RN - QEC Coordinator II

  • Hospice of the East Bay
  • Hospice Pleasant Hill California 94523 US
  • Posted: Jan 09, 2019
Other Nursing

Job Description

Hospice of the East Bay (HEB) is a community based program of home care for terminally ill patients. Care is given to patients and families by an interdisciplinary group. Bereavement care is provided to the family for one year after the death. Hospice services are given regardless of ability to pay, making the agency dependent on donations and insurance billing to meet operating expenses.



Reporting to the Vice President of Quality, Education and Compliance, this position is responsible for coordinating and/or presenting the orientation of new staff as well as coordinating and/or presenting ongoing education for staff. Coordinating student experiences with the students, schools and instructors to facilitate community health field clinical placements. Tracking records of completion of clinical competencies. Conducting Quality Assessment and Performance Improvement (QAPI) activities as indicated by the annual QAPI Program plan and at the direction of the Vice President of Quality, Education and Compliance. Participating on the QAPI Committee. Conducting chart audits, including comprehensive chart audits, utilization management audits, infection control audits and benchmarking report audits. Educating staff one-on-one when identified documentation or education needs have been identified. Assisting with preparation for and support during accreditation deemed status survey(s) and other surveys, such as Kaiser and Department of Public Health (DPH) complaint surveys.




Clinical Staff Orientation and Competencies

  • Coordinating with managers and human resources re: start date for new employees and travelers
  • Assuring a basic schedule of classroom orientation activities for a new employee's orientation period is completed by the manager, and that field orientation dates have been calendared for first three weeks
  • Explaining to employee all elements of orientation program and outlining employee's responsibility in completing orientation program and necessary materials
  • Meeting with new patient care employees during classroom orientation to assure that the employee's learning/orientation needs are met, and
  • assuring new employee skills self-assessment is completed and routed to mentor in order to individualize new employee clinical orientation
  • Providing education on aspects of new employee orientation
  • Meeting with new patient care employees during classroom orientation to assure that the employee's learning/orientation needs are met
  • Coordinating implementation and follow-up of competency requirements and testing of patient care staff with appropriate Clinical Team Manager(s)
  • Maintaining a record of competency completion, communicating with supervisors if an employee is not competent or needs further orientation/supervision
  • Communicating with employee's supervisor re: progress in the orientation process
  • Revising orientation program, as needed, in collaboration with the Vice President of Quality, Education and Compliance (VP, QEC)
  • Providing orientation booklet, paperwork, and orientation session, as appropriate, for students and contractors


Clinical Staff Education

  • Using information collected at Quality Assessment and Performance Improvement (QAPI) Committee Meetings, Safety Meetings, staff surveys, results of and changes in competency program and changes in regulations, contributes to development of a staff education plan annually
  • Preparing and distributing staff education needs survey annually
  • Participation in education plan development including suggested ways for information to be presented
  • Monitoring changes in requirements by Board of Registered Nursing and Board of Behavioral Sciences in providing Continuing Education Contact Hours and maintaining agency's status as a Continuing Education Provider
  • Designing and coordinating in-service education programs, as assigned by the VP, QEC
  • Arranging with Team Manager to assure that all staff arranged for by contract have completed competency requirements
  • Communicating with appropriate Team Manager about continued learning needs of employees
  • Acting as Agency resource for student field placements, assuring contract in place, obtaining class objectives and course outline from school, working with Clinical Team Managers for assigned preceptor and schedule, monitoring performance and communicating with instructor, as assigned



  • Coordinating and implementing mandatory education classes for Home Health Aides, which meets the 12 CEU's offered per calendar year regulation, as assigned
  • Coordinating with in-service provider needs for equipment, copies of handouts, etc., as assigned and in collaboration with Quality, Education and Compliance Coordinator I (QEC I)
  • Providing appropriate sign-in sheet for in-services in collaboration with QEC I
  • Greeting and introducing speakers or arranging for alternate presenter
  • If Continuing Education Units are being provided: collecting speaker's CV or resume and course objectives; arranges for certificates to be provided to participants who require Continuing Education Units, as assigned and in collaboration with QEC I
  • Maintaining binder of all education programs provided for the year according to specified regulations and in collaboration with QEC I


Quality Assessment and Performance Improvement

  • Participating as a member of the QAPI Committee
  • Conducting medical record audits, including comprehensive chart audits for assigned team, utilization management hospice eligibility audits , and discipline-specific audits, with documentation gaps communicated to clinicians
  • Identifying major deficiencies from chart audit tallies, updating QAPI Power Point slides, according to quarterly data findings, and presenting information at QAPI Committee meetings
  • Participates in Performance Improvement Projects (PIPs), as assigned


Safety and Infection Control

  • Participating as a member of an Agency safety committee, as assigned
  • Calendars and assures provision of Agency CPR classes, in collaboration with contracted vendor
  • Acting as designated Agency Infection Control Nurse in providing resources to staff, including information from CDC and County Health Department, as assigned
  • Coordinating infection prevention and control activities and surveillance in the Home Program(s) and Bruns House, including monitoring the effectiveness of the IC program
  • Monitoring patient and staff infection data quarterly for trends


Must have the ability to maintain confidentiality regarding patients and staff. Sensitivity to the various needs of different levels of staff and ability to teach the adult learner. Clinical knowledge of hospice and home health practice. Demonstrated ability to interface with an interdisciplinary team. Knowledge of the quality assessment and performance improvement (QAPI) process. Detail-oriented, with ability to communicate effectively with all staff members. Knowledge of the Board of Registered Nursing and Board of Behavioral Sciences and RCFE and Nursing Home Administrator Program requirements as a Continuing Education Provider. Knowledge of Infection Control Practices/Regulations.



  • Current California RN License required
  • Computer skills required, including Word, Excel and Powerpoint
  • Bachelors degree in nursing or other health-related field preferred
  • 3-5 years experience in hospice and/or home health preferred