QA Manager

Job Description

Job Description

Salary : $120,000 - $150,000

JOB TITLE : QA Manager

Responsible to : Director of Patient Services

Description : In collaboration and under direction of Agency’s leadership develop, participate and evaluate agency’s quality assurance to ensure regulatory compliance, quality of care, adequacy and competency of clinical personnel and appropriate billing and efficiency.

JOB DUTIES / KNOWLEDGE (30%)

• Comprehensive knowledge of all Medicare Conditions of Participation and New York State Department of Health CHHA Regulations and other pertinent Federal and State regulations.
• In collaboration with DPS, Director of Clinical Education and QA supervisor, participates in development and implementation of clinical orientation program, as well as evaluation and ongoing education of all staff.
• Ensures appropriate provision of services to meet patients’ needs in a cost-effective manner.
• Utilizes SHP (Strategic Health Partners) and HCHB (Homecare Homebase) reports to drive initiatives designed to promote agency’s growth and quality improvement.
• Actively participates and provides support to agency’s leadership in oversight of all surveys and audits.
• Acts as liaison with all regulatory agencies.
• Actively participates in development and evaluation of Agency Policies and Procedures
• In collaboration with QA Supervisor Participates and provides reports the Professional Advisory Committee.
• In collaboration with Director of Patient Services (DPS) and Supervisor of Quality Assurance develops, implements, and evaluates agency’s Quality Improvement Program and Infection Control Plan.
• Participates in case conferences with clinical personnel to ensure appropriate case management, coordination and timely discharge planning.
• Oversees timely and accurate OASIS submission and participation in quality reporting.
• Actively participates in development, implementation and evaluation of agency emergency plan
• Participates in compliance audits under the direction and collaboration with corporate compliance officer.
• Serves as a liaison to the governing body, and attends meetings as requested by the governing body.
• Conducts investigation and summary for patient and / or employee incidents. Escalates issues to Agency’s leadership as necessary
• Collaborates with other personnel to establish personnel policies and procedures including wages, salaries and benefits and assures compliance with applicable laws.
• Promotes client relations by receiving complaints and compliments. Makes home visits as indicated.
• Conducts full investigation and provides resolution to patient / caregiver complaints and grievances in accordance with agency’s policy.
• Any other duties as assigned by the DPS and / or Administrator.

JOB PERFORMANCE (10%)

Demonstrates initiative and skills in planning and organizing work

MISSION / AGENCY STANDARDS (10%)

Demonstrates organizational awareness and commitment

• Understands and appropriately applies the chain of command in relation to job position.
• Knows and understands the agency mission in relation to own job position.

Observes confidentiality policy at all times

• Protects and honors customer and coworker confidentiality to Federal, State and DOH regulatory standards.
• Respects customers’ and coworkers’ right to privacy.

Observes attendance and attire policies

• Meets attendance and punctuality expectations.
• Demonstrates cooperation with scheduling requests to meet agency needs.
• Consistently adheres to agency dress code.

Complies with all other related policies, procedures and requests

• Adheres to agency policies and procedures.
• Demonstrates knowledge of policies and procedures applicable to own job position.
• Recommends and / or supports changes to policies and procedures.
• Implements requests of governance for interim rules.

Conserves agency resources

• Protects agency resources in a manner that demonstrates accountability.
• Maintains the work area to reduce the likelihood of safety hazards and to enhance its general appearance.

COMMUNICATION SKILLS (15%)

Demonstrates interpersonal understanding and utilizes effective communication skills

• Is sensitive to effects of words and actions on others and communicates with respect, patience and understanding at all times
• Utilizes listening and communication skills that indicate understanding and promotes accurate interpretation of others’ concerns, motivations and feelings
• Recognizes the influence of beliefs and cultures on behaviors and accepts strengths and limitations in others.
• Works toward resolution of interpersonal conflicts as they arise.
• Recognizes when others are in need of information, assistance or direction and consistently offers and provides help.
• Attends and participates positively in meetings.
• Regularly reads and appropriately applies information to operations of department.
• Assures members of department serve as positive representatives of the Agency.

Exhibits behaviors of cooperation

• Cooperates and develops collaborative work efforts that generally benefit all involved parties.
• Demonstrates the initiative to meet the needs of the agency.

PERSONAL / PROFESSIONAL DEVELOPMENT (10%)

• Maintains current personnel and medical file information and provides information to agency in timely manner.
• Sets own development challenges and takes the initiative to learn.
• Participates in orientation of new personnel.
• Adheres to agency infection control and safety policies, including reporting, practice and implementation specific to OSHA mandates.
• Attends agency provided in-service programs to fulfill requirements of position and agency policies.
• Maintains stable performance and emotions when faced with opposition, pressure and / or stressful conditions.
• Understands department’s role in Emergency / Disaster Plan.
• Participates in collegial forums within the home health industry.

PROBLEM SOLVING (15%)

Exhibits critical thinking abilities and applies them for continuous improvement of services

and the agency

• Uses own knowledge and experience base and other resources as necessary to make logical decisions and solve problems.
• Continuously analyzes operational performance and assures improvement, where necessary.
• Problem solves, prioritize and escalate issues to Agency’s leadership as necessary
• Effects a deep sense of commitment to the success of his / her department.
• Demonstrates creativity and innovation. Takes reasonable risks and accepts full accountability for actions taken.
• Develops a spirit of cooperation and teamwork while working with colleagues / clinical team.
• Works for solutions that generally benefit all involved parties.
• Recognizes complex connections in situations and is able to identify the key or underlying issues.
• Demonstrates the ability to make decisions independently which benefit the agency as a whole based on the identification of key or underlying issues.
• Demonstrates confidence in one’s own skills, capabilities and judgments.

QUALIFICATIONS :

• Minimum of 5 years of clinical experience in a Certified Home Health Agency and / or Post-Acute Care Setting
• Minimum of 3-5 years of Quality improvement / Quality assurance experience
• Bachelor of Science in Nursing.
• CPHQ certificate would be a plus.

DEGREE OF TRAVEL : Variable for meetings with providers, patient care and attending meetings and conferences

DEGREE OF DISRUPTION TO ROUTINE, OVERTIME : Frequent

SAFETY HAZARDS IN JOB : Moderate to high level of stress