Quality Assurance Registered Nurse

Graham Healthcare Group

5d•$75,000 - $80,000•Remote

About The Position

Responsible for quality driven review of documentation of care center staff members including the Comprehensive Admission Assessment, starts of care, Certification of Terminal Illness, HIS and other related documents, ensuring appropriateness of care, delivery and documentation requirements are met. Ensures the assignment of the appropriate clinical pathways on the plan of care Ensures missing, incomplete and/or untimely documentation issues are resolved. Ensures benefit periods are assigned accurately. Ensures communication of changes in the plan of care are documented completely and correctly. Participates in quality assurance activities designed to improve quality and continuity of patient care. Performs chart audits and other activities of data collection. Responds to Additional Documentation Requests/Denials as directed. Performs chart audits as directed to monitor documentation and patient clinical records to ensure compliance with agencies policies and procedures and all regulatory inspection agencies. Keeps abreast of nursing trends and knowledge. Exceptional attention to detail Strong knowledge of regulatory guidelines and best practices Focused Quality attention Performs other related duties as assigned or requested. Demonstrates initiative and skills in planning and organizing work. Cooperates with scheduling requests to meet department needs. Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks. Completes work with accuracy and within department time frames. Is flexible to changes in duties and responsibilities.

Requirements

Associate or bachelor’s degree in nursing preferred.
Current, unencumbered license to practice as a Nurse specific to that state the employee is assigned to work by the company.
Demonstrated knowledge of the appropriate skills for communicating with individuals of all ages.
Excellent interpersonal skills including verbal and written communication skills.
Demonstrates knowledge of Federal/State rules and regulations, , NHPCO and other regulatory requirements.
One (1+) year of nursing experience in a Hospice or Home Health environment.
Must be familiar with general use and functions of the computer, such as, usernames and password concepts; internet; e-mail; navigation of computer desktop, including starting programs, using files, and windows, effectively use navigation buttons and tool bars; ability to self-manage online HR services and online training programs.
Must have and maintain in good standing professional license, certificate, or registration, as applicable.

Nice To Haves

Hospice certified coder, preferred
Experience with state/CMS Survey Process, preferred

Responsibilities

Responsible for quality driven review of documentation of care center staff members including the Comprehensive Admission Assessment, starts of care, Certification of Terminal Illness, HIS and other related documents, ensuring appropriateness of care, delivery and documentation requirements are met.
Ensures the assignment of the appropriate clinical pathways on the plan of care
Ensures missing, incomplete and/or untimely documentation issues are resolved.
Ensures benefit periods are assigned accurately.
Ensures communication of changes in the plan of care are documented completely and correctly.
Participates in quality assurance activities designed to improve quality and continuity of patient care.
Performs chart audits and other activities of data collection.
Responds to Additional Documentation Requests/Denials as directed.
Performs chart audits as directed to monitor documentation and patient clinical records to ensure compliance with agencies policies and procedures and all regulatory inspection agencies.
Keeps abreast of nursing trends and knowledge.
Exceptional attention to detail
Strong knowledge of regulatory guidelines and best practices
Focused Quality attention
Performs other related duties as assigned or requested.
Demonstrates initiative and skills in planning and organizing work.
Cooperates with scheduling requests to meet department needs.
Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks.
Completes work with accuracy and within department time frames.
Is flexible to changes in duties and responsibilities.