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Job Details
You are here: Home / Job Details
20128
MHS Careers Home / Job Search Results / Job Details

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Manager – Process Improvement & Regulatory Compliance – HHS: Support Services Oncology

Apply NowCurrent Employees Apply






Manager – Process Improvement & Regulatory Compliance – HHS: Support Services Oncology

Apply Now
Current Employees Apply





Nursing management banner image

About This Job

  


Summary:
Oversees, coordinates and participates in the planning, analysis and formation of the Home Health Services quality assurance and performance improvement program while promoting a continuous improvement culture to support clinical performance and outcomes. Ensures Agency meets state and federal regulatory requirements and maintains accreditation standards.

 

Detailed responsibilities:
• Stays up-to-date of regulatory changes and provides appropriate communication and guidance to staff and leadership of regulatory compliance and documentation.
• Completes, maintains and submits reports to leadership and governing bodies as required by all regulatory agencies.
• Participates in regulatory survey preparation ensuring survey readiness and provides information and support during surveys.
• Submits Department reports with goals and objectives for annual QAPI program.
• May collect and assess data to identify quality trends or actual sources of risk to patients and employees. Collaborates with multi-disciplinary teams and committees with respect to quality outcomes.
• Coordinates with billing and other departments as needed to ensure agency meets timely filing. Evaluates and determines unbillable documentation within records. Reports documentation trends to leadership. Ensures timely submission of OASIS validation and submission to CMS.

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Experience & Requirements


Competencies and skills:
Essential:
• STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
• CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
• ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
• RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.

 

 

Education:
Essential:
• Accredited Program

 

Education specialization:
Essential:
• Nursing


Credentials:
Essential:
• Registered Nurse License

Education equivalent experience:
Essential:
• Graduate of a professional nursing program.

 

Other information:
Complexity of Work: Requires critical thinking skills, effective communication decisive judgment and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required.

Required Work Experience: 1 year of Home Health nursing and regulatory experience.

 

 

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Working Conditions

Working conditions:
Essential:
• Keyboard Entry    80.00%
• Lifting/Carrying Patients 35 Pounds or Greater    40.00%
• Lifting or Carrying 0 – 25 lbs Non-Patient    60.00%
• Pushing or Pulling 0 – 25 lbs Non-Patient    60.00%
• Pushing or Pulling 26 – 75 lbs Non-Patient    60.00%
• Reaching    60.00%
• Repetitive Movement Hand/Arm    80.00%
• Sitting    80.00%
• Standing    80.00%
• Walking    80.00%
• Audible Speech    80.00%
• Hearing Acuity    80.00%
• Depth Perception    80.00%
• Distinguish Color    80.00%
• Seeing – Far    60.00%
• Seeing – Near    80.00%
• Bio hazardous Waste    60.00%
• Biological Hazards – Respiratory    60.00%
• Biological Hazards – Skin or Ingestion    60.00%
• Blood and/or Bodily Fluids    60.00%
• Communicable Diseases and/or Pathogens    60.00%
• Dust    60.00%
• Gas/Vapors/Fumes    60.00%
• Hazardous Chemicals    60.00%
• Hazardous Medication    40.00%
• Latex    60.00%
• Computer Monitor    80.00%
• Domestic Animals    60.00%
• Extreme Heat/Cold    40.00%
• Needles/Sharp Objects    60.00%
• Potential for Physical Assault    60.00%
• Wet or Slippery Surfaces    60.00%

  

 

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About Memorial Hospital West

Organizational Profile:
Memorial Hospital West opened in 1992 with 100 beds to serve the growing population of western Broward. Today, the hospital has 384 beds and is one of the busiest and most technologically advanced in the region.
Memorial Hospital West’s many respected specialty programs include:

• Medical and Surgical Services
• Adult and Pediatric Emergency Departments
• Memorial Cardiac and Vascular Institute
• Memorial Cancer Institute
• Blood and Marrow Transplant Program, including Broward County’s first adult inpatient autologous transplant unit
• Memorial Neuroscience Institute
• Memorial Rehabilitation Institute
• Bariatric/Weight-Loss Surgery Program
• The Family Birthplace
• Women’s Services
Truven Health Analytics and Modern Healthcare magazine named Memorial Hospital West one of the nation’s 100 Top Hospitals in 2013 and 2014 – and the hospital has been consistently recognized by The Leapfrog Group with an “A” Ranking for Patient Safety.

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Disclaimer

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

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Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net

Job Details

Job Category:
Nursing Management

Facility:
Memorial Hospital West

Department:
Memorial Hospital West

Job ID:
20128

Location:
Pembroke Pines
, FL

Work Shift:
FT DAYS

Shift Hours:
8:00 am – 4:30 pm

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