HHC/Hospice Quality and Infection Control Coordinator

Summary Under general supervision of the HHC/Hospice Supervisors, responsible for the home health care and hospice quality assurance/performance improvement and infection control processes for the agency.
Performs related duties as required.
Examples of Duties Essential Duties and Responsibilities include the following.
Other duties may be assigned.
Review home health care OASIS (Outcome and Assessment Information Set) and Plans of Care submitted by registered nurses (RNs).
Educate staff on competency in OASIS and Plan of Care accuracy.
Review ICD 10 coding/sequencing for those codes tied to revenue for the episodic payment.
Backup to primary coder to assign ICD 10 coding/sequencing for new HHC/Hospice admissions, re-admissions, changes in care focus of care.
Lead the quality assurance and quality improvement efforts for the agency.
Report to HHC/Hospice management and Health & Human Services Board.
Provide back-up administrative on-call coverage for HHC/Hospice field nurses.
Responsible for HHC/Hospice emergency preparedness planning.
Monitor HHC/Hospice quality reports; CASPER, PEPPER, HHCAHPS, STAR ratings quarterly and report to QA team.
Use data to identify performance improvement opportunities and develop performance improvement projects working in conjunction with the HHC/Hospice management.
Facilitate quarterly QAPI meetings for HHC/Hospice.
Educate staff on quality improvement and performance improvement projects.
Develop and update infection control policies and procedures as needed and educate field staff on infection control.
Conduct annual infection control risk assessment.
Conduct surveillance of infections for HHC/Hospice.
Help develop, maintain, and support agency policy and procedures surrounding QAPI and infection control.
Develop and keep up to date a chart audit tool specific to current software program.
Complete and/or assign chart audits monthly for employees and more frequently for new employees or if any concerns have been identified.
Assures the availability of qualified clinical direction for administrative questions and guidance for direct care staff all operating hours inclusive of regular business hours and after hours on call.
It is unlikely an employee will perform all the duties listed, nor is the list exhaustive in the sense it covers all the duties an employee may be required to perform.
The examples are merely indicative, not restrictive.
Supervisory Responsibilities No direct supervision.
Provides after hours backup for on-call RN as scheduled to help problem solve.
Typical Qualifications Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience Bachelor of Science Degree in Nursing from a four-year college or university; three to five years of experience in Home Health Care/Hospice nursing; or equivalent combination of education and experience.
Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to communicate, cooperate and respond to common inquiries or complaints from patients, patient’s family, health care professionals, regulatory agencies, members of the business community, or the general public.
Ability to effectively present information to management, public groups, and/or County Board.
Ability to effectively explain complex, technical programs in simple, easy-to-understand terminology.
Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent.
Ability to apply concepts of basic algebra fractions, percentages, ratios, and proportions in practical situations.
Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to be flexible in responding to the needs of patients/families, staff members, and other health care providers.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Computer Skills To perform this job successfully, an individual should have knowledge of spreadsheets, word processing and electronic medical records software.
Certificates, Licenses, Registrations Current licensure from the State of Wisconsin as a Registered Nurse.
Current Wisconsin Driver’s License, with access to a dependable automobile and carrying at least the minimum automobile insurance coverage.
CPR Certification.
Other Skills and Abilities Comprehensive knowledge and skills in current nursing theory and practice, including but not limited to symptom management, pain control, disease management, and self-management.
Thorough knowledge of home health care and hospice administrative policies, procedures, and billing and reimbursement process Considerable knowledge in the areas of triage, health assessment, medications, and management of chronic illness ICD basic coding for home health care and hospice Comprehensive knowledge of local, regional, and state resources Knowledge of Home Health Care and Hospice Medicare and Medicaid regulations, requirements, and reimbursement criteria Handles sensitive and confidential material in a professional manner and in accordance with legal requirements relating to the safeguarding of confidential information/communications.
Ability to establish and maintain effective working relationships with patients, families, medical community, other agencies, staff, and the general public.
Knowledge of available community resources Ability to prioritize and multi-task in a fast-paced environment.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel.
The employee is frequently required to talk or listen.
The employee is occasionally required to stand and reach with hands and arms.
The employee must regularly lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.
Ability to wear gloves, masks, and other protective equipment.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually quiet.
The benefits listed below represent an employee who works full-time (100%).
Regular part-time employees working half time or more per week may be eligible to receive employee benefits on a prorated basis.
Qualifying employees working an average of 30 hours per week are eligible to receive health insurance coverage at the same premium contribution level as regular full-time employees.
The percentage of employment which has been established by the budget or Board, shall determine the benefit pro-ration, with the exception of Home Health Aides, who will be pro-rated in July of each year based on the percentage of full-time hours worked in the previous twelve (12) months.
1.
PTO.
(Paid Time Off).
Calumet County's PTO Plan combines vacation, sick leave, holiday, and bereavement leave into a single leave plan – PTO.
Newly hired full-time employees will be credited with six (6) days of PTO immediately upon hire.
The accrual will be based on the employee's length of service with the County and the hours paid in a pay period.
PTO may be carried over from year to year provided the balance does not exceed the maximum allowable amount.
2.
ELB.
(Extended Leave Bank).
The Extended Leave Bank is a bank of time separate from PTO that is intended for use in situations where the employee is absent from work due to medical necessity lasting more than three (3) days, or for events qualifying under the Family and Medical Leave Act (FMLA).
3.
Holidays.
The official County holidays are factored into the PTO Accrual as follows: New Year's Day, Friday before Easter, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Day After Thanksgiving, the Day Before Christmas Day, Christmas Day, and the Day Before New Year's Day.
4.
Insurance.
Employees eligible to participate in a High Deductible Health Insurance Plan.
The County pays ninety (90%) percent of the single or family premium for full time employees who complete the Wellness Program criteria.
To assist in meeting deductibles, the County will also contribute, to an HSA, for eligible employees.
Dental and Vision Insurance is also available.
5.
PEHP.
(Post Employment Health Plan).
The County provides a PEHP for regular full-time and eligible regular part-time non-represented employees.
The PEHP is a multi-employer trust (IRS Code 501(c)(9)).
The plan allows for a tax-free pre-funding of post employment medical expenses.
The County contributes a biweekly flat dollar amount per employee.
Contributions will be allocated to the universal reimbursement sub-account.
6.
Life Insurance.
The County provides a life insurance policy to qualifying employees equal to the estimated calendar year earnings of the position, with the County paying the premium.
Additional units of insurance are also available along with spouse and dependent coverage, with the employee paying the full premium.
7.
Disability Insurance.
Long-term and short-term disability insurance is available, with the employee paying the full premium.
8.
Retirement Plan.
The County provides a pension plan through the Wisconsin Retirement System.
The County pays 50% of the actuarially required WRS contributions for qualifying general employees.
9.
Section 125 Flexible Spending Program.
The County provides a Section 125 Flexible Benefits Program wherein the employee may set aside pre-tax dollars to use for expenses not covered by insurance or for dependent care expenses.
10.
Deferred Compensation Program.
The County provides a Section 457 Deferred Compensation Program wherein pre-tax dollars can be deposited in an investment of the employee's choice through providers used by the County.