Hospice Quality Assurance Manager

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.

• 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
• 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)
• Clinical Chart Audits
  • Review patient charts for proper documentation, eligibility (LCD guidelines), and timeliness (admissions, recertifications, visits)
  • Identify trends in documentation deficiencies
  • Provide feedback to clinical staff
• Education & Staff Training
  • Educate staff on documentation standards, regulatory updates, and quality initiatives
  • Conduct in-services and competency training
  • Collaborate with clinical leadership (DPCS)
• Incident & Risk Management
  • Oversee reporting and investigation of falls, medication errors, and patient/family complaints
  • Perform root cause analysis (RCA)
  • Implement corrective action plans
• 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 and IDT
• Policy & Procedure Management
  • Develop and update hospice policies/procedures
  • Ensure policies align with current regulations
  • Assist departments in implementing policies correctly
• Interdisciplinary Team (IDT) Collaboration
  • Attend IDT meetings to ensure compliance with care planning
  • Ensure documentation supports hospice eligibility
  • Support clinicians with quality improvement strategies
• Survey & Audit Response
  • Lead response to state/CMS survey findings and ADRs (Additional Documentation Requests)
  • Create Plans of Correction (POCs)
  • Ensure follow-through on deficiencies

• 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