Quality Director, Post Acute Care Services

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. The Quality Director for Post Acute Care Services is a key player in enhancing patient outcomes by leading quality improvement initiatives across various disciplines within home health and hospice. This role involves analyzing and managing diverse data sets, including clinical, financial, quality, utilization, and outcomes data, to identify areas for improvement and implement effective solutions. The specialist ensures compliance with regulatory requirements, including those set by The Joint Commission (TJC), CMS, and other accrediting bodies, through timely data submission and progress tracking on core measures. Additionally, the position requires developing and maintaining software programs, spreadsheet macros, and database structures to support quality improvement projects. As the administrator for HHCAPS, the specialist oversees all regulatory aspects of home health and hospice services, updates data on the Care Compare tool quarterly, and conducts regulatory audits to ensure alignment with industry standards.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associates degree in Nursing, Healthcare Administration, Business, or a related field.

EXPERIENCE:

1. 3-5 years of experience in quality improvement and data analysis.

2. Experience with regulatory compliance, including TJC and CMS requirements, is highly desirable

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor's degree in Nursing, Healthcare Administration, Business, or related field.

EXPERIENCE:

1. Experience in home health and hospice.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Analyze and manage clinical, financial, quality, utilization, and outcomes data to identify areas for improvement in patient care.

• Lead quality improvement initiatives across multiple disciplines within home health and hospice services.

• Ensure compliance with The Joint Commission (TJC), CMS, and other accrediting bodies by submitting required data in a timely manner.

• Track progress on core measures and introduce new quality indicators to meet regulatory standards.

• Develop and maintain software programs, spreadsheet macros, and database structures to support quality improvement projects.

• Facilitate multi-disciplinary teams in using data to drive improvements in patient outcomes.

• Serve as the administrator for HHCAPS, overseeing all regulatory aspects of home health and hospice services.

• Update and maintain data on the Care Compare tool on a quarterly basis.

• Conduct regulatory audits to ensure compliance with industry standards and guidelines.

• Collaborate with internal stakeholders to develop and implement strategies for continuous quality improvement.

• Maintain report writing capabilities on all relevant systems to support data-driven decision-making.

• Provide guidance and support to staff in understanding and meeting quality and compliance requirements.

• Monitor and report on the effectiveness of quality improvement initiatives, making recommendations for adjustments as needed.

• Stay current with changes in regulatory requirements and best practices in home health and hospice care.

• Ensure that all quality improvement activities align with organizational goals and regulatory requirements.

• Lead the design, development, and execution of comprehensive training programs for home care staff, ensuring that all educational materials and sessions align with industry standards and regulatory requirements.

• Provide leadership and guidance to the home care educators, setting performance expectations, conducting regular evaluations, and facilitating professional development to ensure the highest quality of training and education.

• Oversee the onboarding process for new hires in home care services, ensuring that all staff receive appropriate orientation, training, and support to excel in their roles from day one.

• Collaborate with the home care educator team to monitor and ensure that all training and onboarding processes meet or exceed internal quality standards and external regulatory requirements.

PHYSICAL REQUIREMENTS: 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.

WORKING 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.

SKILLS AND ABILITIES:

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SHC WVUHS Home Care

Cost Center:

500 SHC Administration

Address:

1085 Van Voorhis Rd Morgantown West Virginia

WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.