Director of Clinical Care and Compliance (RN license required)

TITLE: Director of Clinical Care and Compliance

SUPERVISOR: Director of Senior Living

STATUS: Full-time exempt

Compensation: $135000-$150000 DOE

SUMMARY OF RESPONSIBILITIES:

Reporting to Rogersons Director of Senior Living TheDirector of Clinical Care and Compliance develops quality service in the areas of resident care resident programming Adult Day Health and compliance with state regulations and Rogerson policy. This position promotes and integrates the mission and philosophy of Rogerson in the development and support of the Resident Care Memory Care and Adult Day Health guidelines policy and procedures risk management regulatory compliance talent development and ongoing quality improvement programs. The Director is the clinical/healthcare oversight for quality service always resident and family focused and striving toward excellence in community service and profitability. The Director serves as the primary liaison with regulatory agencies oversees risk management and leads continuous quality improvement efforts to support the organizations mission and values.

Clinical Oversight

Provide clinical leadership across all senior living and adult day health programs ensuring that resident and participant care adheres to established standards of practice and regulatory requirements.

Supervise and support Directors of Nursing Nurse Managers and Clinical Coordinators.

Ensure comprehensive individualized care plans are developed and implemented for all residents and participants.

Oversee medication management infection control and clinical documentation practices across all programs.

Establish and monitor clinical performance metrics and outcome indicators.

Serve as a clinical resource to executive leadership on policy development health and safety and best practices in geriatric and adult care.

Collaborates with Resident Care Leadership team in the development of guidelines standards and practices for Memory Care and Programming.

Regulatory Compliance

Ensure organizational compliance with all applicable Massachusetts Department of Public Health (DPH) Executive Office of Elder Affairs (EOEA) Centers for Medicare & Medicaid Services (CMS) and other regulatory bodies.

Develop and maintain systems to monitor compliance across multiple sites and service lines.

Conduct internal audits site reviews and compliance assessments; ensure timely corrective actions are implemented.

Prepare for and coordinate external inspections surveys and licensure renewals.

Maintain up-to-date knowledge of evolving laws regulations and clinical standards affecting long-term care and adult day health.

Quality Assurance and Performance Improvement (QAPI)

Lead the organizations QAPI program including data collection analysis and reporting of quality metrics.

Facilitate regular quality and compliance meetings with site leadership.

Identify trends risks and opportunities for improvement and implement evidence-based interventions.

Promote a culture of continuous improvement accountability and person-centered care.

Training and Education

Oversee development and delivery of compliance safety and clinical education for staff.

Ensure all employees maintain required credentials licensure and annual training.

Ensure competency assessments and in-service education align with clinical and compliance standards.

Risk Management and Incident Oversight

Lead incident review reporting and investigation processes in accordance with DPH and EOEA regulations.

Collaborate with leadership on corrective action plans and communication protocols.

Develop proactive risk management strategies to ensure participant and resident safety.

Communication

Identifies and executes needed collaborations to enhance communities service provision with regional and corporate operations teams.

Ensures residents and families are educated about residents rights.

Creates and maintains a warm professional environment.

Assures that all associates are fully informed on the answers to the most frequently asked questions by residents families and prospective families.

Facilitates regularly scheduled meetings with department heads and associates.

Possesses excellent communication skills both verbal and written and the ability to relate in a positive and professional way to a diverse resident and associate population.

Qualifications

Education & Licensure:

Registered Nurse (RN) required; Bachelors degree in Nursing or related field required.

Masters degree in Nursing Healthcare Administration Public Health or a related discipline preferred.

Current RN license in the Commonwealth of Massachusetts.

Experience:

Minimum 7 years of progressive leadership experience in healthcare senior living or community health settings.

Demonstrated expertise in regulatory compliance and clinical operations for both residential and community-based programs.

Experience with DPH EOEA CMS and Medicaid/Medicare compliance standards.

Proven success leading quality improvement and clinical risk management initiatives.

Strong understanding of clinical best practices in geriatric and adult care.

Excellent knowledge of healthcare regulations and compliance frameworks.

Effective leadership communication and team-building skills.

Analytical and data-driven decision-making abilities.

Commitment to ethical standards and the mission of a non-profit organization.

Ability to travel between locations.

Required Experience:

Director