QAPI Manager (Quality Assurance & Performance Improvement)

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Title: QAPI Manager (Quality Assurance & Performance Improvement)

Department: ruralMED Home Care Resources

Reports To: Home Care Administrator

Supervises: N/A

Status: Full-Time Exempt

Position Summary:

The Quality Assurance and Performance Improvement Manager is responsible for monitoring and evaluating the activities of the home health and hospice operations to ensure the highest quality care is delivered to all clients. This position is responsible for implementation of the Home Health quality and improvement plan, with the goal of improving client care. This role directs the agency in quality improvement activities focused on best practices for clinical outcomes, process measures, customer satisfaction, employee engagement, and infection control. The QAPI Manager is responsible for establishing the QAPI program and requisite team to standardize best practices for the agency and ensuring regulatory compliance for quality. This person strives to uphold ruralMed’s culture and actively embraces our core values. As a result, this person supports ruralMED’s goals with the idea of safety and quality of care for our clients. In addition, this position contributes to the success of ruralMED through ongoing collaboration with staff, leadership, volunteers and all external customers.


Education and/or Experience:

• Four (4) Year Bachelor’s Degree in relevant field (BSN, MSN preferred)
• Training in Lean Six Sigma (preferred)
• Minimum of four (4) years in a quality and/or process improvement role (preferred)

Licenses/Certifications Required:

  • RN License in the State of Nebraska

General Requirements/Job Duties:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:

  1. Works collaboratively with Clinical Coordinators and Administrator to achieve quality clinical outcomes for the clients of ruralMED Home Health Care.
  2. Provides direct supervision/completion of audits through collaboration with Home Health clinical leaders and any external vendors, as necessary.
  3. Establishes the quality direction for the agency based on OASIS outcome data and the agency’s publicly reported outcomes.
  4. Plans, develops, organizes, implements, and directs quality improvement activities and process improvements redesign to enhance the care of clients.
  5. Prepares reports of quality results for the board.
  6. Performs audits as needed and directs the audit team to perform focused improvement audits.
  7. Coordinates concurrent and retro reviews within the team, to meet established deadlines and regulatory requirements.
  8. Compiles statistical data; identifies trends in the data and the practice; summarizes quality improvement findings and makes recommendations to the work teams and agency leadership for modifications in practice and procedure.
  9. Collaborates with Clinical Coordinators to share quality performance data on individual members and assists in coaching team members for improvement.
  10. Identifies training needs and collaborates with other leaders in the organization to provide training and improve practice of the agency.
  11. Collaborates with external partners in the community to improve client care.
  12. Talent: Responsible to coach all clinical team members. Evaluates quality performance and provides timely, ongoing feedback to the clinical leadership.
  13. Retention:  Fosters and maintains effective working relationships with staff, peers, and other business lines within the organization. Responsible to develop strong, collaborate relationships with clinical staff that enhance job satisfaction and retention. Acts as a resource for staff and leaders in the Home Health department.
  14. Regulation:  Ensures staff members are educated and follow federal/state/other third-party payers’ regulations regarding client care. Assists with review of policy and procedures for Home Health.
  15. Orientation: Organizes, plans, and presents orientation to all new Home Health staff in the Quality plan and expectations in department
  16. Budget:  Provides input to the Administrator in developing Capital and Operational budget regarding Quality mandates affecting the Home Health department.
  17. Marketing:  Represents the agency and organization at outreach activities promoting services.
  18. Works collaboratively with the Information Services team to resolve clinical software issues and promote quality and efficiency in documentation.
  19. Leadership:  Provides support through education and training and provides leadership on quality work teams within the department.
  20. Participates fully as a member of ruralMED’s leadership, contributing the skills, talents and abilities that are unique to the individual for the good of the company.  Is a constant learner, willing providing and receiving support and advice. Embraces responsibility for the success of various company initiatives, taking on fair share of workload for implementing said initiatives.
  21. Participates in and may lead meetings as assigned.
  22. Keeps the Administrator informed of pertinent information and reportable situations by means of verbal and written communication.
  23. Organizes and prioritizes work to complete responsibilities in established timeliness.
  24. Performs other duties and special projects as assigned by the Administrator.
  25. Acts appropriately as a key member of management, informing appropriate parties of problems or circumstances which may impact ruralMED, and maintaining confidentiality regarding such issues.
  26. Maintains a cooperative attitude with members of management at ruralMED in achieving common objectives.
  27. Works independently in identifying and resolving issues, concerns and problems.  Acquires subject matter expertise in the functions and activities of the department.
  28. Fosters and maintains an effective working relationship with staff, managers, vendors, and others who contribute to the success of ruralMED. Acts as a professional representative of ruralMED. This position identifies and studies problems and needs, develops solutions, and implements solutions to assist in providing outstanding service to each staff member and client. Maintains courteous relationship with members of management, direct reports, peers, staff of other departments and volunteers, providing leadership, support and assistance as needed to assure achievement of departmental and corporate goals.
  29. Prioritizes workload to assure that all essential functions are addressed effectively.
  30. Uses good judgement, discretion and integrity in the review, research and resolution of problems or complaints in area of expertise.
  31. Complies with HIPAA regulations regarding privacy by ensuring that Protected Health Information (PHI) is safeguarded at all times.  In addition, maintains a high level of confidentiality regarding any matter pertaining to any clients, as well as ruralMED staff.
  32. Complies with ruralMEDpolicies and procedures as published by ruralMED. Contributes to quality assurance and performance improvement activities by identifying instances of non-compliance and taking appropriate action, including reporting violations of ruralMED policy or regulations as appropriate.
  33. Makes decisions regarding matters of importance.Acts with integrity and in the best interest of ruralMED.   Business relationships are conducted in the best interest of ruralMED, free of gifts, cash inducements, gratuities, favors, or other perceived improper inducements.
  34. Other duties as assigned.


• Will have access to primary work location 24 hours a day.
• Will have access to confidential information abiding by the organization's privacy policies and regulations concerning this information.

Equipment Used:

• General office equipment to include: fax, copier, computer, printer, etc…
• Telephone

Patient Age Groups Served:


Essential Work Environment & Physical Requirements:

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.

Physical ActivityNot
(0-35% of day)
(36-66% of day)
(67-100% of day)
Lifting (Floor to waist level)10 lbs.
Lifting (waist level and above)10 lbs.
Lifting (Shoulder level and above)10 lbs.
Carrying ObjectsX
Push/Pull10 lbs.
Reaching forwardX
Reaching OverheadX
Squat/kneel/ crawlX
Wrist Position DeviationX
Pinching/Fine Motor activitiesX
Keyboard use/ repetitive motionX
Sensory RequirementsNot ApplicableAccurate 20/40Very Accurate
Near VisionX
Far VisionX
Not ApplicableYesNo
Color DiscriminationX
Not ApplicableAccurateMinimalModerate
Depth PerceptionX
Environment Requirements
(Occupational Exposure Risk Potential)
Not AnticipatedReasonably Anticipated
Bloodborne PathogensX
Airborne Communicable DiseaseX
Extreme TemperaturesX
Uneven Surfaces or ElevationsX
Extreme Noise LevelsX
Dust/Particulate MatterX
Other (Listed):
Shift Requirements8 hrs/day10 hrs/day12 hrs/dayOther (varied)
Usual workday hoursX
Not ApplicableYesNo
Reliable, punctual attendance for assigned shiftsX
Available to work overtimeX
Telecommuting available?No