Home Health RN Quality Coordinator - Goodwin Living

Celebrated as the #2 Top Workplace in the D.C. region for 2024 by The Washington Post, Goodwin Living is more than a team – it's a global family of individuals who represent more than 65 countries.

Goodwin Living ranks #2 thanks to team members who respond to an annual survey conducted by a neutral, third-party resource. Here are some reasons they honor us with this ranking:

· Embracing Diversity: Our strength is in our diverse team from over 65 countries, fostering an inclusive and vibrant culture that values every voice.

· Growth and Opportunities: We bolster personal and professional development, offering myriad opportunities, from on-the-job training to mentorship programs and financial support, to help you reach your full potential.

· Valuing Our Team Members: By prioritizing team member satisfaction, we create a fulfilling work environment with competitive benefits, work-life balance, and recognition programs, ensuring our team feels appreciated and valued.

All employees are responsible for extending the mission and values of the organization by understanding the needs of those they serve. Each resident, staff member and community member will be treated in a dignified manner with respect, kindness, and understanding. Employees will subscribe to the organization’s commitment to continuous improvement of quality and service.

About the Position

The Home Health Compliance and Quality Officer is responsible for managing activities that ensure compliance with all quality and regulatory requirements relating to home health. This position provides operational and clinical support to the home health team, including developing all staff and community partners in the compliance and quality process, and creating and maintaining an efficient structure that will meet compliance and quality regulations.

Job Duties

• Responsible for complying with regulations, laws, policies, and procedures applicable to home health and reimbursement issues. Educates all staff members about state and federal rules and regulations. Tracks and interprets new regulations and trains staff in their discipline-specific role in complying with these regulations.
• Facilitates the organization's continuous state of CMS and ACHC survey readiness through activities such as but not limited to on-site auditing to determine data analysis and trending, benchmark comparisons, observational visits with staff, mock surveys, participation in IDTs, providing organizational monitoring of all aspects of home health care provided, implementing quality improvement initiatives, and participating in on-site surveys, plan of corrections.
• Responsible for ensuring a comprehensive quality assessment and performance improvement (QAPI) program for Home Health is in place. Leads the QAPI team, initiates meetings and reports outcomes.
• Responsible for monitoring and tracking VBP reports to track and create education and implement processes to monitor and improve scores to include leading, overseeing, and reporting all processes developed.
• Responsible for monitoring and tracking SHP reports to create education and implement processes to improve QMs, star ratings, and HHCHAPS, to include leading, overseeing and reporting all processes developed (ie Patient Satisfaction Survey).
• Prioritizes and implements program to collect and validate home health quality measures.
• Oversees the implementation and development of agency policies and procedures.
• Responsible for setting up an audit program for medical records to meet quality and regulatory clinical indicator.
• Work with team members that perform QA and monitor quality of clinician documentation submitted through QA and educate clinicians on the improvement process that it is submitted timely and in compliance with all regulatory requirements.
• Participates with the intake team and clinical leadership in decisions regarding patient eligibility and suitability for home health services.
• Reviews all OASIS/485-POC from admission to discharge and performs prebill audit checks for accuracy to submit claims for billing.
• Performs reauthorizations for continued patient care. This includes collecting, reviewing, and submitting appropriate documentation and orders as required from managed care organization.
• Collects, reviewing, and submitting documentation to submit for ADR’s; this includes and not limited to following the ADR through the appeal process, if necessary.
• Lead home health department with on-site surveys and implementing plans of corrections.
• Works with the Home Health Administrator, and Director of Clinical Services in structuring operational or clinical processes to enhance quality patient care and to improve the work environment for staff.
• Supports clinical team by maintaining skilled nursing caseload up to 14 points per week.

Job Requirements

• Bachelor’s degree in nursing preferred.
• Minimum of 2 years of clinical experience in Home Health required.
• Experience leading a Quality or Compliance program required.
• Supervisory experience in healthcare required.
• Demonstrated leadership and organizational ability with a motivation to assist in the implementation of program development.

A sampling of our many benefits!

We’ve got you covered with incredible benefits, whether you work full-time, part-time, or PRN (as needed). Here’s a glimpse of what we offer to Full-Time team members:

· Paid Time Off

· Health/Dental/Vision Insurance

· DailyPay: Work and get paid the same day!

· Tuition Assistance for Career Development

· Student Loan Repayment Program

· Financial assistance with U.S. Citizenship application or DACA Renewal

· Tutoring for ESL, Citizenship Test & GED

· Staff Emergency Grants

· Retirement Plan- 401(k)

· Free Meals, Access to a Fitness Center, Pool, and More

About Goodwin Living

At Goodwin Living, we can all find work with purpose! As a nonprofit senior living and healthcare organization based in Alexandria, Virginia, we are driven by our mission: to support, honor and uplift the lives of older adults and those who care for them. Our commitment to our team members is written directly into that statement. We create an enriching and supportive work environment that has inspired our team members to vote us into the Washington Post Top Workplace rankings since 2019, and they made us #2 in 2024!

Goodwin Living is an Equal Opportunity Employer and an AARP Employer Pledge Signer. We take pride in our inclusive work culture that values diversity and fosters talent. With us, you are more than just a team member; you are part of a community committed to excellence and continuous learning.