Quality Assurance Nurse

Quality Assurance Job Description

Oversee the Quality Assurance program for Oakland Home Care’ must be able to:

· Collect and organize QA information and procedures

· Knowledgeable of ICD-10 coding

· Analyze QA data, research and develop solutions to issues and problems as they arise

· Coordinate with management team to ensure systems and procedures are functioning properly and meet regulatory and quality standards

· Review all forms and reports, recommend and implement any necessary changes or improvements

· Implement and monitor processes to evaluate safety, risk management, infection control, and competency programs

· Coordinate OHC’s quarterly clinical record review activities-QAPI

· Review records of active and closed patients to assure compliance with Medicare requirements – prepare written summaries and recommendations

· Works closely with clinical staff to assure documentation is complete, accurate, and reflects delivery and legal requirements

· Monitors utilization of services, client concerns, and risk management programs

· Works with management staff to follow up on expressed concerns of clients, families, employees, referral sources, and physicians

· Maintains confidentiality in all aspects of the job

· Promotes personal safety and a safe environment for clients and OHC staff

· Performs job in compliance with OHC policies and procedures and professional / community standards

Requirements

-Bachelor’s degree in nursing, health care administration, or equivalent program

-Preferred QA licensing and coding experience

-Preferred HCHB EMR experience
-Minimum of 3 years clinical experience in a home care environment/QA
-Demonstrated knowledge of Performance Improvement and Quality Assurance Programs
-Knowledge of regulatory requirements for home care, including OASIS data collection and reporting requirements, as well as Home Care Value Based Purchasing, expectations for Medicare Certified Agencies
-Ability to work under minimal supervision
-Experience in research, analysis, and report preparation
-Ability to solve complex problems using experience, knowledge, and reasoning
-Work both as a part of a team and independently

-Part-time/ or hourly position