General Information

Summary & Objective

The Quality Assurance Nurse Serve as a liaison between clinicians, regulatory agencies, and process improvement professionals to facilitate the adoption of policies and best practices. Responsibilities include assisting the agency in maintaining compliance with federal, State, CHAP, and organizational policies. Works closely with the Quality Assurance team to enhance patient care. Monitors audit progress and proactively identify and mitigate risks to audit completion; appropriately escalate to department leadership or operational stakeholders and provide remediation recommendations to prevent delays or future findings. Participates in evaluation, planning, implementation, and training clinical staff for quality improvement.

Knowledge & Experience Requirements

• Clear and Active Registered Nurse or Licensed Practical Nurse (if accepted or required by site) license to practice in the state of Florida
• BSN preferred
• Certification in Informatics Nursing Certification (RN-BC) preferred
• 3+ years of experience in compliance or external audit within a regulated environment
• Familiarity with project management methodology
• Knowledge of operating systems and clinical applications
• Knowledge of various EMR software, Home Care Home Base EMR system preferred if applicable
• Experience deploying clinical information systems
• Must have experience with electronic clinical documentation systems
• Must use good judgment in executing the job as the employee deals with confidential information.
• Must have advanced knowledge of computer office/clinical software
• Must be able to read, write, and understand the English language

Essential Functions

• Provide clinical oversight of compliance to improve processes and standardization.
• Review clinical protocols and procedures to ensure they comply.
• Supports ADR audits by assessing the accuracy, relevance, and timeliness of documentation.
• Collaborates with leadership to design and implement performance improvement initiatives aligned with long-term organizational goals.
• Communicates audit findings and delivers targeted education to address identified gaps and improve outcomes.
• Uses data-driven information to improve quality that aligns with the organization's overall strategy for improvement.
• Provides coaching to staff on best practices and regulatory compliance to support quality improvement initiatives.
• Conference with a wide variety of outside sources such as (general contractors, ACHA, CHAPS, and Legal personnel)
• *Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of

Other Duties

• Pursue special assignments as instructed by the Sr. manager of Compliance and Quality and/or Executive Director.
• Promotes positive employee engagement, teamwork, mutual respect, and safe work practices.
• Maintain your required certifications and mandatory skill updates.
• Comply with all policies, local, state, and federal laws and regulations.

Supervisory Responsibility

• May serve as an interim department leader depending on need

Physical Requirements

• Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.

Disclaimer

The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

EEOC Statement

CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Acknowledgment

I have read this position description and fully understand the requirements set forth therein, and that my job performance evaluation will be based on this job description. I further understand that my employment is at-will and may be terminated at-will by myself or the facility.