Quality and Compliance Manager

Centreville, MI - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

At Compass we believe that working in this industry is more than just a jobit is a calling. We understand that it is not a path chosen by everyone but for those who feel drawn to this work we warmly invite you to explore this and other opportunities available within our organization.

Accepting a position with Compass means stepping into a role that extends far beyond the responsibilities of any single individual. Our team structure is intentionally designed to foster support and collaboration among all members. This approach allows us to dedicate our energies to what truly matters: delivering outstanding care to our patients and their families during one of lifes most significant moments.

Quality and Compliance Manager

Position Summary:The Quality & Compliance Manager coordinates the Compass Regional Hospice (Compass) QAPI program and serves as the Privacy Official and Security Official.

Reports To: Director of Clinical Services

Supervisory Responsibilities:This position supervises the Quality Improvement Assistant Medical Records Coordinator and Medical Assistant.

Responsibilities and Functions:

Evaluates organizations performance via performance improvement program productivity quarterly and annual review assures for the quality and safe delivery of hospice services provided through the organization.
Maintains compliance with Medicare Regulations and accrediting bodies as appropriate.

Monitors patient clinical records concurrently and retrospectively utilizing established outcome criteria i.e. measures within software system and care plan.
Maintains compliance with CMS Quality Reporting Requirements.
Leads the Quality & Compliance Committee.
Facilitates Performance Improvement teams.
Coordinates data collection for benchmarking purposes.
Functions as a clinical resource to all staff.
Assesses plans implements and evaluates the performance improvement programs of the organization.
Develops assists and/or coordinates the development of performance improvement studies as requested by the Leadership.
Assists in the analysis of needs and resources of Compass and in the formulation and development of goals and plans for Compass.
Serves as the Compliance Officer Privacy Officer and Risk Manager for Compass and Civil Rights Officer for patients.
Reviews revises and implements policies and procedures to maintain compliance with State and Federal Regulations and other accrediting bodies.
Maintains the confidentiality of employees patient/client and agency information at all times.
Performs other related duties and responsibilities as required.
Serves as Emergency Planner.
Monitors all ADRs and collaborates with the Director of Clinical Services to submit appropriate documentation in a timely manner.

Qualifications:

Must be a Registered Nurse from an accredited college or university.
Currently licensed as a Register Nurse in the State of Maryland or possess a compact license transferable to the State of Maryland.
Must have 3-5 years clinical nursing experience preferably in hospice
Experience in management and supervision is preferred
Good oral and written communication skills
Experience in QA CQI or PI required
Knowledge of requirements and regulations for the provision of Hospice care
Complies with accepted professional standards and practice
Self-directed with the ability to work with little supervision
Flexible and cooperative in fulfilling role obligation

Requirements:

Complete hospice orientation.
Support the hospice concept of care.
Be flexible and able to work on several projects simultaneously.
Be able to work harmoniously with many diverse types of individuals and groups.
Advances knowledge and skills; attends in-services and workshops as appropriate.
An ability to cope with the stress of continual loss.

Possesses physical ability to perform job-related duties which may require lifting standing bending transferring stooping stretching walking pushing partial or complete assistance with activities of daily living without assistance from another health care worker or significant other.
Must be able to hear to process directions and requests from doctors employees patients and other individuals.
Must complete Hospice and Palliative Care Certification (HPCC) within 24 months of hire date.

Work Scheduling:

Monday Friday 8:00am 4:30pm
Must be flexible to cover patient/staff needs of Compass.
Must rotate through Administrator on Call schedule.

FLSA Status:This is a full-time position and is classified as exempt under the Fair Labor Standards Act.

Beneﬁt oﬀerings

Compass strives to provide employees with the most competitive benefits package in the industry. Our employees are our greatest resource and we take pride in being able to offer comprehensive and affordable benefits to our employees and their families.

Full-time employees working at least 30 hours per week are eligible for the following coverage beginning the first of the month following 30 days from the date of hire.

Medical Insurance (CareFirst) - Compass pays 85% of employees coverage and 50% dependent coverage

Dental and Vision Insurance (CareFirst)

Life/AD&D Insurance

Voluntary Short-Term Disability

Voluntary Long-Term Disability

Accident Insurance

WillPrep Services

Employee Assistance Program

Health Savings Account (HSA)

5 weeks of Paid Time Off (PTO) beginning the first year (Available to full-time staff working 32 hours or more per week)

Full-time and part-time employees are eligible for the following:

401k with Compass fully matching up to 3% then matching .5% with employee contribution of 4% (match3.5%) or 5% (total match 4%) (Available to FT & PT staff)

Discounted gym membership (YMCA) (Available to FT & PT staff)

Required Experience:

Manager