Regulatory Quality Improvement Coordinator RN Hospice

AdventHealth•Centennial, CO

41d•Hybrid

About The Position

The Regulatory Response and Quality Improvement Coordinator is responsible for coordinating all activities related to processing requests for clinical records from regulatory agencies including, but not limited to, Additional Development Requests (ADRs), Recovery Audit Contractor (RAC) requests, Quality Improvement Organization (QIO) requests and Medicaid requests. This position is responsible for identifying performance improvement (PI) opportunities and for interdepartmental coordination of PI activities. The Regulatory Response and Quality Improvement Coordinator will participate in organizational regulatory response activities including writing/revising policies and procedures, developing operational procedures, and developing and presenting educational materials.

Requirements

Bachelor's degree in Nursing, Health Care, or related field
1 year of hospice and 5 years experience in field of nursing.
Active American Heart Association BLS.
Registered Nurse State Licensure and/or Compact State Licensure In Florida

Nice To Haves

Experience related to performance improvement, and quality assurance
Hospice and/or home health care management experience 1 plus years.
Certified Hospice and Palliative Nurse (CHPN)- Certified

Responsibilities

Coordinates all phases of record request processing, including ADRs, RAC requests, and Medicaid audits.
Develops and implements procedures and processes for record request management.
Instructs medical, clinical, and administrative staff in record request audit and processing procedures.
Coordinates with other departments to ensure adequate staff resources for timely audit and processing activities.
Establishes needs and communicates these needs to department managers or directors.
Prioritizes record processing to ensure submission deadlines are met.