Quality Care Manager

Summary

Join Mission Healthcare, a leading home health and hospice company, as a Remote Quality Care Manager! This crucial role involves reviewing patient assessments and documentation to ensure compliance with agency policies and regulations. You will collaborate with clinicians, participate in quality initiatives, and contribute to performance improvement plans. The ideal candidate possesses a strong nursing background, hospice experience, and excellent communication skills. This position offers a competitive salary and the opportunity to make a significant impact on patient care within a supportive and inclusive environment.

Requirements

• Be a graduate of an accredited School of Nursing
• Have a current unencumbered license to practice as a Registered Nurse
• Have a minimum of 1 year of hospice experience with a working knowledge of Title XX11, Medicare Hospice Conditions of Participation, and HIS
• Possess excellent written and oral communication skills
• Have the ability to handle stressful situations/deadlines

Responsibilities

• Review electronically submitted documentation and provide feedback to clinicians regarding deficiencies or Hospice Item Set (HIS) corrections to ensure the medical record reflects compliance with hospice eligibility guidelines
• Ensure visit utilization is supported by individual patient assessment
• Review additional orders for appropriateness and compliance
• Ensure clinical documentation accurately reflects recertification/discharge decisions. Prepare hospice CTI/recertification workflow prior to IDG meetings
• Review and approve Initial Hospice Plan of Care within HCHB
• Review HIS for inconsistencies and locks timely
• Collaborate with clinicians as necessary regarding documentation
• Partner with the Quality Director on a variety of quality initiatives and attend quarterly QAPI meetings
• Monitor performance improvement initiatives regarding patient outcomes
• Maintain working knowledge of hospice regulations, conditions of participation and HIS
• Review patient assessments to ensure appropriate and effective care is provided to each patient in compliance with agency policies, procedures, and regulatory requirements
• Communicate trends or patterns of inaccuracy identified to the Quality Director to assist in the development of the performance improvement and education plan
• Process and review clinical documentation

Preferred Qualifications

Possess strong computer and software skills with knowledge of Home Care Home Base

Benefits

$85,000 - $90,000 a year