Clinical Quality Improvement Specialist -St. Petersburg, FL
Company: Vitas Healthcare
Location: Saint Petersburg
Posted on: June 8, 2026
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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, Pine Hills , Clinical Quality Improvement Specialist -St. Petersburg, FL, Healthcare , Saint Petersburg, Florida
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