Manager Quality and Education - Hospice - RN

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The Quality & Education Manager position is the authority for hospice quality, education, and performance improvement. This role is responsible for the full QAPI lifecycle庸rom data collection and analysis through facilitation of QAPI meetings, development of corrective action plans, education rollout, and sustained performance improvement monitoring.

This position functions as both a quality strategist and educator, ensuring regulatory compliance, financial stewardship, staff competency, and consistent hospice practice across all disciplines. The Quality & Education Manager partners closely with Administrators, branch leadership, and field staff to drive measurable improvement in quality outcomes, staff engagement, and fiscal responsibility.

Required Experience:

• Registered Nurse (RN), active and unencumbered license (multi-state preferred)
• Minimum of 5 years hospice clinical experience
• Demonstrated experience leading QAPI programs and performance improvement initiatives
• Strong knowledge of CMS Conditions of Participation, hospice quality metrics, and survey readiness
• Proven ability to educate, mentor, and influence across disciplines and leadership levels
• Strong analytical, organizational, and project management skills

Preferred Experience:

• CHPN or other hospice-related certification
• Regional hospice experience
• Experience with Fire Note
• Prior success leading measurable quality improvement at scale

Responsibility for Quality & Education Manager:

• Own and lead the hospice QAPI program, including:
  • Data gathering, analysis, trending, and interpretation
  • Development of agendas, facilitation of QAPI meetings, and documentation of outcomes
  • Translation of findings into actionable Performance Improvement Plans
• Develop, implement, and monitor Quality Improvement Plans that drive sustained performance improvement across the assigned region.
• Serve as Project Manager for all quality-related initiatives, ensuring timelines, accountability, and measurable outcomes.
• Monitor and lead performance improvement for:
  • Hospice Outcomes and Patient Evaluation (HOPE) scores
  • Hospice Care Index (HCI)
  • CAHPS Hospice Survey results
• Create and deliver targeted education and remediation plans for metrics not meeting company-defined expectations.
• Audit clinical records to identify education gaps for both leadership and field staff; develop and deploy corrective education plans.
• Evaluate all live discharges and patients not taken under care; provide education to staff and leadership on decision rationale, documentation standards, and regulatory risk.
• Develop, maintain, and deliver creative, engaging education solutions for all hospice disciplines, including:
  • Nursing
  • Social Work
  • Chaplaincy
  • Certified Nursing Assistants
  • Branch and Executive Leadership
• Assist Orientation Lead as needed with company policies, procedures, and the principles of effective hospice case management.
• Mentor field staff directly when needed to reinforce education, support performance improvement, and model best practices.
• Ensure education plans are sustained through re-education, auditing, and reinforcement over time.
• Monitor DME, pharmacy, and supply utilization; identify non-improving trends.
• Develop and oversee Plans of Correction for budget variances that do not improve.
• Review, evaluate, and approve or deny all over-par or over-budget DME, pharmacy, and supply requests.
• Partner with leadership to balance quality outcomes with responsible financial stewardship.
• Mentor and educate Administrators in leadership development, organization, and operational excellence.
• Monitor EMR usage patterns and provide targeted education where gaps are identified.
• Develop Employee Engagement Plans with a strong focus on nursing staff retention.
• Monitor turnover rates and create Performance Improvement Plans when engagement or retention metrics fall below company expectations.
• Serve as a subject-matter expert in hospice customer service, patient experience, and relationship management across complex care settings.
• Educat…