Clinical Process Specialist - Registered Nurse

Nursing Austin, Texas Full Time


Description

AccentCare® is a national post-acute healthcare provider with 45 years of industry experience. We thrive on providing patient-centric care and a warm and personalized experience within our local communities.

Your Success is our Success. We strive to provide our new employees with a structured on-boarding process to help you become assimilated quickly, and cutting-edge tools to make your daily work easier and more efficient. We offer extensive training and a wide-array of opportunities for continued education and promotional opportunities.

Position: Clinical Process Specialist
Reports to: Vice President of Quality

Job Description/Requirements:

As a Clinical Process Specialist you will:

  • Provide leadership and support within the assigned areas of responsibility
  • Assist agencies in maintaining standardized procedures that provide for an independent, impartial, and objective system of surveys, clinical audits and reviews for use by the Operations and AccentCare managers as appropriate.
  • Assist in developing standardized, pro-active survey, clinical audit, and review procedures, data collection tools and reporting and follow-up processes for standard survey and reviews.
  • Identify strengths and weaknesses and learning opportunities based on audit outcomes.
  • Participate with corporate staff in the development of new clinical programs and training material.
  • Promote adherence to applicable legal requirements, standards, policies and procedures.
  • Promote interdisciplinary approach to holistic care.
  • Develop and implements effective and efficient clinical and business management systems.
  • Instruct and direct staff in developing and utilizing QI data, collections procedures, analysis, methods and systems.
  • Recommend new or improved organizational systems through the quality improvement approach.
  • Identify corporate resources and support for agency staff.
  • Instruct agency personnel regarding compliance standards and best practices in the generation of appropriate, accurate and thorough documentation of patient care.
  • Develop all necessary training programs, training materials and implementation schedule to meet agency goals.
  • Determine best metrics for evaluating success (in preparation for audit and ongoing agency performance) and follow -up schedule.
  • Assist agencies in developing quality plans to effectively facilitate change and compliance with company and accreditation standards and state and federal regulations.
  • Coordinate services with Administrators and DPCS.
  • Build and maintains appropriate relationships and communication with staff, co-workers and management
  • Able to work effectively with and through corporate support teams; agency staff; peer groups; community resources; and local and state associations.
  • Foster a climate which encourages employees to bring forth issues without fear of retaliation.
  • Give prompt attention to customer needs
  • Communicate consistently and effectively to include trends and outcomes from follow-up
  • Properly report concerns and suspected incidences of non-compliance.
  • Complete all assigned tasks in a timely manner.
  • Ensure timely and accurate reporting and responses to compliance-related issues and assists monitoring the implementation of corrective action plans related to such issues.
  • Monitor OBQ/OBQM status of agencies as reported in the CMS/SHP postings and implements strategies for performance improvement.
  • Participate in divisional Quality Management and improvement meetings.
  • Comply with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards.
  • Maintain a commitment to the values and mission of AccentCare.

Requirements of Qualified Candidates:

  • Current Licensed Registered Nurse in working state
  • Minimum 5 years of health care experience
  • Minimum 2 years of Home Health experience
  • Computer literate: working knowledge of Microsoft Office ( Word, Excel, PowerPoint)
  • Knowledge of regulatory standards for the home health, PCS, Hospice and or Medical Home Care industry
  • Knowledge of Quality Improvement, Utilization Review and Risk Management
  • Excellent interpersonal/verbal and written communications skills and demonstrated relationship building skills
  • Strong project management skills, with the ability to influence and problem solve
  • Flexibility with job location and travel