Details
Posted: 16-Jun-22
Location: Orlando, Florida
Salary: Open
Categories:
Quality/Risk Management
Internal Number: 22014038
DescriptionPerformance Improvement Manager AdventHealth Home Health
All the benefits and perks you need for you and your family:
- Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit.
- Fulfilling work with people who treat you like family.
- Excellent benefits, market-driven wages and career development opportunities.
- Recognized for the seventh year in a row as a recipient of the Gallup Great Workplace Award as part of the AdventHealth network.
- Opportunities for advancement as we expand our network across the nation.
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift: Monday to Friday 8am to 5pm
Location: 602 Courtland St., Suite 310, Orlando, Florida 32804
The role you’ll contribute:
The Quality/Performance Improvement (PI) Manager is responsible for performing activities of the performance improvement program and related functions of the home health department. Related functions include but are not limited to staff development, education, coding, working reports related to billing and certification review. The Quality PI Manager operates independently under the general supervision of the Agency Administrator.
The value you’ll bring to the team:
- Facilitates corporate compliance audits, Joint Commission/ CHAP preparedness, periodic performance reviews, surveys; AHCA surveys.
- Serves as a resource person to staff regarding agency operation and regulatory agency/intermediary requirements.
- Optimizes the smooth transition of care from referral source to home.
- Fields initial admission calls from clinician in patient home to ensure admission criteria/payer eligibility is met and patient is involved in establishing the care plan.
- Works with admitting clinician to establish initial care plan for all disciplines following utilization guidelines based on findings from the initial patient assessment.
- Communicates effectively with all team members to ensure care is appropriately set up and managed for the patient.
- Coordinates staff education and clinical assessment, inclusive of new hire orientation, in-service education to the interdisciplinary team and annual competencies, addressing identified needs of staff; infection control, performance issues.
- Supervises and evaluates staff reporting to this position.
- Coordinates home health performance improvement activities. Ensures that patient outcomes are monitored and improved through appropriate safety/preventive measures.
- Facilitates and reports on quarterly record review and analysis of potentially avoidable events.
- Ensure that all admission records are reviewed for accuracy including certification and OASIS congruency and coding; assists in working batch error reports, bill hold and other billing reports, checks orders for completeness prior to mailing.
- Assures that bill holds and unbilled reports are addressed and coaches staff to meet requirements.
- Ensures that opportunities to improve patient care are taken and identified problems are resolved.
- Facilitates the evaluation and annual revision of the objectives, scope, organization, and the effectiveness of the performance improvement program. To include collection and use of comparative data; assists with the implementation and monitoring of all aspects of the annual performance improvement program.
- Participates in staff meetings, department meetings, in services and other related activities.
- Attends educational and developmental seminars and meetings, as deemed appropriate.
- Maintains membership of and participates in applicable home care-related and professional organizations.
QualificationsThe expertise and experiences you’ll need to succeed:
- Associate degree in nursing.
- Minimum 3 years home health experience as a Registered Nurse.
- A clear/active Florida Registered Nurse (RN) license.
- Basic Life Support certification .
- Maintain a current, valid Florida Driver's License in good standing with a safe driving record and a reliable vehicle.
- Maintain valid personal automobile insurance.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.