Hospice Quality Assurance Manager

ANGEL CARE HOSPICE OF ARCADIA INC

Arcadia, CA

JOB DETAILS
SKILLS
Analysis Skills, Auditing, Communication Skills, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Content Management Systems (CMS), Corrective Action, Data Analysis, Follow Through, Hospice Care, Incident Management, Investigative Reports, Leadership, Licensed Practical Nurse/Licensed Vocational Nurse, Maintain Compliance, Medicare, Medications, Pain Management, Patient Charts, Performance Management, Performance Metrics, Policy Implementation, Quality Assurance, Quality Management, Quality Monitoring, Regulations, Reporting Skills, Risk Management, Root Cause Analysis, State Laws and Regulations, Support Documentation, Trend Analysis
LOCATION
Arcadia, CA
POSTED
30+ days ago
Benefits:
  • 401(k)
  • Competitive salary
  • Opportunity for advancement
  • Paid time off

The QA Manager oversees the quality of charting and QUAPI program by managing chart audits—making sure care is safe, effective, patient-centered and compliant with regulations.  

Key Roles & Responsibilities


1. QAPI Program Oversight


  •  Manage and implement the hospice QAPI plan
  •  Identify areas for improvement using data (falls, infections, hospitalizations, etc.) 
  •  Lead performance improvement projects (PIPs) 
  •  Track and report outcomes to leadership 
2. Regulatory Compliance


  •  Ensure compliance with: 
    •  Medicare Conditions of Participation 
    •  State regulations
  •  Prepare for surveys (CMS and state) 
  •  Conduct mock surveys and audits 
  •  Maintain readiness at all times (survey-ready culture) 
3. Clinical Chart Audits


  •  Review patient charts for: 
    •  Proper documentation 
    •  Eligibility (LCD guidelines) 
    •  Timeliness (admissions, recertifications, visits) 
  •  Identify trends in documentation deficiencies 
  •  Provide feedback to clinical staff
4. Education & Staff Training


  •  Educate staff on: 
    •  Documentation standards 
    •  Regulatory updates 
    •  Quality initiatives 
  •  Conduct in-services and competency training 
  •  Collaborate with clinical leadership (DPCS) 
5. Incident & Risk Management


  •  Oversee reporting and investigation of: 
    •  Falls 
    •  Medication errors 
    •  Patient/family complaints 
  •  Perform root cause analysis (RCA) 
  •  Implement corrective action plans 
6. Performance Metrics & Data Tracking


  •  Monitor key hospice quality indicators: 
    •  CAHPS Hospice Survey scores 
    •  Hospitalizations/revocations 
    •  Pain and symptom management effectiveness 
  •  Analyze trends and present reports to leadership/IDT 
7. Policy & Procedure Management


  •  Develop and update hospice policies/procedures 
  •  Ensure policies align with current regulations 
  •  Assist departments in implementing policies correctly 
8. Interdisciplinary Team (IDT) Collaboration


  •  Attend IDT meetings to ensure: 
    •  Compliance with care planning 
    •  Documentation supports hospice eligibility 
  •  Support clinicians with quality improvement strategies 
9. Survey & Audit Response


  •  Lead response to: 
    •  State/CMS survey findings 
    •  ADRs (Additional Documentation Requests) 
  •  Create Plans of Correction (POCs) 
  •  Ensure follow-through on deficiencies 
Key Skills Needed


  •  Strong knowledge of hospice regulations (CMS, state) 
  •  Clinical background (LVN or RN) 
  •  Detail-oriented with strong auditing skills 
  •  Data analysis and reporting ability 
  •  Leadership and communication skills 

About the Company

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ANGEL CARE HOSPICE OF ARCADIA INC