Home Health Quality Assurance RN

Eden Health•Everett, WA

12h

About The Position

A Registered Nurse Quality Assurance Coordinator will provide in-home services to our patients. The Quality Assurance Coordinator is a Registered Nurse responsible for supporting the quality activities of Eden Home Health. The Quality Assurance Coordinator is responsible for Electronic Health Record (EHR) workflow tasks, training, and education as needed due to absenteeism and/or increased volumes. This position will perform chart audits that include Medicare, Medicaid, and Private/Commercial insurances to assure Eden Home Health are in compliance with state, federal, and accrediting body regulations

Requirements

Reports to work on time and as scheduled.
Wears identification while on duty.
Attends annual review and departmental inservices, as appropriate.
Represents the organization in a positive and professional manner.
Completes quarterly/annual education requirements.
Maintains regulatory requirements, including federal, state, local regulations, and accrediting organization standards.
Maintains patient confidentiality.
Works at maintaining a good rapport and a cooperative working relationship with physicians, departments, and staff.
Attends committee, QAPI, management meetings, and other required meetings as appropriate.
Adheres to payroll, billing, and documentation policies and procedures.
Guarantees compliance with policies and procedures regarding operations, fire safety, emergency management, grievance and concerns, adverse events, incident reporting and infection prevention and control.
Complies with organizational policies regarding ethical business practices.
Demonstrates effective time management and organizational skills.
Communicates the mission, ethics, and goals of the organization.
Able to communicate effectively in English, both verbally and in writing.
Able to travel as needed.
OASIS knowledge and experience required.
Comprehensive knowledge of general nursing theory and practice.
EHR documentation experience.
Strategic Healthcare Partners (SHP) experience.
Basic data management skills required, including but not limited to: Access, Word, Excel, and Power Point. Proficiency monitoring metrics and writing reports based on data presented in various computer systems.
Excellent understanding of performance improvement, quality assurance, and utilization management.
Critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
Must have above average attention to detail to guarantee accuracy.
Able to prioritize and multitask efficiently.
Registered Nurse, currently licensed in or able to be licensed in all states of Eden Home Health operations.
Three years’ Home Health nursing experience.
Currently has, or is willing to obtain, OASIS certification

Nice To Haves

Bachelor’s degree in Nursing from an accredited program by the National League for Nursing preferred.

Responsibilities

Reads and interprets medical record data for chart audits or abstractions and communicates findings and performance improvement plans to agency leadership.
Reviews OASIS and 485’s for consistency, coding recommendations/changes, and Strategic Healthcare Partner (SHP) alerts.
Coordinates with clinicians and Clinical Managers in verification, coding approvals, and correction of assessments/notes according to findings on OASIS.
Performs chart audits for Eden Home Health locations.
Works collaboratively with agency Clinical Manager to identify areas for in-service education programs related to documentation, CoPs, regulations, and ACHC requirements.
Provides ongoing remedial training and support to agency staff as necessary.
Attends/holds required training sessions, team meetings, and special interest group (SIG) meetings as necessary.
Maintains a positive attitude toward change.
Provides education and support to clerical and clinical EHR end users.
Provides onsite and offsite training for new users as necessary.
Acts as a resource in the development and maintenance of training materials for end users.
Collaborates with administrative staff to review Quality Assurance and Performance Improvement (QAPI) areas of concern that relate to use of EHR and its content.
Maintains and monitors Performance Improvement Plans (PIPs) for the agency.
Provides support and education on supplemental resources.
Additional tasks as assigned.