QAPI Nursing Specialist Home Health and Hospice Job at Newport Square Professional Center
Newport News, Virginia
Overview
The Home Health Quality Assurance and Performance Improvement (QAPI) Specialist, works under the direction of the Home Health Quality Manager, and promotes compliance with all operational processes that impact agency outcomes including clinical, quality, and revenue cycle management in alignment with regulations by reviewing and reporting on findings to program leaders in order to mitigate risk and maintain high-quality services. The QAPI specialist monitors for any relevant changes to regulations that impact Home Health, Is the OASIS and documentation integrity subject matter expert throughout our home health service line. Performs audits on documentation to validate the accuracy of OASIS Data, plan of care content, skilled need, face-to-face regulations, compliance with CoPs, and re-certification. Will manage workflow within the EMR system. Will communicate regularly with the multi-disciplinary team regarding audit outcomes and will provide mentor-ship to drive changes. Understands and applies quality standards to all aspects of the documentation integrity program. Provides support and expertise for creating compliance focused action plans. Will participate in the accreditation processes for the agency and will support the maintenance of a state of readiness.
What you will do
Qualifications
Education
Experience
Licenses and Certifications
For over 100 years, at Riverside Health System, we have made it our mission to care for others as we would care for those we love.
Overview
The Home Health Quality Assurance and Performance Improvement (QAPI) Specialist, works under the direction of the Home Health Quality Manager, and promotes compliance with all operational processes that impact agency outcomes including clinical, quality, and revenue cycle management in alignment with regulations by reviewing and reporting on findings to program leaders in order to mitigate risk and maintain high-quality services. The QAPI specialist monitors for any relevant changes to regulations that impact Home Health, Is the OASIS and documentation integrity subject matter expert throughout our home health service line. Performs audits on documentation to validate the accuracy of OASIS Data, plan of care content, skilled need, face-to-face regulations, compliance with CoPs, and re-certification. Will manage workflow within the EMR system. Will communicate regularly with the multi-disciplinary team regarding audit outcomes and will provide mentor-ship to drive changes. Understands and applies quality standards to all aspects of the documentation integrity program. Provides support and expertise for creating compliance focused action plans. Will participate in the accreditation processes for the agency and will support the maintenance of a state of readiness.
What you will do
- Ensures OASIS and other clinical documentation is complete, thorough, accurate and demonstrates documentation integrity that is aligned with state and federal regulations. Updates guidelines for OASIS and other programs and relays this information to staff.
- Ensures that company- wide & agency specific quality assurance and control processes, and activities, are in place and being maintained. Conducts Clinical Record Reviews and completes required reporting tools within designated time frames.
- Participates in the development of and conducts follow-up audits as a result of internal review findings. Evaluates clinical documentation to ensure professional standards of practice, regulatory compliance, and reimbursement standards are met. Identifies areas for improvement/training. Participates in maintaining survey and accreditation preparedness, including the performance of mock surveys.
- Serves as a resource to employees. Provides support to staff and leadership regarding patient care, OASIS completion, clinical documentation, and regulatory compliance requirements. Assists with additional staff training identified through quality/regulatory compliance activities as recommended by management team.
Qualifications
Education
- , Registered Nurse (Required)
- Bachelors Degree, Nursing (Preferred)
Experience
- 1-3 years Quality Assurance (Preferred)
- 1-3 years Healthcare, Medical, Personal/Home Care Aide (Preferred)
Licenses and Certifications
- Registered Nurse (RN) - Virginia Department of Health Professions (Required)
- CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) (Required)
- Driver's License (Required)
As a Riverside Health System team member, our benefits have you covered:
Health & Wellness:
- Medical Plan Options
- Vision and Dental plans (including orthodontic care)
- Wellness & fitness center discounts
- Onsite pharmacy and delivery options
- Riverside Health System services discount
- Flexible spending and savings accounts
- Healthy lifestyle incentives
Peace of Mind:
- Group Term Life and AD&D Insurance
- Short Term Disability
- Whole Life Insurance
- Critical Illness Insurance
- Accident Insurance
- Legal Insurance
- Pet Insurance
Financial Support:
- Student Loan Repayment Program
- CEUs (MedBridge Education)
- 403(b) Savings Plan (Immediate Matching)
- Specialty Certification Financial Assistance
- Company Wide Bonus Program
- Employee Help Fund
Work-Life Balance:
- Paid Time Off (full- and part-time team members)
- Extended illness bank
- Care.com membership
- Employee Assistance Program
- Adoption Assistance
- Area retail discounts
- Community involvement opportunities
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