Quality Assurance and Performance Improvement; QAPI Nurse

Quality Assurance and Performance Improvement (QAPI) Nurse

Join to apply for the Quality Assurance and Performance Improvement (QAPI) Nurse role at Dover Health
.

The Quality Assurance and Performance Improvement (QAPI) Nurse serves as the clinical leader for quality and performance improvement across all Dover Health Home Health and Hospice agencies. This position plays a critical role in promoting data‑driven quality oversight, ensuring regulatory compliance, and advancing patient safety initiatives. The QAPI Nurse is responsible for the development, coordination, and ongoing evaluation of quality assurance and performance improvement (QAPI) programs to support the consistent delivery of safe, effective, and compliant care across all service lines.

In collaboration with clinical and operational leadership, the QAPI Nurse monitors quality trends, evaluates risks, and directs targeted improvement initiatives aligned with CMS QAPI standards and organizational objectives. Through comprehensive data analysis, documentation review, staff education, and regulatory preparedness efforts, this role fosters a culture of accountability, continuous improvement, and excellence in patient outcomes within Dover Health’s Home Health and Hospice programs.

• Collect, review, and analyze quality and performance data across Home Health and Hospice agencies.
• Monitor and trend clinical outcomes and CMS quality measures, patient and family satisfaction survey results, infection prevention and control data, and incident reports, adverse events, and near‑miss events.
• Identify trends, risks, and opportunities for improvement and elevate findings as appropriate.
• Lead assigned Performance Improvement Projects (PIPs) using CMS QAPI methodology.
• Develop action plans to address identified quality gaps (e.g., falls, medication management, documentation accuracy).
• Monitor the effectiveness of interventions and ensure sustainability of improvements.
• Support compliance with CMS Conditions of Participation for both Home Health and Hospice, including QAPI requirements.
• Assist with ongoing audit and survey readiness, documentation reviews, and corrective action follow‑up.
• Stay current on regulatory changes impacting quality, patient safety, and clinical documentation.
• Conduct targeted chart audits to ensure completeness, accuracy, and regulatory compliance.
• Provide feedback and education to clinicians and leadership on documentation best practices.
• Develop and deliver education related to quality initiatives, regulatory requirements, and best practices.
• Partner with agency leadership to reinforce standards and promote consistent clinical practices across agencies.
• Monitor adverse events, near misses, and infection trends.
• Collaborate with leadership to implement preventive strategies and reduce risk across service lines.
• Prepare and present quality reports, dashboards, and improvement updates at QAPI and leadership meetings.
• Communicate findings and recommendations clearly to clinical and operational leaders.
• Other duties as assigned.

• Active Registered Nurse (RN) license in Missouri and Illinois, or the ability to obtain licensure in both states.
• A minimum of five (5) years of clinical nursing experience.
• Clinical experience in Home Health and Hospice settings.
• A bachelor’s degree in nursing (BSN) is preferred.
• Certification as a Certified Professional in Healthcare Quality (CPHQ) or similar quality‑focused credential is preferred.
• Experience with Quality Assurance and Performance Improvement (QAPI) programs, quality audits, or performance improvement initiatives is preferred.
• Familiarity with CMS Conditions of Participation for Home Health and Hospice is preferred.
• Strong analytical, critical thinking, written, and verbal communication skills, with the ability to interpret clinical and quality data and apply findings to quality improvement efforts, are required.
• Proficiency with electronic medical records (EMRs) and quality reporting tools, with experience with Netsmart preferred.
• Strong organizational skills, attention to detail, and the ability to manage multiple priorities while…