Demo

Quality Assurance RN

OL Papéis
Valencia, PA Full Time
POSTED ON 1/16/2025
AVAILABLE BEFORE 2/12/2025
Concordia Visiting Nurses is a Medicare-certified, state licensed, Medicaid approved home health agency operating in nine Western Pennsylvania counties. For well over a decade, Concordia Visiting Nurses has provided high-quality skilled nursing, palliative care, and a variety of therapy services to our patients. Our goal is to deliver quality home health services, in good faith, to those who entrust themselves to our care and to minister to the unique needs of each individual with respect, dignity, and compassion. We strive to hire excellent people at Concordia - and keep them as well!

Concordia Visiting Nurses is seeking a Quality Assurance RN for a full-time position which will report into our administrative office in Valencia, PA.

The Quality Assurance Nurse RN coordinates, monitors, and evaluates quality outcomes, HHCAHPs, survey results, Care Compare, and OASIS clinical data, maintaining compliance with all regulatory OASIS requirements. The Clinical Quality Review Coordinator uses communication and the resources available to promote quality, cost-effective outcomes to support the continuum of care to all patients served.

WHY YOU SHOULD APPLY For Quality Assurance RN Position

  • Competitive pay
  • 403B, with employer match, plus discretionary contribution
  • Health, Vision, and Dental
  • Paid Time Off
  • Employee Discount
  • Outstanding Referral Program
  • Fun, positive work environment
  • Work for an Organization that is faith based, financially stable, and a continuum of growth

QUALIFICATIONS For The Quality Assurance RN Position

  • Registered professional nurse with a current valid Pennsylvania license.
  • Minimum of five [5] years of current experience as a professional nurse in home health care preferred
  • Knowledge base of agency policies, federal and state regulations and third-party payers
  • Exhibits strong organizational, communication and interpersonal skills
  • Experienced with electronic health records software and Microsoft Office

DUTIES AND RESPONSIBILITES For The Quality Assurance RN

  • Performs random reviews of patient records for documentation compliance and completeness
  • Performs random audits to assure the agency is in compliance with all regulations related to home health care
  • Performs audits to assure that patients receive appropriate level of care services and appropriate utilization of those services
  • Conducts/Participates in Quarterly Record Review Committee meetings that include review of records, and minutes of meetings. Incorporates all information from offices into the minutes
  • Quality assurance activities related to infection control/surveillance for patients and employees, incident reports, patient concerns, suspected abuse/neglect (reportable events) corporate compliance, and emergency preparedness.
  • Respond to all Additional Development Requests [ADRs] from the Center of Medicare and Medicaid Services [CMS] or any other external audit request.
  • Send requests for Medicare appeals for reconsiderations, reviews, and hearings for the agencies.
  • Active member of the Compliance and Safety Committees for Concordia Visiting Nurses.
  • Participates in quarterly corporate compliance meetings.Assist with the development and updating of the annual agency emergency preparedness plan and participate in the annual hazards vulnerability assessment and ensuring completion of all annual training and testing.
  • Provide training and in-services for staff, as needed
  • Communicates all CMS updates to the staffAssist with orientation of staff in regards to Medicare requirements, PPS, OASIS, documentation requirements, etc.
  • Development of new forms and revision of agency forms, as needed
  • Provides back up to the Clinical Supervisor for the review of Plans of Care for accuracy, completeness, and signs the 485 before submitted to the physician for signature, if needed.
  • Provides additional education to staff as indicated

Benefits

Health/Dental/Vision Insurance

Workplace Wellness

403(b) Retirement Plan

Paid Life Insurance Policy

Direct Deposit

Tuition Reimbursement Program

Vacation/PTO

Paid Holidays

Competitive Wages

Referral Program

Seniority/Appreciation Bonuses

Funeral Leave

Voluntary Benefits

Employee Assistance Program

EOE

Benefits and Wages may vary based on location.

Minimum hours worked per week/status may be required for certain benefit eligibility.

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