Location Detail:

60 Hartland St E. Hartford (10630) Reporting to the Director of Clinical Services, this role ensures the accuracy, compliance, and quality of hospice assessments by reviewing for regulatory and policy adherence. The individual in this role provides clinical staff with guidance on documentation, utilization, and patient care decisions to support optimal clinical and operational outcomes. They review visit utilization for care appropriateness and collaborate with clinicians on necessary modifications, reporting any potential over or underutilization to leadership. The role requires timely completion of workflows in Homecare Homebase (HCHB) and flexibility to meet agency needs. Collaboration with teams is key to identifying trends and developing action plans to address them. Participation in quality and performance improvement initiatives is expected, along with supporting the agency's compliance with data submission requirements for regulatory and payor standards. Reviews hospice assessments for accuracy, completeness, and regulatory compliance, providing recommendations to ensure quality and reliability. Reviews visit utilization for appropriate patient care, collaborates and consults clinicians on needed adjustments, and reports utilization concerns and financial risks to the clinical manager and director of clinical services. Ensures timely completion of HCHB workflows and maintains a flexible schedule to support agency needs. Collaborates to identify documentation trends, supports improvement planning, participates in quality initiatives, and helps ensure compliance and accurate data submissions across all settings. Guides staff on clinical, documentation, and utilization decisions to improve accuracy and care quality, recommending cost-effective corrections that support clinical and operational goals. Performs other duties as assigned

Qualifications Education:

Degree from an educational program with licensure as a Registered Nurse (RN) required. Bachelor's degree in nursing preferred. Degree from an accredited educational program preferred.

Experience:

2 years in a hospice clinical role required. 3 years in a hospice clinical role w/ a focus on quality & compliance Homecare Homebase experience preferred.

Licensure, Certification, Registration:

Current CT Licensure as RN Licensure required. Knowledge, Skills and Ability Requirements

• Experience in providing data analysis and statistical processes in quality reporting
• Ability to design and develop performance measures
• Experience in providing education
• Experience in facilitation of PI teams using quality improvement methodology
• Ability to effectively communicate both verbally and in writing
• Ability and willingness to travel to branches (regions) as needed
• Travel within the Unites States may be necessary
• Knowledge of federal and state regulatory requirements
• Adherence to Hartford Healthcare Leadership Behaviors and Core Values