Quality Measures Specialist Assistant jobs in United States
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OPCO Skilled Management · 10 hours ago

Quality Measures Specialist Assistant

OPCO Skilled Management is seeking a Quality Measures Specialist Assistant to manage clinical leadership teams in the development and evaluation of MDS services across multiple facilities. This role involves training and supporting MDS Coordinators to ensure compliance with standards and regulations while promoting quality care and fiscal responsibility.

Health CareHome ServicesNursing and Residential CareRehabilitationWellness

Responsibilities

Consults with and provides technical assistance to the MDS Coordinators through visits and the interpretation or clarification of policies and regulations
Trains new MDS Coordinators in conducting resident assessments, developing plans of care, evaluating residents’ responses to interventions and documenting clinical records
Trains new MDS Coordinators on the RAI manual and all applicable deadlines for resident assessments and completion of Minimum Data Sets (MDSs)
Observes MDS and related practices for compliance with standards and regulations
Regularly inspects the facility and nursing practices for compliance with standards of nursing practice and federal, state and local regulations
May be required to assume the role of interim MDS Coordinator, as needed
Ability to train facility MDS regarding company best practices including consistent coordination with other members of Compliance Team i.e. DON, BOM, Medical Records, and Therapy to ensure compliant billing
Leads the facility management staff and consultants in developing and working from a business plan that focuses on all aspects of facility operations, including clinical management
Responsible for developing and implementing appropriate metrics and benchmarks for company's quality of care, against which performance is evaluated
Regularly advises and directs Clinical Support Team, Director of Nursing to maximize resident satisfaction and wellbeing
Develops and utilizes a standardized process to evaluate and evolve practice to decrease variability and improve the care and safety of patients
Responsible for developing, implementing and monitoring quality management policies and procedures for quality data collection and reporting on QM measures
Conduct ongoing assessments of the existing eligibility and referrals, case management, disease management systems, and Quality Management programs within each clinical. Provide objective evaluation and recommendations for those systems
Review existing clinic information system capabilities for the tracking and monitoring of quality indicators. Make the necessary adaptations for standardized reporting across all centers
Resident Assessment Instrument (RAI) guidelines are followed in the assigned region with focus on resident care and mixing financial reimbursement through the MDS process. Responsible for ensuring accurate and timely completion of resident assessments, in accordance with Medicare, Medicaid, OBRA and other payer program requirements
Utilizes and manages the distribution and utilization of survey information to address areas of importance as defined by our community and service partners
Ensure regulatory compliance to all federal, state and local regulations and laws relating to nursing home administration; guide facilities to operate within established company policies and practices
Ensures each facility maintains building and grounds to appropriate standards and that equipment and work areas are clean, safe and orderly, and any hazardous conditions are addressed; ensure that Universal Precaution and Infection Control, Isolation, Fire Safety and Sanitation practices and procedures are followed
Helps the Administrator prepare staff for inspection surveys, instructing staff on matters of conduct and disclosure, being interviewed by inspectors, immediate corrections of problems noted by surveyors, etc. Reviews and reinforces important standards previously cited
Participates in the preparation of the Plan of Correction response to an inspection survey and implements any followup QA required for any nursing allegations
Provides 24-hour “on call” service to the nursing center in case of emergency
Assures that an adequate orientation and in-service training program is provided for MDS personnel
Other duties, responsibilities and activities may change or assigned at any time with or without notice

Qualification

RN LicenseMDS ExperienceClinical ManagementQuality ManagementRegulatory ComplianceTraining SkillsCommunication Skills

Required

Currently licensed as RN in the state practiced
Associate or bachelor's degree from an accredited nursing school required
Minimum of five (5) years in long-term or acute health care required
Minimum of five (5) years working as an MDS Nurse in long-term or acute health care
At least three (3) years of multi-facility, regional MDS experience

Benefits

Healthcare
Dental
Vision
PTO
401K

Company

OPCO Skilled Management

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OPCO Skilled Management is a healthcare center that provides nursing homes and residential care services.

Funding

Current Stage
Growth Stage

Leadership Team

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David Garetz
Chief Financial Officer
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Francis Emodi
Chief Operating Officer
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Company data provided by crunchbase