Description: Job Summary:

Supports the Assistant Area Administrator, or agency designee in upholding Regional Home Care Quality, compliance, and policy and procedure, in accordance with centers for Medicare and Medicaid, along with The Joint Commission standards and all state and federal regulatory and compliance requirements. Coordinates the activities of departments, committees and home care field/office staff to develop and document ongoing evaluation activities; perform studies and problem focused reviews; interpret data and promote the Home Care Quality Improvement Program to medical, nursing and support services. May assume the role of clinical supervisor when necessary and able.

Essential Responsibilities:

Consults with Area Administrator, Director of Patient Care Services, agency Supervisors and Physicians in charge of special care areas to assist them in developing ongoing evaluation programs to identify, resolve, and report opportunities to improve patient care.
May represent the Department on local/ Regional committees.
Designs, conducts and evaluates studies and problem focused reviews requested by Area Administrator, Director of Patient Care Services, agency Supervisors and Physicians which frequently involve sensitive, confidential, or medical legal issues.
Performs and oversees ongoing Quality Improvement activities across the home care service line to assure timeliness, accuracy and compliance with licensing and regulation requirements.
Use and educate end users on data display tools, including statistical process control methods.
Participate in risk management by investigating problems encountered by patients, identifying patterns and trends in patient care problems, and developing policies and procedures to reduce risks.
Monitors compliance with quality improvement requirements.
Assist in the preparation of the Quality of Care reports that are sent to the home care service line and quality leadership.
Develop and conduct presentations on the quality improvement standards and the home care service line Improvement Plan to ensure compliance with TJC, NCQA and other regulatory agency standards.
Conducts special clinical studies related to patient care management.
Participate in the annual development of the home care service line goals for Quality Improvement.

#SCALHHRN

Basic Qualifications:
Experience

Minimum two (2) years of experience as a licensed registered nurse.
OR
Minimum two (2) years of experience in one of the following areas: Healthcare Quality, Accreditation, Consulting or Strategic Planning.

Education

Graduate of accredited school of nursing required.

License, Certification, Registration

Registered Nurse License (California) required at hire

Additional Requirements:

Effective communications and comprehension skills
Experience in a patient advocate role to insure a patient centered activities or programs
Familiarity with medical procedures and terminology.
Strong planning, organizing, interpersonal and conflict resolution skills.
Proficient with PC applications including database, spreadsheet (excel), and word processing.
Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

Two (2) years of experience as a licensed home care agency nurse or supervisor.
Detailed knowledge of Title 22, TJC, OASIS and NCQA requirements for licensure and accreditation.
Experience in a quality improvement related role, including leading/facilitating teams in performance improvement.
Certified in OASIS documentation.
Current Certified Professional of Healthcare Quality (CPHQ).
Bachelors or Masters degree in nursing or other health care related field.

Notes:

Regular hours M-F 0830-1700, weekend rotation if needed only.  
In-office days are required.  
Flexible work from home days by advance arrangement.