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Full Time RN Clinical Quality Consultant (Home Health)- Florida (multiple locations)
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Ocala, Florida |
About this job
Role: Quality Management Consultant
Assignment: Humana at Home-Senior Bridge
Location: Florida (multiple locations)
Assignment Capsule
Be part of a clinical team, where we provide innovative health solutions to members and providers.
Humana is seeking a Quality Management Consultant to hold responsibility for quality management and compliance with applicable regulatory requirements:
Including:
Be knowledgeable on state & federal regulations that are applicable to agency; assist as needed with completion of initial and renewal home care licenses
Establish standards and criteria for audits of client/personnel records to assess quality and compliance to state and government regulations
Develop a process and timelines to ensure all offices have quarterly client record audits
Home visits may be required to evaluate and coach Clinical staff in the field
Analyze and aggregate clinical and personnel data from audit results
Oversees corrective action process subsequent to substandard audit results, which may include process analysis and modification, remedial education and possible initiation of disciplinary actions.
Prepare reports and present to Senior Management Team
Performs other duties and activities as may be assigned by the Company
Key Competencies
Builds Trust : Consistently models and inspires high levels of integrity in decisions, speech, and actions. Lives up to commitments, taking responsibility for the impact of one's actions. Exercises the courage to prioritize principles and values over personal or professional gain.
Accountability : Meets established expectations and takes responsibility for achieving results; encourages others to do the same. Employs focus, attention to detail, reliability, and appropriate prioritization to drive outcomes. Sees opportunities to contribute and takes the initiative to create solutions.
Collaborates : Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. Develops and strengthens networks and relationships, both inside and outside the organization, that support company performance. Proactively and transparently contributes information and energy toward creating value with others.
Executes for Results : Effectively leverages resources to create exceptional outcomes. Determines the best course of action when facing ambiguity. Anticipates and constructively resolves barriers and constraints. Embraces change, applies new knowledge and reconfigures quickly to capitalize on opportunities. Role Essentials
* Minimum of 3 years experience in licensed home care or related field
* Registered Nurse (RN) License active in the state of FL with no restrictions
* Ability to travel to offices in the United States 50% of the time and work there for 3-4 days/ week( when traveling)
* This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
* This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
Role Desirables
* Bachelor's Degree in Nursing (BSN)
Reporting Relationships
* You will report to a Quality Manager
Assignment: Humana at Home-Senior Bridge
Location: Florida (multiple locations)
Assignment Capsule
Be part of a clinical team, where we provide innovative health solutions to members and providers.
Humana is seeking a Quality Management Consultant to hold responsibility for quality management and compliance with applicable regulatory requirements:
Including:
Be knowledgeable on state & federal regulations that are applicable to agency; assist as needed with completion of initial and renewal home care licenses
Establish standards and criteria for audits of client/personnel records to assess quality and compliance to state and government regulations
Develop a process and timelines to ensure all offices have quarterly client record audits
Home visits may be required to evaluate and coach Clinical staff in the field
Analyze and aggregate clinical and personnel data from audit results
Oversees corrective action process subsequent to substandard audit results, which may include process analysis and modification, remedial education and possible initiation of disciplinary actions.
Prepare reports and present to Senior Management Team
Performs other duties and activities as may be assigned by the Company
Key Competencies
Builds Trust : Consistently models and inspires high levels of integrity in decisions, speech, and actions. Lives up to commitments, taking responsibility for the impact of one's actions. Exercises the courage to prioritize principles and values over personal or professional gain.
Accountability : Meets established expectations and takes responsibility for achieving results; encourages others to do the same. Employs focus, attention to detail, reliability, and appropriate prioritization to drive outcomes. Sees opportunities to contribute and takes the initiative to create solutions.
Collaborates : Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. Develops and strengthens networks and relationships, both inside and outside the organization, that support company performance. Proactively and transparently contributes information and energy toward creating value with others.
Executes for Results : Effectively leverages resources to create exceptional outcomes. Determines the best course of action when facing ambiguity. Anticipates and constructively resolves barriers and constraints. Embraces change, applies new knowledge and reconfigures quickly to capitalize on opportunities. Role Essentials
* Minimum of 3 years experience in licensed home care or related field
* Registered Nurse (RN) License active in the state of FL with no restrictions
* Ability to travel to offices in the United States 50% of the time and work there for 3-4 days/ week( when traveling)
* This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
* This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.
Role Desirables
* Bachelor's Degree in Nursing (BSN)
Reporting Relationships
* You will report to a Quality Manager