Hospice Quality Assurance Manager

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