ELITE Home Health We intend to fill this position quickly! Apply Now! Quality Assurance Nurse in Lehi, UT

Job Summary:

Elite Healthcare, LLC is a leading provider of home health and hospice care services dedicated to improving the quality of life for our patients. We are committed to delivering compassionate, patient-centered care while maintaining the highest standards of quality. As we continue to grow, we are seeking a dedicated and experienced Quality Assurance Nurse to join our team.

Job Description:

We are looking for a skilled and passionate Home Health & Hospice QA Nurse to ensure the highest level of care for our patients. The Quality Assurance Nurse will play a crucial role in maintaining and improving the quality of our home health and hospice services. This role involves monitoring and assessing the performance of clinical staff, evaluating compliance with regulatory standards, and implementing quality improvement initiatives.

Responsibilities:

• Review all OASIS and Plans of Care for accuracy prior to submission to MEDICARE.
• Coordinate with billing team to review all billing period episodes for frequency and clinical accuracy.
• Conduct regular audits and assessments of patient care records to ensure compliance with regulations and standards.
• Collaborate with clinical staff to provide guidance and educate on best practices and quality improvement.
• Review clinical documentation for compliance and engage in education of clinical staff to promote best practices, quality of care, visit utilization, ensuring CoP's have been met.
• Develop and implement quality improvement programs to enhance patient outcomes and satisfaction.
• Identify areas of improvement and work with teams to develop and implement corrective action plans.
• Stay up to date with regulatory changes and ensure compliance with state and federal regulations.
• Participate in the development of policies and procedures related to home health and hospice care.
• Provide feedback and coaching to clinical staff to improve their performance.
• Assist in the preparation for accreditation surveys and regulatory inspections.
• Collaborate with the leadership team to establish and maintain a culture of quality and excellence.

Qualifications and Experience:

• Registered Nurse (RN) license in the State of Utah.
• Minimum of 2 years of experience in home health and hospice care.
• Strong understanding of Medicare and Medicaid regulations and accreditation standards.
• Excellent communication and interpersonal skills.
• Detail-oriented with strong analytical and problem-solving abilities.
• Ability to work independently and as part of a team.
• Knowledge of electronic medical record (EMR) systems.
• Quality assurance or performance improvement experience is a plus.
• CPR/BLS Certification.

Physical Requirements:

• Sitting: This position primarily involves sitting at a desk for extended periods while using a computer, phone, and other office equipment.
• Keyboarding and Typing: Proficiency in keyboarding and typing skills is essential for data entry, document creation, and communication.
• Vision: The ability to see and read computer screens, documents, and written materials is required.
• Hearing: The ability to hear and understand verbal communication, both in person and over the phone, is important for effective interaction with colleagues, clients, and vendors.
• Mobility: Limited mobility may be necessary for activities such as retrieving files, reaching for office supplies, or moving within the office environment.
• Lifting: Occasional lifting of lightweight office materials or equipment (e.g., files, packages, office supplies) may be required, typically not exceeding 25 pounds.
• Manual Dexterity: Good hand-eye coordination and manual dexterity are necessary for tasks such as operating office equipment, manipulating files, and using a keyboard and mouse.
• Prolonged Screen Time: Expectation of working with electronic screens for a significant portion of the workday; periodic breaks may be encouraged to reduce eye strain and maintain overall well-being.

Job Type:

Benefits: Medical & Dental, 401K with Company Match, Paid Time Off

Work Location: Lehi, UT

Elite Healthcare is an Equal Employment Opportunity Employer and is committed to creating a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, veteran status, or any other protected status. All qualified applicants will receive consideration for employment without regard to any of these characteristics. We encourage applicants of all backgrounds and experiences to apply. We believe that a diverse workforce is essential to our success and enriches our organization.