RN Quality Assurance Case Manager Ascend BackOffice Solutions LLC - Hollywood, FL
Company: Ascend BackOffice Solutions LLC
Posted on: January 7, 2022
Job Title/Position: Quality Assurance Case Manager
Job Description Summary
The RN Case Manager is a professional registered nurse responsible
for supervisory visits of medicare and private duty clients, OASIS,
care coordination, and all of the quality activities of the
organization. The candidate has accountabilities for the
monitoring, implementation, and evaluation of processes and
programs to meet regulatory, accreditation, and standards of
Essential Job Functions/Responsibilities
Collaborates with nursing caregivers for supervisory visits and
provides a process to promote and ensure employee orientation,
competency, and in-service education programs.
Assists in the identification of skills for annual competence and
provides in-service training support.
Evaluation, Education, Advocacy, and Caregiver Coaching.
Maintains aggregate records of employee orientation and annual
Acts as a resource to clinical supervisors regarding standards,
policies, regulations and provides in-service training to
leadership and personnel as needed in these areas.
Intake and Admissions Coordinator
Directs all daily patient referral and intake operations including
providing direct oversight of the establishment and implementation
of intake policies.
Establishes and maintains positive working relationships with
current and potential referral sources.
Ensures seamless transition of patients to home care by providing
direct oversight of patient education and preparation for home
care, plan of care initiation, and coordination of care with
multiple service providers.
Assists with patient visits as needed.
Assists with on-call evenings and weekends on a rotational basis
and clinical calls as needed.
As a Case Manager responsible for analyzing, organizing, and
prioritizing work accurately while meeting multiple deadlines.
Ability to communicate effectively in both oral and written
Assist with Assessment on a need basis and Comprehensive Care
Planning, facilitation, Care Coordination, and Problem
Care Management Monitoring.
Lifestyle, Social and Health Management, Utilization, and Community
Coordinates and oversees all direct and indirect patient
Provides guidance and counseling to care teams in continually
improving all aspects of client care.
Maintains updated nursing knowledge and skills.
Assists with patient visits as needed.
Responsible for the implementation and monitoring of the
organization's quality improvement program as a QA person.
Ensures that there are processes in place to monitor and measure
all activities related to performance improvement.
Provides direction and coordination of quality improvement
activities utilizing continuous quality improvement principles and
Monitor organization clinical compliance with regulatory and
accreditation standards as per current knowledge related to
Medicare Conditions of Participation (MoP) and the Community Health
Accreditation Program (CHAP).
Coordinates activities related to clinical record review for data
Compiles, trends, and reports quality data in the following areas:
patient care, safety, risk management, infection control, outcomes,
and customer satisfaction.
Works collaboratively with nursing supervisors to assure
documentation is complete and consistent with care and reflects
As a member of the Patient Grievance Committee collaborates with
management personnel in the follow-up of concerns expressed by
patients, families, and physicians.
Establishes a process model for improvement and provides education
and training to organization personnel on the performance
improvement plan, as well as team development.
Coordinate Monthly and quarterly or as-needed case conferences with
all disciplines involved in inpatient care.
Responsible for ensuring processes to monitor and evaluate safety,
risk management, and infection control programs.
Coordinates educate and implement monitoring activities for agency
QAPI (Quality Assurance and Performance Improvement program) to
include safety, risk management, and infection control.
Coordinates mandatory in-service programs on OSHA regulations for
safety and infection control.
Acts as a resource to personnel in identifying safety and risk
management issues for patients and personnel.
Reviews all incident reports for completeness, risk, the standard
of care determination, and appropriate follow-up.
Maintains logs for trending and makes recommendations related to
Maintains current knowledge related to home care safety and
infection control standards.
The above statements are only meant to be a representative summary
of the major duties and responsibilities performed by incumbents of
this job. The incumbents may be requested to perform job-related
tasks other than those stated in this description.
Registered nurse with current licensure to practice professional
nursing in the state.
AA or Bachelor's degree in Nursing from an accredited program by
the National League for Nursing.
Three (3) to five (5) years of clinical nursing experience.
(Preferred in care management, Medicare, and private duty
Excellent understanding of performance improvement, quality
assurance, and utilization management.
Is self-directed and able to work with minimal
Has excellent coordination and communication skills.
Keywords: Ascend BackOffice Solutions LLC, Hollywood , RN Quality Assurance Case Manager Ascend BackOffice Solutions LLC - Hollywood, FL, Executive , Hollywood, Florida
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