Quality Assurance Specialist

Found in: Resume Library US A2 - 6 days ago


LuthervilleTimonium Maryland, United States Stella Maris Full time
Overview:
Stella Maris is proud to provide central Maryland with compassionate, skilled home health care for adults. We specialize in home health care services that enable the patient to adapt and manage his or her medical condition in the comfort of their home. Stella Maris offers home health services to residents of Baltimore City, Baltimore County, and Harford County.

 

Stella Maris Home Health is looking for a Quality Assurance Nurse (RN) to join their growing Home Health team. This is an exciting opportunity to assist with development and coordination of all quality initiatives related to home health services.

 

If you are interested to learn more apply today

 

Quality Assurance Specialist RN OR PT
Remote-Local

In office 1 day a month

 

Check out some of our benefits offered:

• Paid time off (PTO) & company paid holidays
• Tuition reimbursement
• 403(B) retirement plan with generous company match and “Catch Up” provision
• Competitive health, prescription, vision and dental benefits
• Discounts on auto & home insurance and Verizon plans
• Pet Wellness coverage, legal assistance and identity protection
• Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
• Perks at Work - savings on favorite brands, travel, tickets, dining and more

Responsibilities:
• Configure & Maintain audit tracking system to identify areas of deficiency and to ensure compliance with all State and Federal regulations.
• Assist with the development and coordination of education of staff, audits for compliance and tracking.Tracks trends related to risk management
• Participates in the development, initiation and evaluation of annual corporate priorities for the Home Care department.
• Reviews OASIS start of care, resumption of care and recertifications.
• Assists in the preparation of reports for QA and PAC meetings.
• Assists in assigning relevant quarterly inservices to staff to improve performance and monitors for compliance.
• Assists with managing claim alerts for timely billing. Daily monitoring of telehealth patients and appropriately responds to alerts.
• Performs regular chart audits.
• Maintains knowledge of HHVBP and STAR ratings, monitors performance, recommends plans for performance improvement and assists with implementation.
• Utilizes HHVBP, HHCAHPS, Hospice CAHPS, CASPER and PEPPER reports for performance improvement.
• Utilizes OASIS scrubber software and reporting systems to monitor and identify areas for performance improvement and develops and impelements intervetntions for improvement. Responds to software identified inaccuracies

 

 

Qualifications:
Associate’s degree
RN License in Maryland required or PT
Prior experience in home health required

2 years of Home Health Quality Assurance or related experience preferred

Strong knowledge of value base purchasing, compliance, and OASIS

Certification a plus

 



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