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UNC Health · 1 month ago

Quality Assurance Specialist Home Health

United States

Full-time

Remote

Mid Level

$30.73/hr - $44.18/hr

4+ years exp

UNC Health is an inclusive organization dedicated to improving health and well-being in the communities they serve. The RN Quality Assurance Specialist oversees clinical documentation compliance, educates staff on documentation standards, and ensures adherence to regulations for patient care plans.

Addiction TreatmentHealth CareHealth DiagnosticsHospitalNon ProfitWellness

Responsibilities

Demonstrates working knowledge of regulatory and provider guideline, updating knowledge base continuously through self study and in service attendance. Maintains awareness of current payor provider agreements in order to complete 485 and OASIS appropriately

Assesses and interprets patient data as needed to provide guidance to Case Managers on patient needs relative to his/her age and conditions. Consults with patient case managers/team leaders for care coordination as necessary

Promote and maintains interpersonal communication with all team members, clinicians and physicians

Demonstrates ability to educate, develop and stimulate the professional growth and development of staff members. Serves as clinical resource to home health staff as well as physicians and their office staff as related to home care services, orders and diagnoses

Identifies staff educational needs to ensure safe and effective patient clinical management. Recommends, plans and or participates in staff development programs for employees

Ensures that all patient OASIS assessments are submitted by staff and that they are complete and compliant with Medicare/Medicaid/state/federal regulations and agency policy

Responsible for reviewing for patient assessments for completeness, locking and submitting the assessment per regulatory guidelines. This includes, but not limited to: coding and diagnoses, patient short and long term goals with end points for all services, orders/goals for all disciplines, and notifies the clinical staff assessment revisions as needed

Manages the implementation of nursing process to ensure quality of patient care delivery and monitors outcomes of care as appropriate

Participates in employee educational programs to improve the quality of the patient plan of care and OASIS assessments

Meets or exceeds daily assessment review productivity

Works with the Quality Manager and Director in the development and implementation of departmental goals and standards

Audits patient records for completeness of documentation and adherence with agency, organizational, state and federal regulations and payor requirements

Provides for quality review (QA) related education and assessment review with new staff during the onboarding and orientation, or as indicated

Provides for other duties or tasks as assigned

Qualification

OASIS CertificationRN LicenseHome Health ExperienceCritical ThinkingInterpersonal SkillsProblem SolvingAttention to Detail

Required

Bachelor's degree in Nursing (BSN) from a state accredited school of professional nursing

Current RN license to practice in NC

Must be Oasis Certified (HCS-O,COS-C) or obtain certification within one (1) year of employment

Adult CPR

If a Bachelor's degree: requires four (4) years of related experience and/or training

A minimum of two (2) years of experience in Home Health

Must be professional with effective critical thinking and problem solving skills

Strong interpersonal and communication skills for cross department collaboration

Strong team player with high attention to detail that can adapt easily to continuous change

Benefits

This is a State position employed by UNC Health Care System with UNC Health benefits.

If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.