Director, Clinical Improvement

Role and Responsibilities

Responsible for therapy and clinical record review and planned, systemic assimilation of data, by which the delivery of quality patient care is measured and validated. Requires collaboration with the Chief Nursing Officer, CHHA Regional Directors, and Clinical Leadership Team, to report identified trends and collaborate on process improvement plans.

Essential Functions

• In collaboration with the Chief Nursing Officer, CHHA Regional Directors, and Clinical Leadership Team, identify OBQI areas of improvement utilizing reports from HCHB, SHP, and Corridor. Areas of focus will include star ratings for both quality of care and patient satisfaction.
• Act as a resource/support for field staff pertaining to Therapy issues and/or concerns.
• Minimize clinical turnover, using recruitment and retention best practices.
• Improve Therapy Quality performance, correct rate improvement using OASIS.
• Decrease Therapy LUPA rates across the footprint.
• Utilize reports from SHP, Corridor, and HCHB to identify opportunities for focused education for staff members with noted performance issues.
• Audit clinical records to identify trends/areas of improvement in processes and documentation.
• Collaborate with various departments to create and implement process improvement plans.
• Develop and deliver education to Clinical/Therapy staff regarding new/changed processes.
• Assist Clinical Educators with providing OASIS and plan of care development education.
• Coordinate efforts of HCR Directors from all regions to resolve problems and drive process changes and efficiencies within CFSS and Therapy roles.
• Consult with local and remote leaders to define, document, analyze and support quality related performance.
• Collaborate with various departments including Clinical and IT, to evaluate HCHB clinical pathways and ensure ongoing alignment with efficient, best-practice standards.
• Identify areas involving lost revenue resulting from rejected claims and provide follow-up education pertaining to service eligibility and clinical documentation standards.
• Serve as liaison between referral resources, patients, caregivers, and employees.
• Other duties as assigned.

This job description reflects management’s assignment of essential functions; and nothing in this herein restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Education Requirements

• Bachelor’s degree required.
• Master’s or Doctorate degree preferred.

Qualifications and Requirements

• Current, valid licensure as Registered Professional Nurse, Physical Therapist, or Occupational Therapist issued by NYS Department of Education required.
• Five (5) years of experience in the health care industry, with a minimum of three (3) years of experience in home health care setting.
• Understands issues related to the delivery of home health services and is able to problem-solve effectively.
• Possesses knowledge of the Medicare guidelines governing home health agencies.
• Provides effective customer service, including communicating with employees from various departments and satisfactorily resolving issues.
• Capable of maintaining positive relationships with customers/partners to enhance business outcomes.
• Plans and manages time effectively. Maintains an organized approach to work. Understands the necessity to be organized and plan work accordingly.
• Strong interpersonal, organizational, time management, and written and verbal communication skills.
• Able to work independently and complete work accurately and in a timely fashion.
• Strong computer skills and the ability to use agency’s EMR program.
• Must comply with privacy and HIPAA laws.

Work Environment

The Director, Clinical Improvement is primarily in an office setting and may be exposed to outdoor conditions.

The working conditions are classified as sedentary work:

• Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Physical Requirements

The following is a description of the physical requirements on a daily basis for the Director, Clinical Improvement. While performing the duties of the job the employee is regularly expected to:

• Stand
• Sit
• Hear
• Walk
• Talk
• Stoop or kneel
• Repetitive motion

This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned.

EOE/AA Minority / Female / Disability / Veteran