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Directs and coordinates quality improvement activities throughout all company locations to ensure that patients receive the highest level of care that will promote positive clinical outcomes as well as patient and staff satisfaction. This position is responsible to ensure that regulatory and accreditation standards are being met.
Job Responsibility:
Directs and coordinates quality improvement activities throughout all company locations to ensure that patients receive the highest level of care that will promote positive clinical outcomes as well as patient and staff satisfaction
Ensure that regulatory and accreditation standards are being met
Maintains compliance with Federal and State regulations and follows accreditation body standards in all Quality Improvement activities
Ensures compliance with professional standards of practice and regulations
Leads and or facilitates quality initiative committees as designated by the Vice President of the company and other committees (Forms, Policy & Procedure, QAPI etc.) to assist in developing uniformity and consistency of processes, policies and company forms and practices
Directs and supervises utilization and clinical record review in all locations in conjunction with Vice President of Hospice
Is responsible for monitoring data collection and reporting results of clinical record audits and deficiencies to the Clinical Leadership Team for each location
Identifies improvement opportunities related to agency processes, clinical outcomes, and patient satisfaction surveys in conjunction with agency branch leaders and assists in developing performance improvement plans for each location and the company
Utilizes multiple data sources to reference in identifying areas of priority focus
Serves as a resource to staff regarding performance improvement in all areas to include, but not limited to: accuracy of information, supporting documentation including focus on clinical assessments and timeliness, plan of care development and overall job performance
In conjunction with branch leaders, analyzes and evaluates Patient Satisfaction Survey data through use of the survey vendor information to provide direction and assistance to branch leaders in developing improvement activities and plans to effectively impact and improve patient satisfaction and service delivery
Assists in the development and the implementation of an agency clinical orientation program for new staff and company clinical staff education courses utilizing Relias and other applicable resources
Evaluates the orientation and staff education needs on a regular basis or as regulatory changes arise
Ensures that Patient Education Materials available and are utilized and applicable to patient/staff needs
Participates in the weekly utilization conferences by branch and assists in developing and implementing process changes that are identified through the conferences
Identify and develop focused disease management programs in conjunction with branch leaders to assist clinicians to develop appropriate patient plans of care, monitor patient related outcomes and assist marketing efforts to meet the needs of patients
Requirements:
Current license as a Registered Nurse in good standing
BSN or equivalent experience required
Master’s degree preferred
Minimum of five (5) years experience of supervisory or administrative experience in hospice