Supports the Assistant Area Administrator, or agency designee in upholding Regional Home Care Quality, compliance, and policy and procedure, in accordance with centers for Medicare and Medicaid, along with The Joint Commission standards and all state and federal regulatory and compliance requirements. Coordinates the activities of departments, committees and home care field/office staff to develop and document ongoing evaluation activities; perform studies and problem focused reviews; interpret data and promote the Home Care Quality Improvement Program to medical, nursing and support services. May assume the role of clinical supervisor when necessary and able.

• Consults with Area Administrator, Director of Patient Care Services, agency Supervisors and Physicians in charge of special care areas to assist them in developing ongoing evaluation programs to identify, resolve, and report opportunities to improve patient care.


• May represent the Department on local/ Regional committees.


• Designs, conducts and evaluates studies and problem focused reviews requested by Area Administrator, Director of Patient Care Services, agency Supervisors and Physicians which frequently involve sensitive, confidential, or medical legal issues.


• Performs and oversees ongoing Quality Improvement activities across the home care service line to assure timeliness, accuracy and compliance with licensing and regulation requirements.


• Use and educate end users on data display tools, including statistical process control methods.


• Participate in risk management by investigating problems encountered by patients, identifying patterns and trends in patient care problems, and developing policies and procedures to reduce risks.


• Monitors compliance with quality improvement requirements.


• Assist in the preparation of the Quality of Care reports that are sent to the home care service line and quality leadership.


• Develop and conduct presentations on the quality improvement standards and the home care service line Improvement Plan to ensure compliance with TJC, NCQA and other regulatory agency standards.


• Conducts special clinical studies related to patient care management.


• Participate in the annual development of the home care service line goals for Quality Improvement.