Hospice Quality Improvement Coordinator

Location: Woburn, MA
Job ID: 176450-1A
Date Posted: May 23, 2022
Category: Professional

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Job Description

Welcome To

Welcome to Lahey Health Continuing Care, part of Beth Israel Lahey Health. Our team provides ongoing care to individuals through our assisted living and skilled nursing facilities. Our teams of nurses, aides, food service, and environmental service employees work to create an environment that supports the physical, mental, emotional, and spiritual needs of our residents and patients, along with their families.

 

About the Job

Position Summary: The Quality Improvement Coordinator serves as a resource for a clinical interdisciplinary team to facilitate and support quality improvement efforts and compliance with regulatory requirements. Analyzes documentation to ensure OASIS accuracy and care plan integration. Monitors clinical processes and outcomes and partners with Clinical Manager to identify opportunities for improvement. Acts as liaison between the business and clinical departments to resolve billing issues. Participates in other Quality Improvement activities as assigned.

Key Relationships:
1. All Field Staff positions who complete OASIS: Works collaboratively to ensure documentation is correct for accurate billing; Provide ongoing education related to OASIS and OASIS guidelines.
2. Clinical Managers, Director of Clinical Operations: Communicates and updates trends and any unusual practices and concerns.
3. Director of Business Operations, Billing Staff: Works collaboratively to ensure quality review is current and claims are processed timely and without errors.
4. S Trainer and Informatics Specialist, Director of Education: Works collaboratively to identify educational opportunities and to ensure consistent and effective education is delivered to all clinicians.


 

Responsibilities

Essential Duties & Responsibilities including but not limited to:

Medical Review

  1. Reviews Start of Care and other OASIS timepoint documentation to ensure that the OASIS is completed accurately and that the Plan of Care is reflective of and appropriate to the assessment. 
  2. Demonstrates proficiency in OASIS completion.
  3. Demonstrates proficiency in coding common home care diagnoses.
  4. Assumes responsibility for follow-up on problems or questions related to clinical documentation.
  5. Conducts targeted record reviews to identify trends and discover practices needing improvement.
  6. Assists with appeals/additional documentation request record reviews and processing as assigned.
  7. Practices confidentiality principles set by the agency and federal HIPAA guidelines.

Education

  1. Acts as the qualified documentation and regulatory resource person for the assigned team.
  2. Provides ongoing education related to OASIS and OASIS guidelines, including new hires during orientation.
  3. Participates in providing widespread education to clinicians including developing educational documents and tools to comply with documentation, regulatory and clinical best practices.
  4. Makes joint visits with clinicians to evaluate OASIS competency and compliance with agency protocols and procedures.
  5. Attends monthly team meetings and collaborates / educates the team based on Oasis and outcome trends.

Performance Improvement

  1. Partners with clinical manager to promote performance improvement strategies and compliance with best practices.
  2. Participates on committees to develop clinical and documentation standards.
  3. Participates in the Performance Improvement Plan.

Professional Development

  1. Maintains current clinical/OASIS and regulatory knowledge and skills, stays current and informed regarding changes in the field of home health.
  2. Adheres to departmental requirements for required training.
  3. Identifies specific learning needs and goals and collaborates with leadership in developing a plan to meet them

Organizational Requirements:

 

  • Maintain strict adherence to the Continuing Care Confidentiality policy.
  • Incorporate BILH at Home Standards of Behavior and Guiding Principles into daily activities
  • Comply with all BILH at Home Policies.
  • Comply with behavioral expectations of BILH at Home.
  • Maintain courteous and effective interactions with colleagues and patients.
  • Demonstrate an understanding of the job description, performance expectations, and competency assessment.
  • Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
  • Participate in departmental and/or interdepartmental quality improvement activities. 
  • Participate in and successfully completes Mandatory Education.
  • Perform all other duties as needed or directed to meet the needs of the department.

Qualifications

Minimum Qualifications:

Education

  • Graduate from an accredited program in Nursing or Physical Therapy.
  • BSN or related Physical Therapy degree preferred.
  • COS-C certification required; must be attained within 1 year of employment.

Licensure, Certification & Registration:

  • Must have an active Massachusetts license in Nursing or Physical Therapy.

Experience:

  • Minimum of two years as a field clinician in a certified home health agency.
  • Quality Improvement experience desired. 
  • Coding experience is a plus.

Skills, Knowledge & Abilities:

  • Knowledge of federal and state regulations pertinent to home health.
  • Strong assessment skills.
  • Attention to detail and accuracy.
  • Ability to mentor and educate clinical home care staff both onsite with patients and in the office setting.
  • Organizational and problem solving skills.
  • Well-developed written and communication skills.
  • Strong computer skills.
  • Strong interpersonal skills.
  • Team Player.

Physical Requirements

Physical Requirements & Environment:

Mental and Visual Attention

  • The position requires a high degree of mental and visual concentration.

Physical Exertion

  • Weight
    • Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds).
  • Dexterity
    • Flow of work and nature of duties require average manual coordination.
  • Range of Motion
    • Responsibilities require average range of motion.
  • Physical Conditions
    • Performance of duties requires remaining in position for prolonged periods of time.
  • Repetitive Motion
    • Responsibilities require occasional repetitive motion.

Working Conditions

  • Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

Exposure to Hazardous Materials

  • Performance of duties generally does not involve exposure to hazardous materials.

Sensory Requirements 

  • Performance of duties requires the ability to discern and identify colors.
  • Performance of duties requires the ability to discern sharp from dull and hot from cold.
  • Performance of duties requires the ability to hear soft and loud noises.

O-About Us

Lahey Health Continuing Care is steadfast in its commitment to quality care provided by compassionate caregivers with seamless transitions for patients. All services are designed to give patients and their loved ones as much independence and peace of mind as possible.

Lahey Health at Home offers a private duty home care agency (for in-home or assisted living facilities), certified home health for medically necessary services (skilled nursing, physical therapy and more) and monitoring services (such as Lifeline). We also offer assisted living and skilled nursing rehabilitation (Beverly and Gloucester locations), with many programs specially designed for patients encountering cognitive impairment. Spectrum, Lahey Health adult day services (North Andover and Beverly locations), is the only day program in the region recognized by the Alzheimer Association for its commitment to staff training and support.

Become a member of our team providing sensitive, exceptional care by applying today!

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.