HH QA RN

HmarieD · Jul 29, 2009

I am a Performance Improvement Coordinator for a National HH Corp. I am responsible for 5 branches within about a 200 mile radius. Total census among all my branches runs about 1000 most of the time. In a nutshell: on a quarterly basis I complete clinical record reviews, personnel file audits, billing audits, and corporate compliance audits. I monitor HH Compare outcomes, hospitalizations rates, and investigate all adverse events. Based on my audit findings, I provide staff education and inservices and prepare a performance improvement plan. Additionally, I am responsible for state licensure applications and renewals. Plus, there are always those sneaky "other duties as assigned".

I must be well versed in Medicare and State Medicaid requirements, Medicare Conditions of Participation, and State licensure requirements and admin code. I primarily work in skilled home health but my state recently passed legislation requiring licensure for Private Duty Nursing and Homemaker services, so I am now very familiar with those admin codes & requirements.

I worked in the field as a staff RN for about 7 years prior to taking this position. Though I sometimes miss pt care, I really enjoy this job. I have all the perks that come with an administrative position but I don't have to supervise staff, schedule staff or pt visits, or have any case management responsibilities. If you can handle a desk job, like to present inservices, and are wonky about policy & procedure, you will love this job.

pogi · Jul 29, 2009

I am a Performance Improvement Coordinator for a National HH Corp. I am responsible for 5 branches within about a 200 mile radius. Total census among all my branches runs about 1000 most of the time. In a nutshell: on a quarterly basis I complete clinical record reviews, personnel file audits, billing audits, and corporate compliance audits. I monitor HH Compare outcomes, hospitalizations rates, and investigate all adverse events. Based on my audit findings, I provide staff education and inservices and prepare a performance improvement plan. Additionally, I am responsible for state licensure applications and renewals. Plus, there are always those sneaky "other duties as assigned".
I must be well versed in Medicare and State Medicaid requirements, Medicare Conditions of Participation, and State licensure requirements and admin code. I primarily work in skilled home health but my state recently passed legislation requiring licensure for Private Duty Nursing and Homemaker services, so I am now very familiar with those admin codes & requirements.
I worked in the field as a staff RN for about 7 years prior to taking this position. Though I sometimes miss pt care, I really enjoy this job. I have all the perks that come with an administrative position but I don't have to supervise staff, schedule staff or pt visits, or have any case management responsibilities. If you can handle a desk job, like to present inservices, and are wonky about policy & procedure, you will love this job.

Wow, thank you for all the great info!