CQI Nurse

The CQI Nurse possesses skills in evaluating the quality of patient care from a policy perspective. This person completes audits on a regular basis and reports findings, which include recommendation for adjustment as necessary. In addition, the CQI Nurse keeps current on all changes through CMS, and/or Joint Commission (if applicable), and reports findings to management.

Responsibilities:

• Conducts organized chart review to ensure compliance with state and federal regulations

• Responds to deficiencies in a timely manner as directed by management

• Participates in QAPI meetings

• Provides compliance training to staff in the form of QAPI meetings and in-services

• Daily audits of GIP documentation.

• Prepares quarterly and annual CQI reports, and/or following each audit

• Monitors Joint Commission website, as needed

• Conducts Hospice Item Set (HIS) data gathering, encoding and submission to CMS

• Assist with EMR training during onboarding of new staff

• Audit charts, via QA Manager, and provide support for smooth End of Month billing process

• Monitors provider visits and CPT codes

• Oversees survey preparedness activities with DPS and conducts Mock Surveys

• Other duties as assigned

• Possess an active RN license in the state of the program’s licensure.

• Flexibility within the position to work in office or remotely.

• Experience as a CQI Nurse preferred.

• Minimum of 2 years hospice experience, preferred.

• Proficient computer skills as well as both written and verbal communication skills

• Ability to multi task with a high level of organizational skills