Job Title
Regulatory Quality Improvement Coordinator RN Hospice
Job Number: 25042742
Benefits
All the benefits and perks you need for you and your family:
Benefits from Day One
Paid Days Off from Day One
Mental Health Resources and Support
Our Promise to You
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule
Full Time
Shift: Monday-Friday 8am-5pm
Location: Primarily sits in our Altamonte Springs office with some opportunity to work hybrid on some days.
Responsibilities
The Regulatory Response and Quality Improvement Coordinator is responsible for coordinating all activities related to processing requests for clinical records from regulatory agencies including, but not limited to, Additional Development Requests (ADRs), Recovery Audit Contractor (RAC) requests, Quality Improvement Organization (QIO) requests and Medicaid requests.
Identifies performance improvement (PI) opportunities and coordinates interdepartmental PI activities.
Participates in organizational regulatory response activities including writing/revising policies and procedures, developing operational procedures, and developing and presenting educational materials.
Coordinates all phases of record request processing, including ADRs, RAC requests, and Medicaid audits.
Develops and implements procedures and processes for record request management.
Instructs medical, clinical, and administrative staff in record request audit and processing procedures.
Coordinates with other departments to ensure adequate staff resources for timely audit and processing activities.
Establishes needs and communicates these needs to department managers or directors.
Prioritizes record processing to ensure submission deadlines are met.
Qualifications
Bachelor's degree in Nursing, Health Care, or related field
5+ years of experience in the field of nursing
Active American Heart Association BLS.
Registered Nurse – State Licensure and/or Compact State Licensure in Florida
Preferred Qualifications
Experience related to performance improvement, and quality assurance
Hospice and/or home health care management experience
Certified Hospice and Palliative Nurse (CHPN)- Certified