What are the responsibilities and job description for the Performance Improvement/Quality Assurance Coordinator position at Well Care, LLC?
Works under the supervision of the Vice President, Compliance and Quality. Analyzes clinical documentation from various service lines to ensure that it meets clinical practice and regulatory standards of care. Participates in the development of recommended action plans. Participate in the development of agency audit planning and agency risk assessment. Facilitates ongoing activities to meet accreditation standards and regulatory guidelines. Analyzes performance improvement, infection surveillance, risk management and outcome data. Facilitates ongoing activities to meet accreditation standards and regulatory guidelines. Performs other duties as assigned.
PRIMARY JOB DUTIES
1. Analyzes clinical quality of care provided through completion of focused monthly audits.
2. Analyzes agencies level of regulatory compliance through completion of focused monthly audits.
3. Analyzes agencies compliance and performance improvement opportunities with financial standards through completion of focused monthly audits, tracking/trending of incidents and concerns, review of outcomes data and infection surveillance.
4. Participates in performance improvement activities by collaborating with clinical operations teams regarding audit findings, investigation of incidents and concerns, outcome review and assisting in development of corrective action plans.
5. Assists in performing focused audits as needed to ensure compliance and clinical initiatives are effective.
6. Facilitates activities to meet accreditation standards and regulatory guidelines.
7. Organizes and performs work effectively and efficiently.
8. Maintains and adjusts schedule to enhance agency performance.
9. Demonstrates a daily commitment to the mission and guiding principles of the agency.
10. Demonstrates positive interpersonal relations in dealing with all members of the agency
JOB SPECIFICATIONS
1. Education: Graduate from an accredited or approved school of nursing. Graduate of Physical Therapy program from an accredited university. Bachelor’s degree preferred.
2. Licensure / Certifications: Current license to practice professional Nursing, Physical Therapy or Occupational Therapy in the State you reside in.
3. Experience: Minimum of 2 years clinical experience and at least 1 year home health experience preferred. Experience within a compliance role that includes review/auditing of documentation is preferred. Prior experiences that would encompass clinical, teaching, and supervisory practice within a nursing service organization is preferred.
4. Essential Technical / Motor Skills: Current knowledge of fundamental medical-surgical, home care, hospice and home health nursing principles and practice. Knowledge of the principles of adult learning. Knowledge of standards of medical record keeping. Ability to speak clearly and effectively before small and large groups. Ability to communicate, both orally and in writing, and be literate in the English language. Able to utilize PC for reports and ability to work in MS Office required. Experience with and expertise with Excel preferred.
5. Interpersonal Skills: Excellent interpersonal skills including the ability to interact and communicate in a professional and tactful manner with coworkers, physicians, patients and families and the general public.
6. Essential Physical Requirements: Ability to stand or sit for extended periods of time when orienting/training. Requires ability to stoop or kneel, bend, lift, push, reach with hands/arms when supervising-precepting staff in patient care activities, or providing direct patient care.
7. Essential Mental Abilities: Ability to analyze data to identify staff and agency learning needs. Ability to systematically assess, plan, implement, and evaluate clinical practice and regulatory compliance activities. Ability to teach staff of varying educational backgrounds. Demonstrate long-and short-term memory. High level problem solving and reasoning skills to assist staff in patient care planning and problem resolution. Able to prioritize duties, learn new skills and use supportive services appropriately. Ability to act and think independently to provide solutions to complex clinical, legal and regulatory problems.
8. Essential Sensory Requirements: Ability to use sight to assess, plan implement and evaluate patient care activities. Ability to use hearing to communicate with staff and patients and to auscultate lung sounds, bowel sounds, hear alarms, etc.
9. Exposure to Hazards: Noise, potential exposure to blood and blood borne pathogens, body fluids, sharps, and infectious diseases. May be exposed to dangerous animals and traffic hazards while home visiting. May encounter patients and other situations which present a potential threat to personal safety. May encounter temperature changes and weather extremes.
10. Hours of Work: Flexible Monday - Friday, weekends and holidays as needed. Occasional need for flexible hours to meet needs of staff and the department. Able to rotate administrative call and respond to assist as needed while on administrative call.
11. Must have a valid North Carolina driver’s license and an operational vehicle.
