Quality Improvement Nurse
1 month ago
The Quality Improvement Nurse is a key member of the management team at Westchester Medical Center, responsible for overseeing the agency's Quality Assurance Performance Improvement (QAPI) program. This includes managing and coordinating the QAPI Plan, Risk Management, Infection Control, and education programs to ensure compliance with CHAP, Federal, and New York State regulatory standards and requirements.
Responsibilities- Oversee the quality assurance performance improvement program for home care, including quality management of OASIS data and reporting, process and outcome reports, occurrence reports, home health compare and patient satisfaction data, program quality monitoring data, utilization data, payer inquiry requests, denial activity, fall data, and infection control practices.
- Use data trending to initiate and sustain performance improvement activities, coordinating findings with clinical and finance leadership.
- Develop, monitor, and evaluate corrective action plans for deficiencies identified through the quality review process and survey process, coordinating findings with billing and finance as appropriate.
- Responsible for chart workflow processing and review of documentation for accurate submission of OASIS data to CMS for Start of Care admissions, Resumption of Care, and Recertification information aligned with Conditions of Participation and Conditions for billing.
- Responsible for compiling data reports and data collection for monthly audits to ensure compliance with Agency policies and procedures, CHAP Accreditation, NYS state, and federal regulations.
- Oversee the Fall and Infection Control programs to identify and data trend with performance improvement recommendations to reduce adverse event and rehospitalization data reports.
- Evaluate the need for and plan/coordinate special classes, conferences, and meetings to improve staff performance and quality of care.
- Participate in the weekend/holiday clinical supervisor schedule and WMC MidHudson Regional hospital committees.
- Fulfill all compliance responsibilities related to the position.
- Develop, conduct, and evaluate programs that assist in meeting the educational needs of home care clinical staff competency.
- Assist in the development, implementation, interpretation, and evaluation of educational training program standards, policies, procedures, and best practices appropriate to learner needs, desired outcomes, content, and context.
- Utilize learning technologies to develop, launch, and monitor instructor-led, in-service, and online learning as assigned.
- Collaborate with nursing leadership to provide input into the evaluation of staff performance and readiness to assume staff responsibilities post-educational initiatives.
- Conduct field supervisory visits and home visits with clinical staff to ensure a competent workforce.
- Experience: A minimum of two years of home care practice setting required.
- Education: Graduate of an accredited school of nursing required.
- Licenses/Certifications: Current NYS RN license required, Valid NY State Driver's License.
- Other: Understands Home Care regulations Conditions of Participation.
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