Quality Assurance Nurse

Qualifications

• 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
• Works both as a part of a team and independently

Skills

• Knowledgeable of ICD-10 coding
• Works closely with clinical staff to assure documentation is complete, accurate, and reflects delivery and legal requirements
• Maintains confidentiality in all aspects of the job
• Promotes personal safety and a safe environment for clients and OHC staff

Responsibilities

• Oversee the Quality Assurance program for Oakland Home Care
• Collect and organize QA information and procedures
• Analyze QA data, research and develop solutions to issues and problems as they arise
• Coverage 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
• Coverage 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
• 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