Hospice Quality Assurance Manager
ANGEL CARE HOSPICE OF ARCADIA INC
Job Description
Job Description
Benefits:
- 401(k)
- Competitive salary
- Opportunity for advancement
- Paid time off
- Manage and implement the hospice QAPI plan
- Identify areas for improvement using data (falls, infections, hospitalizations, etc.)
- Lead performance improvement projects (PIPs)
- Track and report outcomes to leadership
- Ensure compliance with:
- Medicare Conditions of Participation
- State regulations
- Prepare for surveys (CMS and state)
- Conduct mock surveys and audits
- Maintain readiness at all times (survey-ready culture)
- Review patient charts for:
- Proper documentation
- Eligibility (LCD guidelines)
- Timeliness (admissions, recertifications, visits)
- Identify trends in documentation deficiencies
- Provide feedback to clinical staff
- Educate staff on:
- Documentation standards
- Regulatory updates
- Quality initiatives
- Conduct in-services and competency training
- Collaborate with clinical leadership (DPCS)
- Oversee reporting and investigation of:
- Falls
- Medication errors
- Patient/family complaints
- Perform root cause analysis (RCA)
- Implement corrective action plans
- Monitor key hospice quality indicators:
- CAHPS Hospice Survey scores
- Hospitalizations/revocations
- Pain and symptom management effectiveness
- Analyze trends and present reports to leadership/IDT
- Develop and update hospice policies/procedures
- Ensure policies align with current regulations
- Assist departments in implementing policies correctly
- Attend IDT meetings to ensure:
- Compliance with care planning
- Documentation supports hospice eligibility
- Support clinicians with quality improvement strategies
- Lead response to:
- State/CMS survey findings
- ADRs (Additional Documentation Requests)
- Create Plans of Correction (POCs)
- Ensure follow-through on deficiencies
- Strong knowledge of hospice regulations (CMS, state)
- Clinical background (LVN or RN)
- Detail-oriented with strong auditing skills
- Data analysis and reporting ability
- Leadership and communication skills
Vacancy posted 29 days ago
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