Quality Assurance Nurse

Location 7125 Orchard Lake Rd, Suite 222, West Bloomfield, MI, 48322, United States Employee Type Part Time Manage Others No Phone View phone number on click.appcast.io Quality Assurance Job Description Collect and organize QA information and procedures. Knowledgeable of ICD-10 coding. Analyze QA data, research, and develop solutions to issues and problems as they arise. Coordinate with management team to ensure systems and procedures are functioning properly and meet regulatory and quality standards. Review all forms and reports, recommend and implement any necessary changes or improvements. Implement and monitor processes to evaluate safety, risk management, infection control, and competency programs. Review records of active and closed patients to assure compliance with Medicare requirements – prepare written summaries and recommendations. Work closely with clinical staff to assure documentation is complete, accurate, and reflects delivery and legal requirements. Monitor utilization of services, client concerns, and risk management programs. Work with management staff to follow up on expressed concerns of clients, families, employees, referral sources, and physicians. Maintain confidentiality in all aspects of the job. Promote personal safety and a safe environment for clients and OHC staff. Perform job in compliance with OHC policies and procedures and professional / community standards. Requirements Bachelor’s degree in nursing, health care administration, or equivalent program. Preferred QA licensing and coding experience. Preferred HCHB EMR experience. Minimum of 3 years clinical experience in a home care environment/QA. Demonstrated knowledge of Performance Improvement and Quality Assurance Programs. Knowledge of regulatory requirements for home care, including OASIS data collection and reporting requirements, as well as Home Care Value Based Purchasing, expectations for Medicare Certified Agencies. Ability to work under minimal supervision. Experience in research, analysis, and report preparation. Ability to solve complex problems using experience, knowledge, and reasoning. Work both as a part of a team and independently. #J-18808-Ljbffr