Quality Assurance Specialist Nursing Position Durham, NC

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

The Home Health Nurse (RN) is a highly qualified health care provider who through education and experience possesses a distinct body of knowledge and skills and applied the art and science of his/her profession. The position is responsible for providing leadership to ensure validity of measurement, accuracy of data, patient safety and regulatory compliance with quality improvement, reporting and regulatory initiatives. A Clinical Quality Assurance Specialist uses a combination of nursing, quality, and informatics knowledge to manage data, process, and information systems. In this role, the objectives would include improving clinical care as well as clinical documentation and reporting for treatment, prevention, and drug administration regimens, record keeping practices, workflow procedures, medical decision-making practices, and pay-for- performance programs. He/she applies nursing knowledge in assessing, implementing, and evaluating clinical outcomes to actual or potential health problems.

Duties & Responsibilities:

1.Follow quality assurance policies and procedures

2.Interpret and comply with quality assurance standards

3.Make sure quality assurance standards are adequate

4.Elaborate the procedures of sampling and guidelines for collection and reporting quality data

5.Document quality assurance activities, such as internal audits

6.Inspect data to detect areas for improvement

7.Elaborate, recommend and oversee improvement actions

8.Report on results of quality activities

9.Detect coaching needs and take action in accordance with these needs in order to ensure compliance with quality standards

10.Analyze audit outcomes and carry out appropriate improvement actions

11.Participates in risk management as appropriate

12.Review SHP reports and trend opportunities for improvement

13.Reduce days in quality review and drop RAPS in 5 days

14.Attend meetings as appropriate

15.Accepts accountability for own practice

16.Maintains competencies by participating in inservice and continuing education classes to stay abreast of changes in healthcare quality assurance

17.Complies with policies and procedures

18.Communicates with field clinicians and physicians as needed to ensure quality measures are met

19.Ensure ongoing abidance by industry regulatory and quality requirements

20. Reacts to change productively and performs other job-related tasks and duties as assigned including but not limited to field visits and RN on call rotation

Other Information

Work Schedule

Monday-Friday 8a-5p. 40 hours per week. Weekend hours may be mandated based on agency needs.

Productivity expectation of processing 15-20 charts per day

Cover both UNC and Rex Home Services Quality Workflows. 

Other information:
Education Requirements:
● Bachelor’s degree or equivalent combination of education, training, and experience.
Licensure/Certification Requirements:
● CPHQ , CPHRM , RN NC LIC
Professional Experience Requirements:
● If a Bachelor's degree: requires three (3) years of related experience and/or training.
● Three (3) years of clinical experience in a healthcare setting or equivalent combination of education and experience. 
● Current license to practice as a Registered Nurse in the State of North Carolina by the North Carolina Board of Nursing.
Knowledge/Skills/and Abilities Requirements:
● LANGUAGE SKILLS Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors. MATHEMATICAL SKILLS Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis. REASONING ABILITY Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions.

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: UNC HH Raleigh Branch Admin 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job