QAPI Coordinator
2 months ago
Nursing - Registered Nurse
Work Shift/Schedule:
8 Hr Morning - Afternoon
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
Responsible for the agency’s activities that attempt to ensure peak organizational performance and improve patient outcomes. Serves as a resource to clinical and administrative staff and affiliated providers in the areas of safety, infection control, compliance, state licensure, Medicare certification, CHAP accreditation and clinical standards of care and documentation. Serves as compliance officer. Provides Administrative On Call Coverage. Coordinates Quality Activities, Compliance Activities, and Emergency Operations activities with corresponding Corporate Departments.
Minimum Job Qualifications
- Licensure or other certifications: Current Georgia nursing license.
- Educational Requirements: Graduate from a state approved school of nursing. BSN required.
- Minimum Experience: 3-5 years experience with Hospice voluntary accreditation processes including quality assessment and performance improvement concepts and processes preferred.
- Other:
- Preferred Licensure or other certifications: CHPN.
- Preferred Educational Requirements: MSN.
- Preferred Experience:
- Other:
- Excellent attention to detail, time management and organization.
- Ability to analyze and correlate clinical care with regulatory requirements and accreditation standards to propose processes for ensuring compliance
- Effective communication; positive interpersonal skills; team player
- Conceptual problem solving
- Self directed
- Proficient in Emergency Preparedness Standards and Implementation
- Proficient in M/C, M/A, State and CHAP Accreditation Standards and Regulations
Develops and oversees QAPI (quality assessment performance improvement) component of the hospice program.
- Coordinates and oversees quality assessment and performance improvement programs of the hospice program. Serves as chair of the QAPI and Peer Review committees, schedules meetings, documents and distributes minutes of these meetings.
- Responsible for submission of Hospice Item Set and other required quality data to CMS.
- Responsible for coordination of satisfaction surveys and quality initiatives for all clinical and data benchmarking with external benchmark vendors and state and national organizations in accordance with regulatory requirements and agency policy and procedure. Ensures timeliness deadlines are met.
- Assists the Hospice Leadership Team in development of performance improvement plan and PI priorities. Develops and maintains department QAPI dashboard.
- Reviews current and ongoing quality assurance and performance improvement activities. Reports unacceptable compliance findings to Hospice Leadership Team. Utilizes established outcome criteria, industry standards and all guidelines to recommend action plans to promote improvements and to ensure compliance in all areas.
- Ensures annual evaluation of all contracted vendors and assists in development of plans and follow up action for any vendors not meeting performance expectations.
- Conducts routine, ongoing audit of clinical chart documentation to ensure compliance with state and federal regulatory guidelines, accreditation standards and to ensure advancement toward desired outcomes/goals and clinical excellence
- Recommends corrective/improvement activities based on conclusions drawn from audits and works closely with clinical supervisors to assure that problem areas are addressed and corrected.
- Reviews all patient/family variances and complaints for regulatory issues and participates in corrective action planning. Processes variances and complaints per organizational policy. Immediately apprises the Hospice Leadership team of any Risk Management Issues.
- Provides education and reports to clinical and administrative staff concerning QAPI activities, outcomes and improvement plans.
- Acts as department compliance officer to oversee compliance activities. Provides timely information to Hospice Leadership concerning status of compliance with regulatory and accreditation standards.
- Coordinates the logistics of the actual regulatory/accreditation visits/survey activities as appropriate.
- Participates in the continuous survey readiness process for the hospice program
- Utilizes established outcome criteria, industry standards and all guidelines to recommend action plans to the Hospice Leadership Team to promote improvements and to ensure compliance in all areas.
- Assists in the development of protocols/procedures, guidelines, pathways, and educational materials.
- Identifies need for creation or revision of policies and procedures. Reviews and updates policies, procedures and protocols on an ongoing basis and at least annually and manages implementation.
- Coordinates the development, refinement and approval process in organization’s policy management system.
- Participates on NGMC Infection Control Committee and others as appointed.
- Participates in the preparation of annual agency evaluation.
- Serves as a member of the Hospice Leadership Team.
- Participates in the Administrative call rotation.
- Performs other related activities and duties as requested.
- Weight Lifted: Up to 100 lbs, Occasionally 0-30% of time
- Weight Carried: Up to 50 lbs, Occasionally 0-30% of time
- Vision: Moderate, Frequently 31-65% of time
- Kneeling/Stooping/Bending: Frequently 31-65%
- Standing/Walking: Frequently 31-65%
- Pushing/Pulling: Frequently 31-65%
- Intensity of Work: Frequently 31-65%
- Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
-
QAPI Coordinator
4 weeks ago
Gainesville, United States Northeast Georgia Health System Full timeJob Category:Nursing - Registered NurseWork Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of our communities.About the Role:Job SummaryResponsible for the agency’s activities that attempt to ensure peak organizational performance and improve patient outcomes. Serves as a resource to...
-
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob Overview:Position: Nursing - Registered NurseSchedule: 8 Hr Morning - AfternoonAbout Northeast Georgia Health System: Northeast Georgia Health System is committed to improving the health and wellness of our communities.Role Summary:Accountable for enhancing organizational effectiveness and improving patient care outcomes.Serves as a vital resource for...
-
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob Overview:Position: Nursing - Registered NurseSchedule: 8 Hr Morning - AfternoonAbout Northeast Georgia Health System: Northeast Georgia Health System is committed to improving the health and wellness of our communities.Role Summary:Tasked with enhancing organizational efficiency and improving patient care outcomes.Serves as a vital resource for both...
-
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob Overview:Position: Nursing - Registered NurseSchedule: 8 Hr Morning - AfternoonAbout Northeast Georgia Health System: Northeast Georgia Health System is committed to promoting the health and wellness of our communities.Position Summary:Tasked with enhancing organizational effectiveness and improving patient care outcomes.Serves as a vital resource for...
-
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob Overview:Position: Nursing - Registered NurseSchedule: 8 Hr Morning - AfternoonAbout Northeast Georgia Health System: Northeast Georgia Health System is committed to promoting the health and wellness of our communities.Position Summary:Accountable for enhancing organizational efficiency and improving patient care outcomes.Serves as a vital resource for...
-
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob Description: Position: Nursing - Registered NurseSchedule: 8 Hr Morning - AfternoonAbout Northeast Georgia Health System: Northeast Georgia Health System is committed to promoting the health and wellness of our communities.Overview:Accountable for enhancing organizational effectiveness and improving patient care outcomes.Serves as a vital resource for...
-
Gainesville, Florida, United States Northeast Georgia Health System Full timeJob Overview:Position: Nursing - Registered NurseSchedule: 8 Hr Morning - AfternoonAbout Northeast Georgia Health System: Northeast Georgia Health System is committed to improving the health and wellness of our communities.Role Summary:Accountable for enhancing organizational effectiveness and improving patient care outcomes.Serves as a vital resource for...
-
MDS Coordinator
2 months ago
Toledo, OH, United States Franciscan Care Center Full timeFranciscan Care Center has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization. To...
-
MDS Coordinator
1 month ago
Dayton, OH, United States St. Leonard Full timeSt. Leonard has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization. To achieve this...
-
MDS Coordinator
4 weeks ago
Johnston, IA, United States Bishop Drumm Retirement Center Full timeBishop Drumm Retirement Center has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization....
-
El Paso, TX, United States The Hospitals of Providence - East Campus Full timePosition Summary The Maternal Program Coordinator is a professional nurse with perinatal experience who has the authority and oversight responsibilities for the provision of maternal services through all phases of care, including discharge, and identifying variances in care for inclusion in the maternal QAPI plan. The Maternal Program Manager (MPM) will...
-
MDS Coordinator
2 months ago
Oregon, OH, United States The Gardens of St. Francis Full timeThe Gardens of St. Francis has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization. To...
-
MDS Coordinator
2 months ago
Sandusky, OH, United States Providence Care Center Full timeProvidence Care Center has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization. To...
-
MDS Coordinator
2 months ago
Perrysburg, OH, United States St. Clare Commons Full timeSt. Clare Commons has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization. To achieve...
-
Hospice Spiritual Care Coordinator
2 weeks ago
Zanesville, OH, United States Interim HealthCare Full timeOur Hospice Spiritual Care Coordinators – Chaplains have been called to care when they’re needed most. As a member of our hospice team, you’ll support a full range of patient services to bring comfort and dignity to our clients. Up to 16 hours/week (part-time)What we offer our Hospice Spiritual Care Coordinators-Chaplains:• ...
-
MDS Coordinator
2 months ago
Ft Mitchell, KY, United States Madonna Manor Full timeMadonna Manor has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization. To achieve this...
-
MDS Coordinator
2 months ago
South Milwaukee, WI, United States Franciscan Villa Full timeFranciscan Villa has an exciting opportunity for an MDS Nurse to join our leadership team that is dedicated to fostering a culture of compassion, inclusion, integrity, excellence, and collaboration in alignment with our Mission, Vision, and Values. The MDS Coordinator ensures the accuracy of our resident assessments and care plan optimization. To achieve...
-
Hospice Care Manager
7 days ago
Alpharetta, GA, United States Nexus HR Full timeAbout the RoleNexus HR is seeking a highly skilled and experienced Registered Nurse to serve as a Clinical Manager for our reputable hospice company. As a key member of our team, you will be responsible for providing exceptional patient care and leading our interdisciplinary team in delivering high-quality services.Key ResponsibilitiesLeadership and...
-
Director of Clinical Education
2 weeks ago
Temple, TX, United States Touchstone Communities Full timeDirector of Clinical Education William R. Courtney TSVH 1424 Martin Luther King Jr Lane Temple TX 76504 Must have current and valid Texas RN nursing license. This role will support the community by creating a premier health care community accomplished by planning, revising, coordinating, implementing, and evaluating education including general...
-
Kingston, NY, United States WMCHealth Full timeProvides education in End Stage Renal Dialysis (ESRD) and treatment modalities to patients, families, students, staff and community. The Clinical Coordinator works collaboratively with the Dialysis Director, Nurse Manager, Care managers, CAPD Coordinator, Physicians, Chief Technician, and other department managers to assure that standards of clinical...
