• Responsible for development, implementation and maintenance of the QAPI program.
• Implement, monitor, and evaluate performance improvement activities using continuous quality improvement principles and methodologies.
• Performs data analysis and identifies opportunities for improvement.
• Manages and coordinates all QAPI data collection activities and databases.
• Compiles, trends and reports quality data, following the QAPI Program Plan. Creates and coordinates presentation to QAPI Committee and the Leadership Team. Collaborates with Administrator in creation and presentation of annual evaluation to the governing board.
• Actively participates with leadership in clinical record review to monitor compliance with Conditions of Participation, Clinical Outcomes, and Standards of Practice.
• Responsible for CMS mandated reporting of Hospice Quality Measures & the analysis of Hospice CAHPS survey results.
• Coordinates reporting and tracking of unusual occurrences and adverse events (including Ca Department of Health reporting as mandated). Performs causal analysis and facilitates performance improvement activities. 
• Responsible for preparation and participation with compliance surveys and medical reviews e.g. state surveys, ADR’s.
• Maintains current knowledge related to Medicare Conditions of Participation, regulatory compliance and standards of practice; coordinates updates to leadership team.
• Responsible for the development and annual review of all Hospice Policies & Procedures in collaboration with Leadership Team.
• Educates Hospice staff on an on-going basis with updates to Conditions Of Participation, regulatory, compliance and standards of practice.
• Collaborates with Administrator in the Implementation and Maintenance of; FHC’s Compliance Program, HIPAA Privacy Rule (accountability for all matters related to compliance with Privacy Rule), HIPAA Security Rule (accountability for all matters related to safeguarding the confidentiality, integrity and availability of electronically protected health information) and designates responsibilities and duties, as appropriate.
• Other duties as assigned

• RN with current licensure to practice professional nursing in the state of California.  Bachelor's degree in nursing preferred.
• Minimum 5 years experience in a health care environment.
• Moderate to advanced knowledge of QAPI principles and methodologies.
•  Basic computer skills (Word, Excel) and interpersonal skills.
• Able to manage self and others in a team-oriented, collaborative environment while meeting deadlines and achieving targets.
• Valid California driver's license and proof of automobile insurance.

The RN Admissions Nurse is a registered nurse and a Team member whose primary responsibility is to present FHC services and philosophy to patients and families in a manner that result in the admission of appropriate patients.

• Evaluates patients for hospice appropriateness using medical records review and consultation with Supervisor, DPCS and Medical Director.
• Explain benefits of hospice program and obtain signature of informed consent.
• Admit patients, develop plan of care and complete and submit relevant paperwork in accordance with FHC policies.
• Obtain data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate into plan of care.
• Utilize work time and resources effectively and efficiently by completing assigned tasks within specified time limits while maintaining high productivity and performing efficiently regardless of whether the work volume is high or low.
• Orders DME, Medications and supplies as needed.
• Build referral source relationships to support the growth of FHC.
• Maintain clinical and professional competence.
• Assist with the continuity of care and discharge planning from facilities.
• Following admission, ensure smooth transition of new patients to case manager assigned.
• Perform other duties as assigned.

(10220)

• Current California RN license.
• Two to three years nursing experience, hospice or home health experience preferred.
• Knowledge of state and federal regulations relating to hospice participation.
• Able to multi-task effectively and work as a team.
• Works well independently.
• BLS required within 60 days of hire. Excellent observation, diagnostic, medication management and clinical documentation skills.
• Travel required.  Current California driver's license and proof of insurance.
• Other duties as assigned.