Bethlehem, PA - 240 Union Station Plz
Full time
R144640
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
This position is responsible for assuring that standards of care delivery are being monitored through the Quality Assessment Performance Improvement Process (QAPI). Works in coordination with Home Health or Hospice Quality Manager to ensure comprehensive assessment accuracy, identify areas needing improvement, designing performance metrics, developing data collection tools, data display and staff education related to home health/hospice eligibility, comprehensive assessment guidance, and quality outcomes.
ESSENTIAL FUNCTIONS:1. Evaluates responses to comprehensive assessments to ensure compliance with CMS guidance. 2. Performs audits on high-risk, high-volume or problem prone areas of service. Monitors and evaluates clinical audit outcomes, identifies trends and potential improvement opportunities, recommends and conducts performance improvement activities. 3. Identifies appropriate improvement methodologies to achieve PI objectives. Develops and maintains documentation of committee meeting minutes, progress toward objectives, barriers, and results. 4. Acts as a resource to staff regarding home health/hospice eligibility, regulations, care planning and medical record documentation. 5. Communicates and collaborates with Quality Manager, Clinical Managers and VP of Home Health/Hospice to ensure the delivery of quality care. 6. Follows efficient and effective mechanisms to communicate opportunities for improvement to staff and trends to Clinical Managers and VP of Home Health/Hospice.7. Coordinates educational offerings on topics related to documentation, resource utilization, performance improvement and associated performance metrics.8. Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information. 9. Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements. 10. Demonstrates/models the Network's PCRAFT values during interactions with all customers. 11. Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety. 12. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices13. Complies with Network and departmental policies regarding attendance and dress code. 14. Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated.
OTHER FUNCTIONS:1. Works cooperatively with Diagnosis and Admission Specialists to ensure smooth department work flow. 2. Home Health QRC collaborates with Quality Administrative Assistant to submit OASIS data to CMS in accordance with Medicare COP requirements.3. Hospice QRC submits HOPE data to CMS in accordance with Medicare COP requirements.4. Participates in Professional Advisory Committee and other VNA committees as assigned. 5. Participates in Network committees as assigned. 6. Other related duties as assigned ADDITIONAL REQUIREMENTS:1. Comprehensive knowledge of professional nursing or rehabilitative theory principles. 2. Knowledge of the organization and administration of Agency programs.3. Comprehensive knowledge of the teaching-learning process and the ability to effectively teach. 4. Ability to function as a resource and role model/mentor and ability to provide consultation. 5. Ability to accept and utilize supervision. 6. Working knowledge of computers, and ability to adapt and expand use of new programs. 7. Knowledge of State and Federal regulations as well as Accreditation Standards.8. Knowledge of the team process and ability to facilitate personal growth and development of team members. 9. Knowledge of performance improvement principles and methodologies. 10. Ability to prioritize and problem solve. 11. Possession of a current license to practice (RN or therapist) in the Commonwealth of PA. 12. Possession of a current driver's license. 13. Must have access to a car for performance of responsibilities. 14. Participate in annual education events or days.
EDUCATION:A bachelor's degree in nursing or therapy from a college or university program approved by a recognized professional approving body. Home Health OASIS Certification required within 18 months.
TRAINING AND EXPERIENCE:Minimum 3 years Home Health/Hospice experience. Home Health/Hospice Quality Coordinator experience preferred. One year of experience in performance improvement preferred.
ADDITIONAL REQUIREMENT: Knowledge of Microsoft Office Products.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE)
Founded in 1872, St. Luke's University Health Network (http://www.slhn.org/) (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network's service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke's hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke's Children's Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare's five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World's Best Hospital. The Network's flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke's was identified as one of the 15 Top Health Systems nationally.
St. Luke's is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke's has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke's was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke's was named a Top Workplace in New Jersey for the third year in a row.
Learn More Here. (http://www.slhn.org/About)
