Quality Assurance / Performance Improvement Specialist- Home Health and Hospice in Fairfield, CA at Northbay Healthcare

Date Posted: 2/21/2021

Job Snapshot

  • Employee Type:
  • Location:
    4520 Business Center Drive
    Fairfield, CA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description


Quality Assurance / Performance Improvement Specialist- Home Health and Hospice

On Call, FTE: 0.4; Office hours are: Monday through Friday, 0800 – 1700. Requires some off-site, off-hour work to support pre-planned education, user support and monitoring activities.
Green Valley Health Plaza Bldg
Fairfield, CA

Job Summary:

The Quality Assurance and Performance Specialist (QAPI) works collaboratively to a identify opportunities and implement measures designed to improve the quality of patient care as well as organizational performance. The QAPI Specialist will drive quality assurance and improve performance by using data from multiple sources, to determine areas of strength in quality and compliance and areas for performance improvement. This includes review of clinical care processes, non-clinical processes, medical record documentation, state and federal regulatory requirements with attention to topics that are meaningful and address the needs of both patients and staff. Sources of data, analytics and benchmarking include: Home Health Compare, Hospice Compare, Strategic Health Program (SHP), Pepper Report, CASPER reports, Home CAHPS survey results, on-site survey deficiencies, EHR software, and other analytic tools to identify  where performance improvement projects are needed most. The QAPI Specialist will sponsor and facilitate Performance Improvement Projects (PIPs) with a focus on sustainable outcomes.
The role also involves identification of training needs including orientation, preceptor training, service delivery workflow, and staff competency needs. QAPI specialist contributes to the appraisal of staff performance, evaluation of new procedures and care standards, policy development and provision and coordination of education. The QAPI role encompasses learning facilitator, change agent, mentor, informal leader, and champion for best practices. The QAPI Specialist provides informal leadership and support across the patient/family care continuum, with physicians, managers and staff to promote excellence in providing patient/family care.

Duties include but are not limited to the following: setting and participating in long-range educational planning; participating in quality improvement and performance improvement activities; and ensuring compliance with regulatory/accreditation standards. 

The QAPI Specialist works collaboratively with the Interdisciplinary Team in order to establish a collegial and interdisciplinary environment inclusive of a supportive and educational atmosphere for clinical staff, while working with operations to establish and reinforce best practices.


  1. Graduate from an accredited school of registered nursing. 
  2. Bachelor’s degree or higher in nursing required.
  3. Masters preferred.

Licensure/ Certification

  1. Current unencumbered California RN license required.
  2. Current AHA or equivalent Basic Life Support (BLS) required.  
  3. Certification by the American Nurse Credentialing Center preferred.


  1. 3-5 years of experience working directly with home care and/or hospice clinical staff and physicians required.
  2. Knowledge of Conditions of Participation, The Joint Commission Standards, the Community-based Model of Care and patient care workflows required. 
  3. 3-5 years of experience providing hands-on training and education on clinic workflow optimization, scope of practice, and knowledge of patient care equipment and products.
  4. Experience with planning, implementation and training of clinical information systems, strongly preferred.
  5. Must demonstrate and maintain current technical knowledge in providing care for adult patients.
  6. Excellent classroom and one-on-one training skills required. Instructional design skill preferred. Excellent research and analysis, organizational, oral and written communication skills required. Possesses teaching ability, leadership ability, and high professional standards. 
  7. Must be well organized, able to set priorities, work independently and as an effective team member. Word Processing skills required.
  8. Statistical/data management skills preferred.
  9. Ability to interact in a professional manner and build trust with others to effect work is essential. Must project positively and professionally, consistent with the system’s mission, values, and strategic goals.
  10. Demonstrates the NorthBay Way. The NorthBay Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Healthcare.  The NorthBay Way principles consist of Caring, Communication, Collaboration, and Competence.