Quality Management Specialist / Educator

Employment Type:

Full time

Shift:

Day Shift

Description:

Quality Management Specialist / Educator - Summary

Above and Beyond -Monticello

Position Purpose

This role drives quality improvement, regulatory compliance, and clinical education across homecare and/or hospice agencies. It partners with agency leadership to design, implement, and evaluate performance improvement initiatives , while ensuring adherence to EMR standards, accreditation requirements, and documentation accuracy .

The position also serves as a clinical educator and mentor , leading onboarding, training programs, and competency development for staff.

Key Responsibilities

Quality & Performance Improvement

• Lead QAPI (Quality Assurance Performance Improvement) initiatives

• Analyze outcomes data (OASIS, OBQI/OBQM, EMR reports) to drive improvements

• Develop action plans to achieve top-decile clinical and patient satisfaction outcomes

• Conduct audits, chart reviews, and compliance monitoring

Regulatory Compliance & Audit Support

• Ensure compliance with CMS, state, and accreditation standards

• Support ADR audits, payer reviews, and ALJ preparation

• Maintain survey readiness and oversee documentation accuracy

• Identify trends impacting billing, compliance, and reimbursement

Education & Training

• Design and deliver training for clinical and non-clinical staff

• Lead orientation, onboarding, and competency validation

• Provide ongoing education in documentation, EMR workflows, and regulations

• Apply adult learning principles to training strategies

Clinical & Operational Support

• Review and validate OASIS and EMR documentation

• Support discharge workflows and case conferencing

• Collaborate with leadership on policy development and process improvement

• Assist with student clinical programs and interdisciplinary initiatives

Leadership & Collaboration

• Partner with agency leadership to achieve clinical, operational, and financial goals

• Act as a subject matter expert and mentor

• Lead or support programs such as:

• Infection prevention

• Patient satisfaction

• Safety initiatives

• Drive change management and continuous improvement

Qualifications

Required

• Licensed RN or Therapist

• Bachelor's degree

• 4+ years experience in homecare or hospice

• Strong knowledge of:

• Quality improvement methodologies

• Regulatory standards

• EMR systems and documentation

Preferred

• 2+ years in a supervisory or leadership role

• Experience with committees or organizational leadership

Additional Requirements

• Strong communication and interpersonal skills

• Ability to adapt in fast-changing environments

• Valid driver's license and reliable transportation

• OASIS Certification (within 15 months for homecare roles)

Core Competencies

• Quality & data-driven decision making

• Clinical education & training design

• Regulatory expertise

• Cross-functional collaboration

• Leadership and change management

• Critical thinking and process improvement

Impact of the Role

This position is critical in ensuring:

• Regulatory compliance and audit readiness

• High-quality patient care outcomes

• Efficient and standardized EMR usage

• Well-trained, competent clinical staff

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran