Senior Clinical Quality Assurance Specialist for Home Health and Hospice

3 days ago


San Francisco, California, United States Self-Help for the Elderly Full time

We are seeking a skilled Senior Clinical Quality Assurance Specialist to join our team at Self-Help for the Elderly. This role is responsible for evaluating clinical practices within our Home Care & Hospice department and implementing changes to improve patient care.

About the Role

The ideal candidate will have a strong background in nursing, with experience in hospice/home health settings. They will possess excellent observation and communication skills, as well as the ability to recognize the needs of patients, family members, and healthcare professionals.

This role requires a working knowledge of OASIS and ICD-10 coding, as well as federal regulations and state licensure requirements. The successful candidate will be able to maintain good relationships with patients, family members, and healthcare professionals, and will be available for on-call administration duties outside of regular working hours.

Key Responsibilities
  • Evaluate clinical practices within our Home Care & Hospice department and implement changes to improve patient care.
  • Prospectively review all OASIS assessments, Plan of Care, Progress Notes, and Physician Orders to ensure appropriateness, completeness, and compliance with Federal and State regulations and organization policy.
  • Work with coding personnel to ensure accurate ICD-10 coding and sequencing, and consult with clinical staff to clarify data integrity issues.
  • Notify department leadership of problematic trends and work with them to address these issues.
  • Coordinate and conduct patient care conferences and in-service programs, and assist management teams to ensure the maintenance of patient clinical records, statistics, reports, and records.
Requirements
  • Registered Nurse with current licensure to practice professional nursing in the state.
  • Previous experience in hospice/home health setting, with proven ability to work within an interdisciplinary setting.
  • Working knowledge of OASIS and ICD-10 coding, and certification in OASIS Home Health ICD-10 coding preferred.
  • Excellent observation, good nursing judgment, and communication skills.
  • Able to recognize the needs of patients, family members, and healthcare professionals, and maintain good relationships with them.
Benefits

We offer a competitive salary of $83,000 - $113,000 per year, depending on experience. Additionally, we provide comprehensive benefits, including medical, dental, and vision insurance, 401(k) matching, and paid time off.



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