Skills

Communication Leadership Risk Management Quality Assurance Organization

Job Specifications

Position Details:
Exempt Salaried Position
Full-time
Weekly Schedule Monday through Friday - Hours 8 a.m. to 5 p.m.
Salary commensurate with experience
Position Summary:
Responsible for helping to ensure Hospice of Holland meets the regulatory requirements set in the Medicare Conditions of Participation, operates within the HIPAA confidentiality rule and remains complaint with local, state and federal laws and accreditation. Responsible for assisting the Senior Director of Operations with management of all quality improvement systems, procedures and processes for the organization at large.
Position Responsibilities:
Maintains current knowledge related to Medicare Conditions of Participation, QAPI standards, the HIPAA Privacy Rule, and state, federal, and accreditation guidelines to ensure the agency is compliant in all areas.
Provides direction for all quality improvement activities utilizing continuous improvement principles and methodologies.
Facilitates the compilation, trending and reporting of quality data in the areas of patient care, safety, risk management, infection control, outcomes and customer satisfaction. Assists with identifying areas for improvement.
Functions as the Security Compliance Officer. Assists with medical records requests.
Reviews all incident reports for completeness, risk, standard of care determination and appropriate follow up.
Assists with the compilation, trending and reporting of quality data in the areas of patient care, safety, risk management, infection control, outcomes and customer satisfaction. Assists with identifying areas for improvement.
Acts as a resource to the Senior Director of Operations regarding nursing compliance, nursing regulations, safety and risk management, leadership team members, clinical supervisors, and staff at large.
Assists in the design, development and review of all HOH clinical policy and procedures related to quality assurance and compliance.
Facilitates and performs regular on-going chart review of all HOH patients to ensure corporate standards for documentation are met and reports findings to appropriate clinical leadership for follow-up as needed.
Assists with gathering information and review of chart contents for purposes of root cause analysis, corrective action, and other reporting needs.
Acts as a super-user for the electronic medical record for use in accessing data for reporting functions and remains available for staff assistance when/as needed.
Participates in Medicare state and federal surveys as needed. Helps to facilitate survey preparation with all staff who will be involved in the survey process.
Helps ensure every person under HOH care receives the best care possible.
Position Qualifications:
Minimum of a Bachelor's degree in a related field.
Minimum of 5 years of prior experience in a related healthcare field.
Prior managerial and/or supervisory experience.
Excellent interpersonal and communication skills.
Proven ability to handle sensitive situations and maintain confidentiality.
Proficiency utilizing technology including Microsoft Office Suite products.
Benefits Summary:
Medical, dental, and vision insurance
Life and disability insurance
401(k) plan with employer match
Paid time off
Paid holidays
Cell phone stipend
Continuing education assistance
Hospice of Holland is a financially strong non-profit organization deeply committed to providing the best care for hospice patients and their family members.
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About the Company

Hospice of Holland was founded by a concerned group of Holland area residents who shared a passionate commitment to start a hospice program. With the help of many individuals, and the support of the directors of Holland Hospital and the local chapter of the American Cancer society, incorporation papers were signed in April of 1981. Policies and programs were quickly developed, a volunteer curriculum was written, and the first 20 volunteers were trained. Executive Director Marian DeVries, Medical Director Dr. Jerome Wassink, ... Know more