Quality & Compliance Specialist, RN

Mass General Brigham Home Care, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Description

Mass General Brigham Home Care serves patients from rehabilitation after illness or injury, to chronic disease management. We are dedicated to providing the highest quality specialized care designed to meet the patients' unique needs with the goal of optimizing independence and quality of life. Our clinicians are highly skilled and able to function both independently and as part of an interdisciplinary team.

We value the uniqueness of our employees who are a reflection of the communities and patients that we serve. Our attractive and comprehensive benefits package is designed to meet the needs of our employees.

Job Summary

Oversight of quality and compliance programs in assigned region. Perform quality reviews ensuring clinical documentation is comprehensive so as to provide a high quality of patient care, along with ensuring that documentation is in compliance with regulatory requirements for a home health agency. Manage and process quality and compliance issues through resolution. Manage assigned quality and compliance projects.

Key Activities

* Oversight of quality and compliance trends, issues and resolutions

* Identify improvement opportunities and assist in development of improvement plan

* Assume leadership role as expert resource in at least one area of quality and compliance, staying abreast of new developments and keeping department members and the organization informed

* Manage record requests, subpoenas, interactions and communications with regulatory officials as it relates to region specific requests and needs.

* Work closely with other staff members to ensure that quality and compliance standards are adhered to.

Qualifications and Experience

* Current Massachusetts license as a registered nurse or rehab therapist

* Minimum 2 years clinical experience in a home health environment

* Familiarity with clinical documentation requirements in home health environment

* Computer literate with working knowledge of Microsoft Office and ability to learn a variety of other software applications

* Ability to travel throughout eastern Massachusetts within Mass General Brigham geographic regions

* Previous medical records review experience preferred

* Ability to develop and maintain strong working relationships with clinical managers

* Strong organizational and communications skills. Ability to interpret and analyze data

* Ability to manage projects independently and assume responsibility for successful completion

* Operate with integrity, honesty and objectivity

Mass General Brigham Home Care is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.