- Graduate of an accredited School of Nursing. RN or LPN licensed in the state of Florida.

- A minimum of 3 years of clinical experience in hospice or related field.

-- Previous experience in quality improvement highly desirable.
- Good communication and organizational skills.

- Ability to work independently and collaboratively with multiple departments and customers.

- Ability to organize and analyze data and summarize key issues relating to quality care and improvement.

- Proficient in navigating electronic medical records, use of Excel, Adobe, Word.

- Knowledge of state, federal and other regulations required for compliance with governmental audits.

- Responsible for submitting patient care data within defined time frames for each of the CMS required elements, including but not limited to the Hospice Item Set (HIS) and/or the Hospice Outcomes and Patient Evaluation (HOPE) data

- Responsible for review of HIS/HOPE validation reports to verify acceptance or rejection of records/monitor for any warnings or fatal errors

- Responsible for identifying any inaccuracies in a submitted record, and taking steps to correct in the CMS system

- Responsible for remaining current with any updates/revisions by CMS to the HIS/HOPE/HQRP processes

- Identifies deficits related to HQRP data review, and create appropriate education/feedback on the team and/or individual level

- Responsible for obtaining and reviewing monthly and quarterly HQRP reports in the CMS database to monitor for organizational performance and reporting to quality manager/senior leadership

- Assists with the implementation of the Quality Assessment Performance Improvement program

- Assists in the development of valid criteria for audits

- Compiles reports and statistics obtained from audits and provides them to the quality manager

OTHER REQUIREMENTS AND SPECIFICATIONS: 

Supervision required: Direction/guidance is obtained from Quality manager and Director of Quality as needed. Working relationships with other departments are maintained for the purpose of sharing knowledge, resources, and ideas.

Contacts: Contact is made with internal/external customers daily or as needed.

Working conditions: Indoor office environment with offsite visits as needed. Day shift, but may require some after hours on occasion.