Home Health Hospice Quality Review Specialist (Dyer-1.0)

Franciscan Health Dyer Campus

24 Joliet St Dyer, Indiana 46311

The Home Health / Hospice Quality Review Specialist II will support compliance with regulatory requirements related to documentation and billing, and ongoing clinical excellence through review of clinical documentation, joint visits with clinicians, and identification of educational needs. This position will perform chart reviews and home visits with clinicians, to identify opportunities for improvement, as well as areas of non-compliance with agency processes. Feedback will be provided directly to clinicians either 1:1 or through the provision of training classes. Trends identified will be communicated to the clinical management team, and the QRS II will participate in the development of quality improvement initiatives.

WHO WE ARE

With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

• Reviews charts for pre-determined criteria as defined through the process or initiative, with timely completion of associated work queues.

• Performs joint visits with clinicians to observe patient assessment skills and compliance with agency procedures.

• Identifies clinical documentation deficits related to home health OASIS guidelines, reimbursement needs and compliance home health and hospice conditions of participation or CHAP standards.

• Identifies opportunities for process changes and/or staff education related to documentation.

• Coordinates with clinical management/education staff regarding staff educational needs and provides training and/or coaching with clinicians as directed.

• Participates in performance improvement initiatives as directed.

• Completes quality audits/special projects as directed.

• Provide ad hoc guidance to clinical managers and clinicians on OASIS assessment timepoints and timing

QUALIFICATIONS

• Associate's Degree- Nursing/Health Care Related- Required

• Bachelor's Degree- Nursing/Patient Care- Preferred

• 1 year Home Health- Required

• 1 year Hospice- Preferred

• 3 years Home Health- Preferred

• Registered Nurse (RN), or Physical Therapist (PT), or Occupational Therapist (OT) State Licensing Board- Required

TRAVEL IS REQUIRED:

Never or Rarely

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.