Quality Management Specialist / Educator

Employment Type: Full time Shift: Day Shift Description: Quality Management Specialist / Educator Summary

Above and Beyond -Monticello

Position Purpose

This role drives quality improvement, regulatory compliance, and clinical education across homecare and/or hospice agencies. It partners with agency leadership to design, implement, and evaluate performance improvement initiatives , while ensuring adherence to EMR standards, accreditation requirements, and documentation accuracy .

The position also serves as a clinical educator and mentor , leading onboarding, training programs, and competency development for staff.

Key Responsibilities Quality & Performance Improvement

• Lead QAPI (Quality Assurance Performance Improvement) initiatives
• Analyze outcomes data (OASIS, OBQI/OBQM, EMR reports) to drive improvements
• Develop action plans to achieve top-decile clinical and patient satisfaction outcomes
• Conduct audits, chart reviews, and compliance monitoring

Regulatory Compliance & Audit Support

• Ensure compliance with CMS, state, and accreditation standards
• Support ADR audits, payer reviews, and ALJ preparation
• Maintain survey readiness and oversee documentation accuracy
• Identify trends impacting billing, compliance, and reimbursement

Education & Training

• Design and deliver training for clinical and non-clinical staff
• Lead orientation, onboarding, and competency validation
• Provide ongoing education in documentation, EMR workflows, and regulations
• Apply adult learning principles to training strategies

Clinical & Operational Support

• Review and validate OASIS and EMR documentation
• Support discharge workflows and case conferencing
• Collaborate with leadership on policy development and process improvement
• Assist with student clinical programs and interdisciplinary initiatives

Leadership & Collaboration

• Partner with agency leadership to achieve clinical, operational, and financial goals
• Act as a subject matter expert and mentor
• Lead or support programs such as:
  • Infection prevention
  • Patient satisfaction
  • Safety initiatives
• Drive change management and continuous improvement

Qualifications Required

• Licensed RN or Therapist
• Bachelors degree
• 4+ years experience in homecare or hospice
• Strong knowledge of:
  • Quality improvement methodologies
  • Regulatory standards
  • EMR systems and documentation

Preferred

• 2+ years in a supervisory or leadership role
• Experience with committees or organizational leadership

Additional Requirements

• Strong communication and interpersonal skills
• Ability to adapt in fast-changing environments
• Valid drivers license and reliable transportation
• OASIS Certification (within 15 months for homecare roles)

Core Competencies

• Quality & data-driven decision making
• Clinical education & training design
• Regulatory expertise
• Cross-functional collaboration
• Leadership and change management
• Critical thinking and process improvement

Impact of the Role

This position is critical in ensuring:

• Regulatory compliance and audit readiness
• High-quality patient care outcomes
• Efficient and standardized EMR usage
• Well-trained, competent clinical staff

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.