Manager, Home and Community Care Quality

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-21348

Facility:

LOC0028 - 30 Reservoir Park Drive30 Reservoir Park Drive Rockland, MA 02370

Department Name:

SSH VNA Performance Improvement and Education

Status:

Full time

Budgeted Hours:

40

Shift:

Day (United States of America)

Under the direction of the Vice President of Home Health Services, this position is responsible for supervising the development, implementation, and coordination of Quality Measures, Performance Improvement, Education and Reimbursement in the Home Care Division. In addition, the Manager will assist the Vice President with ensuring that all reimbursement measures are consistent with the best practices of the programs in the Division.

 

Compensation Pay Range:

$87,000.00 - $127,000.00

 

ESSENTIAL FUNCTIONS

1 - Under the supervision of the Vice President, Home Health Services on an annual basis develops, coordinates and implements the Agency’s Quality/Performance Improvement Program assuring its consistency with South Shore Health System/Home and Community Care mission, policies and procedures as evidenced by the program manual.
   a - Prepares annual Quality/Performance Improvement Plan and Flow Chart and submits them to the South Shore Health System 
   b - Performance Improvement Committee and Agency leaders as evidenced by meeting minutes.
   c - Schedules and coordinates subcommittee reports for quarterly Quality Improvement Committee as evidenced by meeting minutes.
   d - Supervises the continuous quality improvement activities of the Clinical Record and Practice subcommittees of the Quality Improvement program.
   e - Assures the Quality Improvement Program meets Joint Commission and other regulatory agency standards as evidenced by successful review.
   f - Evaluates the program to assess effectiveness
   g - Prepares and submits the annual Agency Evaluation of the Quality Improvement Program and Department.

2 - On an ongoing basis act as a Chairperson for various subcommittees as evidenced by preparation and maintenance of agenda, minutes, monthly and quarterly reports.
   a - Assesses utilization review results to establish trends in documentation errors which might be improved by clinical record form development and revision.
   b - Assures all forms approved for use in the clinical record comply with Joint Commission standards, Conditions of Participation, and Agency policies and procedures.
   c - Acts as liaison between Record Subcommittee and Forms Committee.
   d - Communicates Record Committee activities to Agency staff through managers at bi–monthly meetings or at team meeting as evidenced by minutes.
   e - Coordinates with qualified persons to design new forms.

3 - On an ongoing basis assists the Home Care Administration Team of the Division to prepare for Federal regulatory surveys annually and Joint Commission survey every three years as evidenced by successful compliance audits.
   a - Reviews Joint Commission, Federal and State publications to be aware of any changes in interpretation or trends.
   b - Communicates most current regulations to peers and staff as evidenced by meeting minutes.
   c - Collaborates with other clinical stakeholders to develop and revise policies and procedures and design and streamline forms incorporating necessary regulatory criteria.
   d - Acts as resource for all administrative and clinical personnel.

4 - Provides a comprehensive orientation program for all new members of the clinical staff as necessary and as evidenced by orientation schedules.
   a - Requisitions new equipment.
   b - Coordinates and schedules classes, and specialty observation visits.
   c - Meets with Managers as applicable prior to each orientation to discuss issues relevant to orientation.
   d - Collaborates with Managers to identify specific learning needs of individuals and assess effectiveness of program.
   e - Maintains and revises content as necessary to remain compliant with current Joint Commission standards and changes in documentation requirements as evidenced by revised curriculum.
   f - Initiates process to assess competency of new staff as evidenced by clinical skills checklist in program log.
   g - Meets with new staff to discuss post–orientation evaluation to assess and possibly integrate suggestions into future orientations.
   h - Teaches designated classes as evidenced by orientation checklist.

5 - Actively pursues new developments in related clinical practice, education, Joint Commission stand