Job Description:
Quality Specialist – Blue Ridge Care Your expertise helps ensure excellence, compliance, and quality at every step of care. Your clinical insight and attention to detail protect the integrity of care delivery and support our mission every day. At Blue Ridge Care, we are dedicated to optimizing quality of life and well‑being for individuals affected by aging, chronic illness, or serious disease. As a mission‑driven, not‑for‑profit healthcare system, we deliver integrated services across hospice care, chronic illness programs, PACE, community thrift shops, and grief support—all guided by compassion, integrity, and excellence. With a strategic focus on growth and innovation, our team of Future Makers is committed to “Caring for life” by continuously improving how we serve our community. About the Role The Quality Specialist plays a vital role in supporting high‑quality patient care, regulatory compliance, and accurate medical record management across hospice and chronic illness services. This role blends clinical expertise with quality improvement, compliance oversight, and education—ensuring documentation integrity while supporting both patient and employee health initiatives. As a member of the Quality & Compliance Team, you will serve as a clinical resource to staff, contribute to regulatory readiness, support EMR workflows, and help advance organizational quality goals. How You’ll Make a Difference Quality & Compliance Conduct medical record chart reviews and focused compliance audits; provide written feedback to staff regarding deficiencies and required corrections. Analyze documentation trends and report high‑risk or unfavorable findings to leadership to support education and performance improvement. Maintain up‑to‑date knowledge of federal, state, and accreditation standards and educate staff to ensure compliance. Attend Interdisciplinary Team (IDT) meetings to ensure regulatory and accreditation compliance. Participate in departmental and organizational quality assessment and improvement initiatives. Hospice Reporting & Documentation Support management of the Hospice Outcomes and Patient Evaluation (HOPE) Tool, ensuring complete and accurate datasets prior to submission. Educate staff on HOPE requirements and proper EMR documentation. Ensure medical records are accurate, complete, secure, and HIPAA‑compliant. Assist with scanning, indexing, discharge paperwork, letters, appeals, and medical record requests. EMR & Clinical Support Serve as an advanced clinical administrator for the EMR system. Provide EMR training for new hires and ongoing support for troubleshooting and workflow optimization. Act as a clinical documentation and process resource for staff. Education, Operations & Support Assist with staff education and new‑hire orientation as needed. Support employee and occupational health initiatives. Perform direct patient care as assigned (LPNs under RN direction). Assist with supply inventory, patient and caregiver survey calls, service failure follow‑up, and incident documentation. Perform additional duties as assigned to support Quality & Compliance operations.
