RN Clinical Quality Analyst - Hospice

ProCare Hospice of Nevada•Paradise, NV

1d•$83,000 - $93,000•Onsite

About The Position

The RN Clinical Quality Analyst supports clinical business decisions, operational processes, and internal process improvements initiatives to improve reliability of care and outcomes for the organization. This position will incorporate clinical best practices by interpreting data, producing both long term and short-term activities to drive measurable solutions. The RN Clinical Quality Analyst creates analytical tools using an in-depth understanding of healthcare data such as patient, claims, financial and provider data. Assists and/or leads peer reviews by preparing case summaries, data collection, and submission of clinical data to appropriate governing agencies. This position collaborates with the Interdisciplinary team to plan, identify, act, and evaluate the educational needs of the organization in relevance to the federal and state rules and regulations.

Requirements

Graduate of an accredited school of nursing with a minimum of a current LPN licensure in the State of Nevada; RN preferred
Must be CPR/BLS Certified
Must have at least 5 years clinical nursing experience
3 years in a hospice quality role preferred
Must have experience working with hospice accrediting bodies
Must possess strong knowledge of Microsoft Office programs; Excel, Word, and PowerPoint required
Certification in CPHQ or Lean Six Sigma preferred or ability to obtain certification within specified time frame
Must be able to read, analyze, and interpret business periodicals, professional journals, technical procedures, state, and governmental regulations
Must have reliable transportation, a valid driver’s license and maintain current auto insurance
Successful completion of a background check pursuant to NRS 449.188 and NRS 179A.100 along with a pre-employment drug screen and physical, TB testing, previous employment and reference checking, and an MVR (may include verification of education)
Must read, speak, write, and understand the English language

Nice To Haves

RN preferred
3 years in a hospice quality role preferred
Certification in CPHQ or Lean Six Sigma preferred or ability to obtain certification within specified time frame

Responsibilities

Maintains up to date knowledge of Federal and State hospice rules and regulations, LCD Guidelines, CHAP Standards of Excellence, Nevada Medicaid rules and regulations and CMS Conditions of Participation
Supports systems and policies as well as procedures for analysis of performance measurement data
Collects and analyzes data to identify trends, collaborating with the clinical teams on root cause analysis.
Assists with facility and interdisciplinary projects and audits (i.e., technical, and clinical audits)
Coordinates and/or leads action plans for improvement including follow up evaluation of data and organizational performance in meeting or exceeding quality benchmarks to ensure consistent improvement
Coordinates the completion of annual agency-wide systematic review and annual policy review
Gathers data from unusual occurrences and complaints and summarizes trending at designated time frames for reporting in line with regulatory requirements
Completes HIS/HOPE admission and discharges
Monitors and tracks hospice consents to ensure compliance
Assists and ensures compliance with live discharges
Supports action plans under the guidance of the Director of Quality, Compliance & Education for improvement including follow-up evaluation of data and organizational performance
Monitors and assists with cost reduction strategies for supply ordering
Collaborates educational opportunities and activities for the development of quality and regulatory educational programs
Reviews claims and ensures staff compliance in completing and closing out patient visits in a timely manner
Serves as a superuser of EHR system and assists with EHR quality and compliance education for clinical and non-clinical staff
Complies with all documentation policies/procedures and completes appropriate documentation in a legible and timely manner
Performs special projects as assigned by the Director of Quality and Compliance
Other duties as assigned
Coordinates staff completion of BLS and ACLS certifications
Manages the equipment/tools and skills stations needed
Assists in coordination of clinical rotations and student orientation packet completion
Trains staff in new hire orientation (departmental) and assists in general facility orientation
Assists with staff training in QI certification and other required training
Coordinates preceptor program
Facilitates the implementation of all new competencies and equipment
Organizes, plans, and manages time effectively to complete assignments
Completes mandatory training and courses required by completion date
Ensures staff completes regulatory compliance orientation and refresher training
Provides education in compliance with federal, state, and regulatory agencies
Ensures training requirements and standards for CHAP and regulatory (federal and state) agencies are met
Adheres to patient rights, abuse reporting, and confidentiality policies
Fosters and maintains an effective working relationship between peers, professional staff, and other personnel within the community
Understands the principles of palliative care/pain management within the Scope of Practice
Complies with all documentation policies and procedures
Completes appropriate documentation in a legible and timely manner
Attends scheduled staff meetings and in-service training
Adheres to the departmental dress code requirements related to personal grooming and attire
Participates in Performance Improvement activities as requested
Demonstrates reliability by providing proper notification for absence or tardiness, participating in required meetings
Demonstrates ability to problem-solve and make decisions by assessing situations and considering alternatives, seeking guidance and direction as necessary, utilizing proper chain of command
Demonstrates effective time management skills by coordinating activities to achieve maximum productivity and efficiency, willingness to adjust or revise work schedules as requested
Assumes responsibility for on-going personal development and continuing education.
Stays current with all mandatory agency and regulatory requirements
Completes assigned projects within specified time frames.
Reports questionable situations, concerns, complaints, or harassment immediately.
Participates appropriately in emergency procedures (including disaster drills)
Operates equipment in a safe manner and shares responsibility for communicating safety violations or unsafe practices to management
Used general office equipment as intended
Utilizes appropriate PPE as needed
Must be able to move intermittently throughout the workday
Must have the strength and endurance required for sitting for lengthy periods of time
Must be able to lift 10-25 lbs.
Must possess sight, hearing, and speech senses, or use prosthetics that will enable these senses to function adequately so that the requirements of this position are fully met