Hospice Quality Assurance Manager

Benefits:

401(k)

Competitive salary

Opportunity for advancement

Paid time off

The QA Manager oversees the quality of charting and QUAPI program by managing chart audits—making sure care is safe, effective, patient-centered and compliant with regulations.

Key Roles & Responsibilities

1. QAPI Program Oversight

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

1. Regulatory Compliance

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)

1. Clinical Chart Audits

Review patient charts for:

Proper documentation

Eligibility (LCD guidelines)

Timeliness (admissions, recertifications, visits)

Identify trends in documentation deficiencies

Provide feedback to clinical staff

1. Education & Staff Training

Educate staff on:

Documentation standards

Regulatory updates

Quality initiatives

Conduct in-services and competency training

Collaborate with clinical leadership (DPCS)

1. Incident & Risk Management

Oversee reporting and investigation of:

Falls

Medication errors

Patient/family complaints

Perform root cause analysis (RCA)

Implement corrective action plans

1. Performance Metrics & Data Tracking

Monitor key hospice quality indicators:

CAHPS Hospice Survey scores

Hospitalizations/revocations

Pain and symptom management effectiveness

Analyze trends and present reports to leadership/IDT

1. Policy & Procedure Management

Develop and update hospice policies/procedures

Ensure policies align with current regulations

Assist departments in implementing policies correctly

1. Interdisciplinary Team (IDT) Collaboration

Attend IDT meetings to ensure:

Compliance with care planning

Documentation supports hospice eligibility

Support clinicians with quality improvement strategies

1. Survey & Audit Response

Lead response to:

State/CMS survey findings

ADRs (Additional Documentation Requests)

Create Plans of Correction (POCs)

Ensure follow-through on deficiencies

Key Skills Needed

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