Description : Job Summary :
Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and coordinating support to assigned areas.
Essential Responsibilities :
- Assists in the coordination of the quality management / utilization management department activities. Acts as a consultant for appropriate departments on quality management, utilization management and risk management activities.
- Assists with quality management studies through data collection, data input and report development. Provides objective assessment of important aspects of patient care through ongoing chart review with pre-established criteria.
- Facilitates interdisciplinary collaboration for development of patient care paths. Reports all occurrences which may lead to medical center liability and follows up as necessary.
- Serves as a member of the QM and / or UM Committees as needed. Attends and / or participates in committee meetings as needed.
Assists in orientation and training; in formulating and evaluating policies and procedures.
- Performs special projects as assigned, such as statistical reports for state, federal, and local agencies. Assists the director of quality and utilization management for QM and UM in the formulation of department goals and objectives.
- Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status.
Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications : Experience
Minimum three (3) years of home care nursing experience or quality utilization review experience.
Education
- Bachelors degree in nursing or related field OR four (4) years of experience in a directly related field.
- High School Diploma or General Education Development (GED) required.
License, Certification, Registration
Registered Nurse License (California)
Additional Requirements :
- Current working knowledge of The Joint Commission, NCQA and Title 22 and federal standards / regulations.
- Strong problem solving, project management, group facilitation and teamwork skills.
- Demonstrate knowledge of adult learning theories.
- Demonstrate ability to assess or evaluate patient medical records as it relates to quality of care and systems analysis.
- Demonstrate knowledge of quality improvement, statistical analysis, and accreditation and licensing processes.
- Must be able to work in a Labor / Management Partnership environment.
Preferred Qualifications :
- Supervisory experience preferred.
- Valid CA drivers license with personal means of transportation preferred.
- PC literate, Microsoft Office applications preferred.
Clinical Nurse Manager (RN) - Hospice
Crossroads Home Health and Hospice currently provides Home Healthcare and end-of-life Hospice Care to 1,500 patients throughout CA, UT, AZ, and OR. Hi! We are Crossroads Home Health and Hospice! At Crossroads, we are committed to creating an environment that acts as a magnet for the most collaborati...
Registered Nurse (RN) - Home Health
Responsible for the assessment and plan of care of home health patients in accordance with the RN scope of practice and in compliance with CMS guidelines and regulations for home health care. ACE Home Health and Hospice is a locally owned and operated agency. Registered Nurse - Home Health. Responsi...
Site Director Home Health Hospice
Serves as the Director of Patient Care Services in a home health/hospice agency setting. Manages daily operations of the 24-hour Home Health/Hospice agencies providing patient care services. Manages the 24/7 home health/ hospice agency, providing patient care services. Schedules and assigns staff, r...
Occupational Therapist (OT) - PRN
Participation in Quality Assurance/Performance Improvement Program and Home Health. Identifies patient and family/caregiver needs for other home health services and refers. When therapy is the only skilled service, instructs, supervises and evaluates home health. We embrace a diverse workforce and u...
Service Director Home Health Hospice (RN preferred)
Serves as the Administrator of the Home Health/Hospice Agency. Responsible for multiple medical center facilities and manages the operations of Home Health/Hospice departments across Service Areas. Plans, organizes, directs, evaluates and coordinates Home Health/Hospice programs. Directs development...
Physical Therapist (PT) - Home Health - Part Time Per Diem - East Bay
Identifies patient and family/caregiver needs for other home health services and refers as necessary. When therapy is the only skilled service, instructs, supervises and evaluates home health aide care every two (2) weeks. Community/home health experience is preferred. We embrace a diverse workforce...
Physical Therapist Home Health Hospice Short Hour
Supervises the work of Home Health Aides according to regulation and agency policy. This job is limited to Physical Therapists who are required to make home visits at any given time, or who have responsibilities which include working in the patients place of residence. Implements the plan of care th...
RN Case Manager (RNCM)- Home Health - Sonoma County - Full Time -$10K Sign on Bonus
Participation in Quality Assurance/Performance Improvement Program and Home Health. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Responsible for supervising home health aides. We embrace a diverse workforce and understand that our employees are key to provi...
Physical Therapy Assistant (PTA) - Home Health - PRN - Sonoma County
Participation in Quality Assurance/Performance Improvement Program and Home Health. We embrace a diverse workforce and understand that our employees are key to providing quality care and our most important resource. Participates in Organization Home Care Team Members meetings and Organization Inserv...
RN Case Manager (RNCM)- Home Health - Full Time - Santa Rosa - 10K Sign on Bonus
Participation in Quality Assurance/Performance Improvement Program and Home Health. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Responsible for supervising home health aides. We embrace a diverse workforce and understand that our employees are key to provi...