To assist the facility in development, implementation, and maintaining an effective comprehensive, data-driven Quality Assurance Performance Improvement (QAPI) program that focuses on systems of care, outcomes of care, and quality of life. To assist the facility to identify how the facility is performing, including where and why there is risk for or has failed to meet standards. Essential Duties -Plan, organize, and direct quality assurance programs and activities.-Develop, implement and coordinate QA and assessment programs to enhance resident care.-Attends any required facility specific meetings/committees which support the facility QAPI program.-Monitors trends and prepares quality reports for the QAPI committee.-Develops processes in conjunction with the QAPI Committee to assess systems of care including clinical care, quality of life, and resident choice.-Identifies need for education based on findings and trends.-Elicits data from facility identified systems to monitor care and services with findings compared to benchmarks and targets the faculty has established for performance.-Works collaboratively with the Interdisciplinary team (IDT) to provide education/training based on findings.-Tracking, monitoring and investigation of adverse events with identified action plan.-Oversight of Facility Infection control program which includes process of identification, reporting, surveillance, and investigation of communicable diseases and infections.-Participation in correction of State and Federal survey deficiency corrections as appropriate.-Attend facility in-service training programs (i.e. HIPAA, Abuse Prevention, Infection Control, etc.)-Maintains the utmost level of confidentiality. Report suspected or known breaches. Supervisory Requirements This position has no supervisory responsibilities Qualification Education and/or Experience RN or Licensed Vocational Nurse (LVN) required with 3years Long Term Care experience, specialized training in QAPI or QAPI Certification a plus. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Certificates, Licenses, Registrations To preform this job successfully, an individual must be proficient in the Microsoft Suite products. Must maintain all CE for certifications and remain in good standing at all times with the State Board of Licensing Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desk top or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include; copier/scanner/fax, telephone, and calculator Travel by auto or airline required. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Tasks assigned to this position may involve direct or indirect exposure to bodily fluids, infectious diseases, and hazardous chemicals The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
