospice regulations. Ideal candidates will be licensed RNs with hospice experience and strong communication skills. Travel required to various agencies as needed.

Qualifications

• Registered nurse with current licensure to practice nursing in the state.
• Previous experience in hospice setting preferred.
• Demonstrates understanding of hospice philosophy and issues surrounding death/dying.
• Maintains current CPR certification.

Responsibilities

• Review documentation to identify compliance issues and communicate findings.
• Track and trend information for QAPI.
• Develop Plans of Correction and performance improvement plans.
• Perform chart audits as needed.
• Educate staff on compliance and hospice regulations.
• Assist with compliance-related projects and committees.

Skills

Registered nurse with current licensure

Excellent observation skills

Verbal communication skills

Written communication skills

Ability to travel up to 100% of the time

Familiar with hospice regulations

Understanding of the hospice QAPI process

Attention to detail

Education

Graduate of accredited school of nursing

Job description

Overview

Job Description Summary: The QAPI and Regulatory Compliance RN is responsible for QAPI process for assigned agencies. The QAPI and Regulatory Compliance RN is responsible for ensuring that assigned offices are complying with the Community Health Accreditation Partner (CHAP) standards, Center for Medicare and Medicaid Services (CMS) conditions of participation and other regulatory licensures requirements.

Responsibilities

• Review documentation to identify areas which may have fallen out of compliance and communicates findings and recommendations to Clinical Manager and hospice personnel.
• Tracks and trends information for QAPI (Quality Assurance Performance Improvement)
• Develops Plan of Correction and/or PIP (performance improvement plan) to bring area to compliance.
• Performs chart audits as a written into plan of correction and/or PIP.
• Provides education to bring identified areas into compliance.
• Visits offices as directed to observe for regulatory compliance.
• Assists Regional Director of Compliance and Survey Readiness/Compliance Officer to identify areas of risk and develop plan to bring into compliance.
• Provides education about the QAPI program.
• Prepares and leads quarterly QAPI meetings for each assigned agency.
• Assists with policy maintenance and revisions as assigned.
• Provides education, guidance, and assistance on the Emergency Preparedness Program to agency leadership.
• Assists with committees, meetings, and team projects relevant to regulatory compliance as well as department/intra-department problem-solving.
• Assists in the of new employees.
• Demonstrates understanding of HIPAA requirements with respect to contract reviews, Information related policies and operations for the organization.
• Assists Regional Director of Clinical Operations and other supervisory hospice personnel in the planning, implementation, and evaluation of in-service and continuing education programs.
• Assists agency leadership which may include, but not limited to, preparing for survey, staff and education, assisting with office clinical operations, conducting patient visits, assisting in covering On Call, as requested.
• Complies with accepted professional standards and principles.
• Assesses learning needs of all hospice personnel. Plans and provides education in conjunction with Regional Director of Clinical Operations and other hospice leadership.
• Assists in developing and writing processes.
• Assists on other projects and committees.
• Travel to various assigned agencies. The amount of travel and length of travel will vary by agency need.
• Performs other duties and activities as delegated by the Regional Director of Compliance and Survey Readiness/Compliance Officer.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Position Qualifications

• Registered nurse with current licensure to practice professional nursing in the state.
• Willing to pursue licensure in all states Moments Hospice operates within.
• Graduate of accredited school of nursing.
• Previous experience in hospice setting. Proven ability to work within an interdisciplinary setting.
• Familiar with Hospice regulations.
• Complies with accepted professional standards and practice.
• Understands hospice philosophy and issues of death/dying.
• Understands principles of pain/symptom management.
• Complies and maintains current CPR certification.
• Demonstrates excellent observation, verbal, and written communication skills.
• Ability to Travel up to 100% of the time.
• Understanding of the hospice QAPI process.
• Attention to detail