Quality Improvement Specialist

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Seeking a dedicated and experienced professional nurse who is responsible for reviewing and evaluating the quality of patient care documentation, assessing compliance with healthcare regulatory standards and identifying opportunities to enhance care delivery. The ideal candidate must possess analytical skills with attention to detail when examining health care documentation ensuring it complies with established guidelines, policies and regulations.MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license.

through the enhanced Nurse Licensure Compact (eNLC).

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s Degree in Nursing

2. Home Health OASIS certification

EXPERIENCE:

1. Three (3) years of health care experience with one year home health experience.

2. Experience in quality improvement, compliance or a related role in healthcare

3. Strong knowledge of healthcare regulations and standards

4. Exceptional analytical, problem solving and decision making

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Analyze and interpret healthcare documentation to identify noncompliance with national and state standards.

2. Review patient medical records to ensure accurate documentation and application of OASIS documentation

3. Conducts audits, reviews, and inspections of healthcare provider documentation to ensure compliance and appropriate application of services.

4. Prepare detailed reports on audit findings, identify trends and professionally communicate findings.

5. Prepare and present reports on quality improvement efforts.

6. Present findings and collaborate with healthcare professionals to improve patient care and outcomes.

7. Collect and analyze data to measure the impact of quality improvement activities.

8. Utilize knowledge of OASIS coding practices.

9. Participates in the education and development of health care teams to enhance understanding and the application of OASIS principles.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES:

Additional Job Description:

Scheduled Weekly Hours:

40Shift:

Exempt/Non-Exempt:

United States of America (Exempt)Company:

SHC WVUHS Home CareCost Center:

392 SHC Access Administration