Responsible for evidence-based care and clinical excellence by using the techniques of system design, reengineering, project management, patient safety, quality improvement, outcomes measurement, and statistical analysis to increase compliance rates as measured by nationally standardized benchmarks and definitions and corporate requirements. This includes: project management, training, data management, and activities to support regulatory compliance. Principal Accountabilities: 1. Project Management: Facilitates/assists with quality improvement plans and projects for teams and/or departments as assigned. Engages in activities to identify potential patient safety risks and initiatives to improve patient safety. 2. Training: Provides in-service training in patient safety principles/practices, quality management, performance improvement techniques and organizational operating procedure standards. Participates in Shared Governance Councils. Leads and Assists with Quality/Patient Safety meetings providing guidance and instruction in PI Techniques. 3. Data Management: Collects, compiles, analyzes and reports quality data. Monitors effectiveness and adherence with corrective action plans and reports findings to the Manager of PI and Directors as indicated. 4. Regulatory Compliance: Participates in activities to monitor and ensure ongoing compliance with quality and regulatory standards such Joint Commission, State Department of Health, Centers for Medicare and Medicaid, payers and other agencies. Provides support during accreditation/regulatory surveys. 5. Actively leads 3 separate surveys in a triannual cycle (Joint Commission, NJDOH Home Care and NJDOH Hospice). 6. Manages Medicare, Medicare and private insurance audits and appeals including CERT and RAC audits and ADRs. Manages ALJ hearings. Assists with Livanta Discharge appeals. Responsible for Billing audits in collaboration with AVN finance dept . Other related duties as assigned. Required: 1. Graduate of an accredited nursing or physical therapy program. BS in nursing/physical therapy or related field. Masters preferred. 2. Certified Home Care or Hospice experience required. 3. Current NJ RN/PT license. 4 . Physical Requirements as Defined by Occupational Safety Experience in QAPI activities a plus. At Atlantic Health System, our promise to our communities is that anyone who enters anyone of our facilities, receive the highest quality care delivered at the right time, at the right place, and at the right cost. That commitment is also echoed in the respect, development and opportunities we give to our more than 18,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the state, and committed to creating a Trusted Network of Caring®. Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical Center, Summit NJ + Newton Medical Center, Newton, NJ + Chilton Medical Center, Pompton Plains, NJ + Hackettstown Medical Center, Hackettstown, NJ + Goryeb Children's Hospital, Morriston NJ + Atlantic Rehabilitation + Atlantic Home Care and Hospice We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We are part of Atlantic Accountable Care Organization, one of the largest ACOs in the nation, and are a member of AllSpire Health Partners. We receiver awards and recognitions for what we provide to our patients, team members and communities. Below are just a few of our accolades: + 100 Best Companies to Work For ® and FORTUNE® magazine (13 years in a row) + Best Places to Work in Healthcare - Modern Healthcare + 150 Top Places to work in Healthcare - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well Workplace": Wellness Council of America (WELCOA) + CEO Cancer Gold Standard ™ + One of the 100 Best Workplaces for Millennials" Great Place to Work® and FORTUNE® magazine + One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine + Security 500: Security Magazine + Official Health Care Partner of the New York Jets + NJ Sustainable Business Our Home care and Hospice teams work with more than our patients, we work with their families, inside their homes and in their community. When you join our team, you also join theirs, bringing them your comfort, compassion, education, and expertise. We celebrate these close connections every day, by delivering the best comprehensive home care and hospice services possible. EEO STATEMENT Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.