Quality Assurance RN

Concordia Lutheran Ministries and Affiliates•Valencia, PA

About The Position

Concordia Visiting Nurses is a Medicare-certified, state licensed, Medicaid approved home health agency operating in nine Western Pennsylvania counties. For well over a decade, Concordia Visiting Nurses has provided high-quality skilled nursing, palliative care, and a variety of therapy services to our patients. Our goal is to deliver quality home health services, in good faith, to those who entrust themselves to our care and to minister to the unique needs of each individual with respect, dignity, and compassion. We strive to hire excellent people at Concordia - and keep them as well! At Concordia Visiting Nurses, we are committed to enhancing the well-being of our patients through high-quality home health services. Our mission is to provide compassionate care that empowers individuals to live healthier lives in the comfort of their homes. Join our dedicated team and be part of a company that values integrity, teamwork, and excellence in healthcare. We are seeking a dedicated Quality Assurance Nurse RN, to support the planning and implementation of our Quality Assessment Performance Improvement (QAPI) program. This role is vital in enhancing the quality of patient care within our organization. Why should you apply for the Quality Assurance Nurse RN position? Competitive salary Comprehensive benefits package, including health insurance and paid time off. Top-Tier Retirement plan Opportunities for professional development and career advancement. A supportive and collaborative work environment. If you are passionate about improving patient care, we invite you to apply for this important role in our organization. Concordia Visiting Nurses is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. EOE Benefits and Wages may vary based on location. Minimum hours worked per week/status may be required for certain benefit eligibility.

Requirements

Current valid Pennsylvania license as a Registered Nurse (RN)
A minimum of five (5) years of recent nursing experience in home health care is recommended.
Strong organizational, communication, and interpersonal skills.
Proficient in electronic health records software and Microsoft Office Suite.

Responsibilities

Conduct random reviews of patient records to ensure documentation compliance and completeness.
Perform audits to verify that the agency adheres to all regulations related to home health care.
Assess that patients receive the appropriate level of care services and that these services are utilized effectively.
Engage in quality assurance activities related to infection control, incident reports, patient concerns, suspected abuse/neglect, corporate compliance, and emergency preparedness.
Respond to Additional Development Requests (ADRs) from the Centers for Medicare and Medicaid Services (CMS) and any other external audit requests.
Manage requests for Medicare appeals, including reconsiderations, reviews, and hearings for the agency.
Assist in developing and updating the annual agency emergency preparedness plan, participate in the annual hazards vulnerability assessment, and ensure completion of all required training and testing.
Assist with the orientation of new staff regarding Medicare requirements, PPS, OASIS, and documentation standards.