Duke Homecare & Hospice Duke Homecare & Hospice offers hospice, home health and infusion services as well as serves as the home for the Duke Caregiver Support Program. Our Hospice team works closely with a patient's physician to provide comprehensive, individualized care in the comfort their home or at our inpatient hospice facility located in Durham. Our team of nurses, therapists, social workers, counselors, and chaplains help patients and their families manage advanced medical conditions. Duke Home Health provides services in a patient's home that include skilled nursing, physical therapy, occupational therapy, speech therapy, social service, home health aides, and pain and wound management. Our infusion team comes to a patient's home to administer intravenous medications, including antibiotics and chemotherapy, to children and adults. Our nurses, pharmacists, dietitians, and patient services coordinators work under the direction of a patient's doctor to monitor needs and treatment.
Work Week: Full-time 40-hour/week with opportunity for possible hybrid/remote work environment
JOB SUMMARY
The Quality Assurance Analyst is responsible for performing professional administrative duties related to assessing, planning, implementing, and evaluating performance improvement and regulatory compliance strategies of Duke HomeCare & Hospice (DHCH). In collaboration with the Director and with senior leadership, identifies, plans and executes activities to promote patient safety, performance improvement initiatives and to ensure compliance according to regulatory statues, policies and procedures
MAJOR JOB RESPONSIBILITIES
Develop, design and recommend strategies or activities intended to improve performance in clinical quality, patient safety, and regulatory compliance for all clinical programs of Duke HomeCare & Hospice. May directly implement or provide consultation to individual clinical programs in the implementation of improvement strategies.
Recommend to and/or participate with DHCH leadership in development of annual performance improvement, quality assurance and regulatory compliance strategic plans for assigned programs of DHCH.
Provide consultation to, and facilitation of, individuals and teams within assigned clinical programs related to quality, safety and compliance activities. (e.g. Program level safety teams).
Lead/direct teams at DHCH-wide level (e.g. Infection Control, Clinical Forms, FMEA).
May manage the DHCH infection control program. Develop and implement infection control plan, assure compliance with infection surveillance, prevention, control measures, and functions as the ICP and chairs the ICC.
Establish DHCH clinical quality assessment/improvement standards. Identify quality issues and conduct audits to further investigate issues. Audit outsourcing facilities as appropriate. Analyze audit results and submit reports on findings to DHCH leadership. Based on audit findings, recommend and implement preventive and/or corrective actions.
Regularly assess the knowledge needs of the clinical staff related to regulatory standards and develop plans to meet those requirements.
Identify personal learning needs of clinical staff and implement corrective action. Plans and conducts staff development programs to improve agency effectiveness.
Maintain up to date knowledge of Medicare/Medicaid/JC/HIPPA regulations through in-services and workshop attendance. Teach and train all staff on new regulations or changes in regulations/standards.
Regularly review clinical documentation, patient satisfaction records, and Quality Improvements to assess and identify trends. Recommends and implements process changes, policy changes, staff training or other appropriate mitigating factors in response to identified trends.
Provide oversight to the PI/QA Program Coordinator related to forms management, requests for information, data reports distributed to clinical programs.
Develops DHCH policy, procedures and objectives.
Performs other duties as assigned.
REQUIRED AND PREFERRED QUALIFICATIONS
Education and Formal Training
Bachelor's degree in Nursing (RN) Required
Licensures, Certifications
Current Registered Nurse licensure in the state of North Carolina or current RN licensure in participating compact state
Professional Work Experience
Minimum of 2 years of hospice experience with a minimum of 1 year experience related to performance improvement, quality assurance, or regulatory affairs.
Knowledge, Skills & Abilities
Working knowledge of Medicare and Medicaid regulations, including JC and DFS standards, ICD-9 Coding.
Maintains confidentiality of employee and patient information.
Promotes quality, comprehensive services through a team approach.
Excellent interpersonal communication and organizational skills required.
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