Company:
Compassus
Position Summary
The Hospice Director of Quality Outcomes is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Hospice Director of Quality Outcomes assesses the quality of care provided to hospice patients, families, and staff. S/he monitors documentation, compiles regular reports, and works closely with the program leadership.
Position Specific Responsibilities
Owns ensure H.A.R.S (Hospice Aide Supervision, Assess skin/wound status, Reconcile Medications, and Screen for Pain (and intervene for comfort)) audits are completed and accurate.Leads/Ensures outside audits are responded to accurately and timely.Ensures support with the Areas Executive Clinical Operator PreBill is completed accurately and timely.Manages clinical action planning for services scores and Star Ratings.Manages We Honor Vets with a focus to move each location 1 level annually.Ensures internal scorecard follow-up and POC effectiveness.Ensures QAPI is accurate and complete.Participates in the development and update of patient care policies and emergency procedures.Collaborates effectively with Regional Director of Clinical Operations, Area Director of Clinical Operations, Director(s) of Clinical Services and members of senior leadership team to assure clinical excellence in each location.Performs documentation reviews and audits to assess:Quality of clinical documentation across all members of the IDT.Evidence of care coordination.Evidence of plan of care revision according to assessments.Compliance requirements are met.Documentation of Mock surveys in locations to assure compliance of hospice regulations.Reports deficiencies to appropriate staff for corrections and follows up to ensure completion.Assists program leadership with development and implementation of plan of correction following internal/ external survey/ audits, updates supervisor when a plan of correction validation intentional site visit is to be completed.Audits IDT documentation for accuracy and completeness.Supports Area Director of Clinical Operations to ensure continuous CHAP readiness.Compiles quality data on a quarterly basis and submits summary to Hospice Area Director of Clinical Operations for Governing Body reporting.Supports clinical onboarding Assures annual competency and training for MD and Teammates is completed and filed accurately.Participates in performance improvement programs and assures oversight of locations Performance Improvement plans.Upholds Compassus philosophy of integrity and commitment; communicates proactively when schedule changes are needed.Models and facilitates communication between teammates including medical records, business office, intake, clinical team, and leadership.Provides input into program service recovery efforts.Solicits and incorporates internal team member feedback into quality efforts and performance improvement.Performs other duties as assigned.
Education and/or Experience
Bachelor's in Nursing strongly preferred but other degrees will be given consideration.Three (3) years of clinical experience required.Experience in quality assessment, quality management, or data analytics a plus.Experience with electronic medical records systems a plus.Resides in State of oversight preferred.
Skills
Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.Other Skills and Abilities: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, or scheduled form. Ability to interpret an extensive variety of technical instructions and deal with several abstract and concrete variables. Ability to think critically and perform continuous in-depth clinical/business process reviews. Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Thorough understanding of the Medicare Regulations for hospice. Thorough knowledge and understanding of the functions of a hospice organization. Competency in general nursing theory, techniques, and practice. Professionalism, sound judgment, and effective communication skills are required. High integrity, including maintenance of confidential information such as patient records. Possesses strong leadership, organizational, and interpersonal skills. Must be able to work a flexible schedule to include nights and weekends. The role requires 50% travel across the United States including all time zones and weather conditions.
Certifications, Licenses, and Registrations
Active and unencumbered Registered Nurse license in state of employment, in addition to every state in the Region this role will be covering required.Current CPR certification required.
Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.
At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
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