Hospice Director of Quality Outcomes

Company

Compassus

Position Summary

The Hospice Director of Quality Outcomes is responsible for modeling the 3 Company values of Compassion, Integrity, and Excellence, 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. S/he is responsible for applying the rules and regulations of state and federal regulatory agencies and other certified agencies.

Position Specific Responsibilities

• Responsible to 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 PreBill is completed accurately and timely.
• Ensures 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.
• 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
• 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.
• 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.
• Demonstrates personal responsibility for professional development and training.
• Participates in performance improvement programs.
• Upholds Compassus philosophy of integrity and commitment; communicates proactively when schedule changes are needed.
• Models and facilitates communication between colleagues including medical records, business office, intake, clinical team, and leadership.
• Provides input into program service recovery efforts.
• Solicits and incorporates internal colleague feedback into quality efforts and performance improvement.
• Performs other duties as assigned.
  

Education And/or Experience

• BSN strongly preferred but other degrees given consideration.
• Registered Nurse with active, current nursing license required.
• Three (3) years of clinical experience is required.
• Experience in quality assessment, quality management, or data analytics a plus.
• Experience with electronic medical records systems a plus.
  
  

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, colleagues, 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 schedule 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 hospice 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 communications skills are required. High integrity, including maintenance of confidential information such as patient records. Possess strong leadership, organizational and interpersonal skills. Must be able to work a flexible schedule to include nights and weekends. Role requires 50% travel across the United States including all time zones and weather conditions. Relocation is not required.
  
  

Certifications, Licenses and Registrations

• Active Nursing license in state of employment, in addition to every state in the Region this role will be covering.
• Current CPR certification.
  
  

Physical Demands and Work Environment: The physical demands described here are representative of those that must be met by a colleague to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the colleague is regularly required to use hands to finger, handle, or feel; talk and hear. The colleague frequently is required to stand, sit, and reach with hands and arms. The colleague is occasionally required to walk; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The colleague must frequently lift and/or move more than 50 pounds. Specific vision abilities required by this job include close vision. The work environment characteristics described here are representative of those a colleague encounters while performing the essential functions of this job. There will be possible exposure to infectious diseases through working with clinical caregivers. The noise level in the work environment is usually quiet.

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 colleagues 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.