1Care Hospice is experiencing rapid growth and is seeking an experienced Director of Quality Assurance (RN) to join our dynamic team. We are dedicated to providing exceptional healthcare services and ensuring compliance with regulatory requirements to deliver the highest standard of care to our patients.
Responsibilities:
- Conduct detailed audits on a regular basis as defined by compliance requirements and provide additional education or training as necessary.
- Perform internal audits of medical record documentation and review claims billed to Medicare, other federal programs, and commercial payors.
- Evaluate the appropriateness of the EMR functionality being utilized.
- Develop and conduct educational documentation and training for clinicians to ensure compliance with guidelines from AMA, CMS, and health plan standards.
- Prepare formalized reports from audit results and present findings to leadership.
- Independently respond to inquiries from physicians, executive leaders, and other staff regarding billing and documentation.
- Develop educational programs for providers based on audit findings and provide general education on documentation rules and regulations.
- Perform follow-up reviews after initial training and determine the need for additional education.
- Communicate regularly with leadership to ensure timely receipt of necessary information.
- Collaborate with directors, managers, and supervisors to address specific issues and training requests.
Job Requirements:
- Licensed Registered Nurse (RN)
- Minimum of 2 years of Quality Assurance (QA) or Performance Improvement (PI) experience required.
- Preferred: 2 years of progressive management experience.
- Current BLS certification.
- Willingness to travel between our offices in NV and AZ.
- Proficiency in Microsoft Office applications.
- Ability to efficiently lead and motivate a clinical team
Medical Specialties:
- Hospice & Palliative Medicine
Join 1Care Hospice and contribute to our commitment to excellence in healthcare delivery and quality assurance. Apply now to be part of our dedicated team!
Job Type: Full-time
Pay: $100,000.00 - $120,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Medical specialties:
- Geriatrics
- Home Health
- Hospice & Palliative Medicine
- Pediatrics
Standard shift:
Weekly schedule:
Education:
Experience:
- Quality assurance: 2 years (Required)
License/Certification:
- BLS Certification (Required)
- RN License (Required)
Willingness to travel:
Work Location: In person