About The Position

POSITION SUMMARY: The Clinical Documentation Quality Specialist is responsible for providing comprehensive training, support, and education to all clinical staff within Home Care and Hospice on documentation practices, CMS mandated assessments such as OASIS (Outcome and Assessment Information Set)/ HOPE), and clinical compliance. This role ensures adherence to all federal, state, and local regulations, including the Conditions of Participation (CoPs) for home care and hospice. The Clinical Documentation Quality Specialist will work closely with the clinical and quality team to enhance their documentation skills, ensure accurate and timely completion of documentation, and maintain the highest standards of clinical practice.

Requirements

  • Associate of Science in Nursing required.
  • State of NJ license or legal permission to work from the NJ Board of Nursing required.
  • CPR certification required.
  • OASIS Certification or Hospice Certification required within one year of hire.
  • Minimum of 2 years of experience in home care or hospice setting.
  • Demonstrated expertise in clinical documentation, OASIS/HOPE, and regulatory compliance.
  • Computer and keyboard skills required, including PowerPoint, Excel and Word.
  • Excellent oral and written communication and presentation skills
  • Attention to detail
  • Effective time management skills
  • Critical thinking and problem-solving skills
  • Multitasking without loss of efficiency or composure
  • Function competently in stressful situations and a changing work environment related to changing customer needs and ability to respond quickly to emergencies
  • Collaborates with patients and family members and with multidisciplinary team members

Nice To Haves

  • BSN strongly preferred.
  • Previous experience in education or training preferred.

Responsibilities

  • Providing comprehensive training, support, and education to all clinical staff within Home Care and Hospice on documentation practices
  • Ensuring adherence to all federal, state, and local regulations, including the Conditions of Participation (CoPs) for home care and hospice
  • Working closely with the clinical and quality team to enhance their documentation skills
  • Ensuring accurate and timely completion of documentation
  • Maintaining the highest standards of clinical practice

Benefits

  • Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
  • Group Term Life Insurance and AD&D(Full Time Employees)
  • Flexible Spending Accounts and Commuter Benefit Plans
  • Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
  • 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
  • Retirement Plan
  • Tuition Assistance
  • Employee Assistance Program (EAP)
  • Valley Health LifeStyles Fitness Center Membership Discount
  • Day Care Discounts for Various Daycare Facilities
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