[Hiring] PRN Quality Improvement Specialist @WVU Medicine

Role Description

Seeking a dedicated and experienced professional nurse who is responsible for reviewing and evaluating the quality of patient care documentation, assessing compliance with healthcare regulatory standards and identifying opportunities to enhance care delivery. The ideal candidate must possess analytical skills with attention to detail when examining health care documentation ensuring it complies with established guidelines, policies and regulations.

Qualifications

• Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).
• Bachelor’s Degree in Nursing (preferred).
• Home Health OASIS certification (preferred).
• Three (3) years of health care experience with one year home health experience.
• Experience in quality improvement, compliance or a related role in healthcare.
• Strong knowledge of healthcare regulations and standards.
• Exceptional analytical, problem solving and decision making skills.

Requirements

• Analyze and interpret healthcare documentation to identify noncompliance with national and state standards.
• Review patient medical records to ensure accurate documentation and application of OASIS documentation.
• Conduct audits, reviews, and inspections of healthcare provider documentation to ensure compliance and appropriate application of services.
• Prepare detailed reports on audit findings, identify trends and professionally communicate findings.
• Prepare and present reports on quality improvement efforts.
• Present findings and collaborate with healthcare professionals to improve patient care and outcomes.
• Collect and analyze data to measure the impact of quality improvement activities.
• Utilize knowledge of OASIS coding practices.
• Participate in the education and development of health care teams to enhance understanding and the application of OASIS principles.

Company Description