Performance Improvement Specialist
WILLCARE - Newburgh, NY

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Performance Improvement Specialist Opening - Newburgh NY

Performance Improvement Specialist Opening - Newburgh NY

WILLCARE, a successful regional leader in the home health care industry, currently has a job opening for a Performance Improvement Specialist in our Newburgh NY branch office. In business for the past 30 years, WILLCARE operates Certified/Medicare, Long Term Care, Licensed/Private Duty, as well as non-medical services and supplemental staffing agencies. We provide qualified skilled and non-skilled services focusing on preventative, rehabilitative and therapeutic care to our clients in all applicable settings. We have branch offices in Western NY, Hudson Valley NY, Connecticut, and Ohio.

Job Title: Performance Improvement Specialist (RN)

Job Locations: Newburgh NY

Job Department: Branch Administration

Status: Full Time

PERFORMANCE IMPROVEMENT SPECIALIST JOB SUMMARY

The Performance Improvement (PI) Specialist is responsible for ensuring the quality of skilled services provided by the team through data collection, tracking and trending of data, and analyzing outcomes of care to identify opportunities for improvement. The PI Specialist works collaboratively with the other members of the Clinical Leadership Team to develop and implement PI projects based on Best Practice and designed to improve patient outcomes and patient satisfaction.

PERFORMANCE IMPROVEMENT SPECIALIST ESSENTIAL DUTIES & RESPONSIBILITIES

Ensure that the patient’s plan of care adheres to the standards of practice and recommended visit frequency of the Healing Pathways, is executed as written and reassessed by the appropriate health care professional when there is a significant health status change in the patient’s condition, at the physician’s request and after hospital discharge. Ensure appropriate documentation is completed for all patients transferred to an inpatient facility.

Complete review of OASIS and 485s. Review both the data submitted via the Mobile Device and via paper to ensure accuracy and follow up on any documentation that requires correction. Process the OASIS and 485s, verify the correct start of care date and episode date range in HCHB. Process any unlisted supplies, medications, activity, functional limitations, allergies, etc. that appear on the action screen.

Follow up on OASIS Assessments that cannot be processed due to licensed professional documentation deficiencies.

Participate in case conferences and address recertification/discharge decisions based on case conference findings.

Collaborate with the Clinical Supervisor to identify clinical learning needs in order to mentor, educate, and develop Clinicians’ assessment skills and overall competency. Actively participates in the Branch PI Committee through: 1. Completion of audits 2. Summarizing, tracking, and trending findings 3. Identifying opportunities for improvement and, in collaboration with Staff Development & Clinical Supervisors, develop PI plans to address and improve.

Ensure deficiencies related to the Corporate Compliance audit findings are addressed and corrected per action plans. Maintain clinical audit scores as per established benchmarks.

Under the direction of the Administrator and DPS, reviews Home Health Compare data and patient satisfaction results to identify areas for improvement.

Participate in quarterly review and analysis of statistics from the clinical chart audits and make recommendations based on identified trends.

Completes a minimum of one Supervisory field visit per month to ensure inter-rater reliability and accuracy of OASIS assessments.

Collaborate with the Compliance Department in the Additional Documentation Review (ADR) and Denial review, preparation and submission per established protocols.

Ensure that the OASIS scoring and ICD Coding is correct. Validate the frequency of visits based on assessment scoring and Healing Pathway recommended frequency.

Participate in community awareness and education programs.

EDUCATION & QUALIFICATION REQUIREMENTS

Currently licensed and registered to practice as an RN with the State Board of Nursing.

Must possess at least one of the below combinations of education & experience (see state specific requirements below if applicable): a. Baccalaureate Degree in Nursing (BSN) and two years of experience as a community health nurse; OR b. Associates Degree in Nursing and four years experience as a certified home care nurse.

Supervisory / management experience preferred.

Knowledge of State and Federal Home Care Regulations.

Proficient in ICD-9 (ICD-10) coding; Coding Certification preferred.

Proficient in OASIS-C completion; OASIS-C Certification preferred.

Ability to implement PDSA cycles and follow through on improvement initiatives.

Ability to develop and present clinical education and training.

Must be capable of multitasking while maintaining a professional and friendly demeanor and be able to function well in an atmosphere of stress and interruption.

Demonstrate outstanding leadership skills and interpersonal skills.

Must be organized and able to effectively communicate both orally and in writing.

For additional details, see:
JOB DESCRIPTION (click to open PDF file)
WILLCARE BENEFITS

About this company
42 reviews
WILLCARE is a family-owned, independent, proprietary, regional leader in the home health care field. And we've been doing a pretty good job...