Clinical Quality Improvement Specialist -Port St. Lucie, FL
Company: Vitas Healthcare
Location: Port Saint Lucie
Posted on: October 31, 2025
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Job Description:
Job Description PEFORMANCE IMPROVEMENT SPECIALIST The primary
function of the Performance Improvement Specialist is to support
and facilitate quality assessment and performance improvement
(QAPI) activities for the local hospice branch (also referred to as
hospice program). The QAPI Program is an on-going, data driven,
organization-wide program involving data collection, analysis, and
collaborative development of performance improvement initiatives.
Monday- Friday 8a-5p In Office JOB RESPONSIBILITIES Performs
ongoing quality assessment through data collection and analysis as
directed by VITAS Policies, Procedures, and Standards. Works with
hospice program leadership to identify quality and performance
trends and areas for improvement. Performs quality monitoring
activities (tracking, trending, and analysis) including, but not
limited to: Hospice Quality Reporting Program (HQRP): data
collection and analysis of data associated with HQRP components,
including but not limited to: Consumer Assessment of Healthcare
Providers and Systems survey (CAHPS), claims-based measures,
Hospice Item Set and any future measures. Care Compare: data
collection, tracking, and benchmarking HQRP scores against
competitors. CAHPS survey: Identify negative comments/responses and
initiate service comments as appropriate. QAPI dashboard: drill
down, analyze and report data. Service Comments: includes
monitoring timely resolution, reassignment of pending service
comments, communication of trends to program management, and ensure
service comment log is current. Infection Control Reporting: data
maintenance and analysis. Incident Reporting: data maintenance and
analysis, submission of documents for incidents identified as
serious adverse events, completion of 3500A for home medical
equipment-related incidents. Root Cause Analysis (RCA):
co-facilitate RCA meeting with program management, ensure required
documents are completed, document meeting on appropriate templates,
submission of documents to required email distribution group,
monitor effectiveness of corrective action plan and report outcomes
to program leadership. Revenue Analysis and Tracking: analyze and
trend Unaccrued Revenue using report provided by Revenue Cycle
Management and report findings to program management. Hospice Aide
(HA) In-service hours: obtain training completion report and report
compliance with regulation requirement to program management.
Annual Update HIPAA/OSHA: Obtain training completion report for
annual updates and report compliance to senior management.
Physician satisfaction surveys (as required by the program): data
collection, analysis, and reporting Revocation and discharge
monitoring (as required by the program): data collection, analysis,
and reporting Collect and analyze quality indicator data/key
performance indicators and collaborate with the senior management
team to identify priorities for improvement and develop
initiatives. Performs Quality reporting updates monthly, quarterly,
and annually, including but not limited to: Quality Update Report
(QUR): prepare and submit monthly report to regional and senior
management to communicate updates of Quality Assessment and
Performance Improvement areas. QAPI IDG Committee Meeting
(quarterly): prepare documents, co-facilitate meeting, capture
minutes, submit documents, follow up on actions items from meeting.
Annual Reports: complete QAPI Program Annual Evaluation, prepare
Annual Program Operational Review for program management
completion, and any state-specific requirements. -Facilitates
Performance Improvement Projects including the coordination of
performance improvement teams. -Maintains Documentation of
Performance Improvement Initiatives (both hard copy and
electronic). -Maintains any and all versions of the PI Plan Manual.
-Identify program needs based on data analysis of the quality
monitoring activities and recommend training to address these
needs. -Report to senior management on compliance with required
trainings including orientation and legally mandated in-services.
Act as the program liaison to Central Support: Submission of
quarterly QAPI IDG and annual report documents including policy
recommendations via the Governing Body Report. Regarding quality
initiatives: provides field perspective and participates in the
development of company-wide materials. -Collaborates with the PCA
for external audits and records requests. -Participate in pilot
projects related to QAPI initiatives as requested. -For programs or
regions with a Performance Improvement Specialist (PIS) Assistant:
Oversight of the Performance Improvement Specialist (PIS)
Assistant, including delegation of approved tasks and mentorship
for delegated tasks as needed. Other duties as assigned. JOB
QUALIFICATIONS Licensed (as required) health care professional
(preferred) or non-clinician with quality bakcground background.
Certified Professional in Health Care Quality (preferred).
Knowledge of Medicare/Medicaid regulations, state licensure laws,
and the requirements of any other applicable regulatory/accrediting
body. Experience with data collection, measurement tools, and data
analysis. Experience in a quality assurance/improvement
Keywords: Vitas Healthcare, Port St. Lucie , Clinical Quality Improvement Specialist -Port St. Lucie, FL, Administration, Clerical , Port Saint Lucie, Florida
