Demo

RN Quality Assurance Specialist

Star Care Hospice
Odessa, TX Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 5/29/2025

Salary : $75,000 - $85,000 per year depending on experience

Location : Odessa, TX

Position Summary : Primary function is to oversee quality improvement program based on agency policies and procedures.

Essential Functions

  • Conduct comprehensive clinical record reviews for clinical notes / charting, starts of care, resumptions, recertifications, and discharges for Home Health to ensure Home Health eligibility per CMS standards.
  • Conduct comprehensive clinical record reviews for clinical notes / charting, starts of care, resumptions, recertifications, and discharges for Hospice to ensure Hospice eligibility per CMS standards.
  • Ensure OASIS assessments accurately reflect patients' current health status to improve outcomes, star ratings, VBP.
  • Perform ongoing patient chart audits to identify and resolve documentation discrepancies and collaborate with the team to implement improvement.
  • Collaborate with the team to develop ongoing educational programs that improve documentation quality and compliance.
  • Maintain proficiency in CMS and industry best practices for OASIS standards, coding, PDGM.
  • Development of QAPI quarterly reports and on-going Quality compliance program.
  • Conduct remote mock surveys for all sites to ensure survey readiness for Home Health, Hospice and PCS.
  • Responsible for conducting an ongoing comprehensive and integrated Agency assessment of the quality and appropriateness of the care provided, including services provided under arrangement
  • Demonstrates an in-depth knowledge of, and ensures compliance with, all local, state, and federal laws relating to the operations of the Agency.

Other Related Functions

  • Monitors and review all documentation submitted to clinical record for Home Health and Hospice for compliance.
  • Responsible for staying up to date with ongoing CMS updates for Oasis, VBP, Outcomes, HIS and HOPE updates, Casper reports, Star Ratings.
  • Multistate knowledge of federal and state regulations for Texas and New Mexico.
  • Utilize BI tool and identify trends to improve overall clinical compliance.
  • Requirements

    Experience

  • At least three (3) years of clinical nursing experience required (Home Health and Hospice preferred).
  • Candidates must have at least three (3) years of QAPI experience in Home Health and Hospice.
  • Education / Training

  • Graduate of an approved school of professional nursing, with current licensure in the practicing state(s).
  • Proficiency in QAPI, documentation, time management, and organizational skills.
  • Experience with Axxess software or similar software is highly preferred.
  • OASIS certification and Oasis coding is highly desirable.
  • Experience with quality compliance program, VBP, outcome measures, star ratings.
  • Knowledge of Hospice HIS / HOPE measures for improvement.
  • Licensure / Certification

  • TX and / or NM nursing license.
  • Salary : $75,000 - $85,000

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