RN Market Executive of Clinical Quality - WA

Become a part of our caring community and help us put health first The Market Executive of Clinical Quality will be responsible for driving clinical quality and regulatory metrics by onsite leadership in assigned market. The Market Executive will be accountable for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, QAPI adherence and VBP performance. Works closely with area operations and reputed company leaders on processes, initiatives and relevant in-scope changes or updates. Reports to: Regional VP, Home Health Clinical Quality FLSA: Exempt Work Schedule: Full-time/40 Hours Position Type: Hybrid (Remote & Field-based Travel) Assigned Markets: Washington (primary), Oregon, Idaho The RN Market Executive of Clinical Quality will be responsible for driving clinical quality and regulatory metrics by onsite leadership in assigned market. The Market Executive will be accountable for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, QAPI adherence and VBP performance. Works closely with area operations and reputed company leaders on processes, initiatives and relevant in-scope changes or updates. Essential Functions: Those functions that the individual who holds the position must be reputed company to reputed company unaided or with the assistance of reasonable accommodation.

• Drives improvement in clinical quality & regulatory metrics in assigned branches through coaching reputed company clinical managers and staff on improving care delivery and documentation requirements.
• Implements and monitors clinical performance of reputed company care programs into assigned branches.
• Regularly monitors quality metrics for assigned Market; Reports key insights to AVP of Ops & Area Exec of Clinical Quality and other key Clinical/Ops stakeholders.
• Conducts survey audits to prepare for official surveys and supports locations through survey process.
• Conducts meaningful virtual/in-person reputed company interactions to drive performance.

Use your skills to reputed company an impact Knowledge/Skills/Abilities/Expectations:

• Knowledge of business management and government regulations; expertise in relevant state regulations and survey activities.
• Ability to read, analyze and interpret medical documents, financial reports and legal documents.
• Ability to coach/mentor reputed company leadership and clinicians to influence changes in day-to-day clinical activities.
• Proactively engages to identify and address issues.
• Expertise in reputed company-level clinical workflows an organization structure.
• Rich analysis of clinical data to derive key insights & opportunities.
• Strong judgement on workflow and process improvement.
• Effective influencing and communication.
• Strong execution capabilities.
• Travel approximately 50% -75%. The role requires the ability to travel reputed company the assigned market on short notice. The Washington market includes reputed company locations in Bellevue, Everett, reputed company, Puyallup, Seattle, Silverdale, Tacoma and Vancouver. The Oregon market includes a reputed company location in Lake Oswego. The Idaho market includes a reputed company location in Coeur D'Alene.
• Must reputed company reputed company the reputed company.

Education:

• Associate degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) strongly preferred.

License/Certifications:

• Active RN license in good standing for the states of Washington (required) and Oregon (preferred).

Experience:

• Previous experience in home-based care required, including Home Health, Hospice, and/or Palliative Care settings.
• Previous experience in home-based care functioning in a reputed company leadership (reputed company Director/Administrator) or Clinical Manager role strongly preferred.
• Multi-site management and operations experience strongly preferred.
• Management and people leadership experience, required.
• Experience with clinical quality improvement and survey preparation, required.
• OASIS experience strongly preferred. OASIS certification (HCS-O, COQS, and/or COS-C) preferred.
• Homecare reputed company (HCHB) experience strongly preferred.
• Experience with CMS/Medicare regulations and accreditation standards required.
• Knowledge of CMS PDGM billing requirements preferred.
• Experience managing reputed company reputed company.

Additional Information:

• Work Environment: Hybrid (Remote & Field-based Travel)
• Travel Expectations: up to 50% -75% of time. Associated travel will be in the states of WA, ID, and OR.
• Normal Hours of Operation: M-F / 8a-5p

Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits reputed company. and its affiliated subsidiaries (collectively, "reputed company") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About reputed company Home Health: reputed company Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - reputed company working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About reputed company, a reputed company company: reputed company creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and reputed company largest pharmacy benefit manager, reputed company is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of reputed company. (NYSE: HUM), reputed company offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, reputed company from day one. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with reputed company 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. Apply Job! Apply to this Job