Benefits:- 401(k)
- Competitive salary
- Opportunity for advancement
- Paid time off
The QA Manager oversees the
quality of charting and QUAPI program by managing chart audits—making sure care is safe, effective, patient-centered and compliant with regulations.
Key Roles & Responsibilities
1.
QAPI Program Oversight
- Manage and implement the hospice QAPI plan
- Identify areas for improvement using data (falls, infections, hospitalizations, etc.)
- Lead performance improvement projects (PIPs)
- Track and report outcomes to leadership
2.
Regulatory Compliance
- Ensure compliance with:
- Medicare Conditions of Participation
- State regulations
- Prepare for surveys (CMS and state)
- Conduct mock surveys and audits
- Maintain readiness at all times (survey-ready culture)
3.
Clinical Chart Audits
- Review patient charts for:
- Proper documentation
- Eligibility (LCD guidelines)
- Timeliness (admissions, recertifications, visits)
- Identify trends in documentation deficiencies
- Provide feedback to clinical staff
4.
Education & Staff Training
- Educate staff on:
- Documentation standards
- Regulatory updates
- Quality initiatives
- Conduct in-services and competency training
- Collaborate with clinical leadership (DPCS)
5.
Incident & Risk Management
- Oversee reporting and investigation of:
- Falls
- Medication errors
- Patient/family complaints
- Perform root cause analysis (RCA)
- Implement corrective action plans
6.
Performance Metrics & Data Tracking
- Monitor key hospice quality indicators:
- CAHPS Hospice Survey scores
- Hospitalizations/revocations
- Pain and symptom management effectiveness
- Analyze trends and present reports to leadership/IDT
7.
Policy & Procedure Management
- Develop and update hospice policies/procedures
- Ensure policies align with current regulations
- Assist departments in implementing policies correctly
8.
Interdisciplinary Team (IDT) Collaboration
- Attend IDT meetings to ensure:
- Compliance with care planning
- Documentation supports hospice eligibility
- Support clinicians with quality improvement strategies
9.
Survey & Audit Response
- Lead response to:
- State/CMS survey findings
- ADRs (Additional Documentation Requests)
- Create Plans of Correction (POCs)
- Ensure follow-through on deficiencies
Key Skills Needed
- Strong knowledge of hospice regulations (CMS, state)
- Clinical background (LVN or RN)
- Detail-oriented with strong auditing skills
- Data analysis and reporting ability
- Leadership and communication skills