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Director of Quality Assurance and Education

Brockton Visiting Nurse Association
Brockton, MA Full Time
POSTED ON 1/15/2025
AVAILABLE BEFORE 4/7/2025

TITLE : QUALITY ASSURANCE AND EDUCATION MANAGER

Find out more about the daily tasks, overall responsibilities, and required experience for this opportunity by scrolling down now.

REPORTS TO : VICE PRESIDENT – CLINICAL SERVICES

POSITION SUMMARY :

The Quality Assurance and Education Director (QAED) is responsible for the continuing improvement of clinical operations and education for all BVNA clinical staff. The QAED directs all coding and processes for medical records activities. The QAED manages and directs the Coding and Medical Records teams and directs the Value-based purchasing and STAR programs. Adheres to all BVNA policies including but not limited to the Confidentiality Agreement, Personnel Policies, Clinical Policies and Procedures, HIPAA Privacy / Security and WISP. Adopts the Lean Healthcare philosophy to implement the Lean tools and Lean Management.

RESPONSIBILITIES :

  • Reviews, updates and educates staff on policies, procedures and guidelines.
  • Establishes and maintains Risk Management Program inclusive of Infection Control, Client Concerns and Patient Occurrences. Meets quarterly to analyze the data and to determine if educational programs need to be put into place.
  • Creates patient satisfaction and quality outcome dashboards and reports for internal use.
  • Prepares and transmits all Hospice’s HIS records on a weekly basis.
  • Researches clinical programs and trends.
  • Manages Clinical Coders who review : Start of Care, Resumption of Care, Recertification, Discharge OASIS and Transfer OASIS.
  • Responsible for ADR / appeals processes and responds to Medicare medical review requests.
  • Monitors CASPER Reports, Home Health Compare, HH-CAHPS, and SHP for benchmarking scores.
  • Monitors clinical staff in the accurate completion of the OASIS and supportive documentation at all time points, through the Coding staff.
  • Develops orientation plans for new staff with input of supervising managers in a collaborative manner with goal of developing a competent, but not yet proficient, staff members.
  • Responsible for creating and developing, coordinating and scheduling trainings for BVNA employees to include, but are not limited to community health, case management, interviewing / assessment, disease process, treatment, medication, infection control, documentation skills, EMR competency, etc.

QUALIFICATIONS :

  • Physical Therapist, SLP or Registered Nurse, currently licensed and registered to practice in MA
  • Baccalaureate degree, Masters preferred
  • Three to five years’ experience in a Certified HHA in either Performance Improvement or Quality Assurance
  • Ability to function autonomously and to work well with others
  • Flexibility
  • Proficiency in OASIS accuracy and ICD-9 (10) coding
  • Computer skills, Excel, PowerPoint, EMR
  • Knowledge re : COPs and other regulations including payer requirements
  • Brockton VNA is an equal opportunity employer.

    Job Type : Full-time

    Pay : From $47.00 per hour

    Expected hours : 37.5 per week

    Benefits :

  • Employee assistance program
  • Flexible spending account
  • Health savings account
  • Retirement plan
  • Tuition reimbursement
  • Schedule :

  • 8 hour shift
  • Monday to Friday
  • Work Location : In person

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    Salary : $47

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