Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare

Hartford HealthCare; Mansfield Center (CT); On-site; USD 85,000 - 115,000; Full time

Job summary

Hartford HealthCare seeks a QAPI Specialist to advance clinical documentation and outcomes through data‑driven quality initiatives. You will compile trends, report quality data across patient care, safety, risk management, infection control, outcomes, and satisfaction, and lead performance improvement plans.

The role requires an Associate of Science Degree with preferred bachelor’s level education and extensive experience in home health quality reporting, OASIS, and coding accuracy.

Qualifications

• Associate of Science Degree required.
• Bachelor’s degree in nursing, PT, OT, SLP, MSW, Health Administration, Management, or related discipline preferred.

Responsibilities

• Promote broad understanding, communication, and collaboration among team members to ensure appropriate use of best practices.
• Participate in the development, implementation, and evaluation of Clinical Quality improvement action plans to improve quality.
• Participate in Agency's QAPI activities, including patient incidents, employee incidents, infection tracking, and quality indicators such as OASIS and patient satisfaction.
• Continuously assess clinical staff compliance as required by internal policies and external standards of performance.
• Assist and coordinate with comprehensive quality improvement, data analysis and reporting.
• Prospectively review OASIS assessments to ensure appropriateness, completeness and compliance with federal and state regulations and organization policy.
• Ensure appropriate ICD‑10 coding and sequencing as it relates to the patient’s medical condition, including any co‑morbidities.
• Develop interventions to impact quality scores.
• Participate in delegated groups and providers on improving quality scores.
• Review corporate indicators data and other comparative data.
• Promote performance improvement plans that are consistent with cultural diversity, healthcare literacy issues and language.
• Perform clinical record audits and provide educational feedback to staff.
• Facilitate the use of evidence‑based guidelines, criteria, and other clinical tools to reduce variation in clinical practice and optimize clinical outcomes.
• Assist agency in meeting all requirements, ensuring compliance in all applicable settings, and managing reliable processes for timely and accurate submissions of required data to proper payors and regulatory bodies.

Skills

Data analysis

Quality improvement

Regulatory compliance

Communication skills

Education

Associate of Science Degree

Bachelor’s degree preferred

Job description

Location

34 Ledgebrook Dr, Mansfield (10179)

Overview

The QAPI Specialist assists agency efforts to improve clinical documentation and outcomes by adopting a systematic, comprehensive, data‑driven approach to maintaining and improving safety and quality. The specialist compiles trends and reports quality data across patient care, safety, risk management, infection control, outcomes, and customer satisfaction and uses audit results to lead the development of performance improvement plans. They provide a variety of responsibilities including process improvement plan development, record reviews, data tracking and analysis, and serve as a regulatory resource for clinical staff. A passion for quality clinical care and a desire to share knowledge with others are essential.

Key Responsibilities

• Promote broad understanding, communication, and collaboration among team members to ensure appropriate use of best practices.
• Participate in the development, implementation, and evaluation of Clinical Quality improvement action plans to improve quality.
• Participate in Agency's QAPI activities, including but not limited to patient incidents, employee incidents, infection tracking, and quality indicators such as OASIS and patient satisfaction.
• Continuously assess clinical staff compliance as required by internal policies and external standards of performance.
• Assist and coordinate with comprehensive quality improvement, data analysis and reporting.
• Prospectively review OASIS assessments to ensure appropriateness, completeness and compliance with federal and state regulations and organization policy.
• Ensure appropriate ICD‑10 coding and sequencing as it relates to the patient’s medical condition, including any co‑morbidities.
• Develop interventions to impact quality scores.
• Participate in delegated groups and providers on improving quality scores.
• Review corporate indicators data and other comparative data.
• Promote performance improvement plans that are consistent with cultural diversity, healthcare literacy issues and language.
• Perform clinical record audits and provide educational feedback to staff.
• Facilitate the use of evidence‑based guidelines, criteria, and other clinical tools to reduce variation in clinical practice and optimize clinical outcomes.
• Assist agency in meeting all requirements, ensuring compliance in all applicable settings, and managing reliable processes for timely and accurate submissions of required data to proper payors and regulatory bodies.

Qualifications

Associate of Science Degree required. Bachelor’s degree in nursing, PT, OT, SLP, MSW, Health Administration, Management, or related discipline preferred.

Experience

• Three years of certified home health experience required.
• Value Based Purchasing, PDGM, CAHPS preferred.
• Licensure, certification, registration: CT licensure in field of specialty.
• Experience providing data analysis and statistical processes in quality reporting.
• Ability to design and develop performance measures.
• Experience providing education.
• Experience facilitating PI teams using quality improvement methodology.
• Effective communication both verbally and in writing.
• Willingness to travel to branches (regions) as needed; travel within the United States may be necessary.
• Knowledge of federal and state regulatory requirements.
• Excellent written and verbal communication skills.
• Adherence to Hartford Healthcare Leadership Behaviors and Core Values.