Quality and Compliance Coordinator

Come join this collaborative and innovative team. At Integritus Healthcare /IntegriHome you will enjoy WEEKLY pay generous time off exceptional health insurance and the ability to grow in your career.

Ready to love working again and be proud of where you work Do you want to be valued and have an opportunity to make a meaningful impact If you answered yes we cant wait to introduce you to our team of dedicated caring professionals.

Join one of the largest post-acute health care systems across Massachusetts committed to fulfilling the health and residential needs of the population in the communities we serve.

Why choose Integritus Healthcare Pioneer Valley Hospice & Palliative Care:

• Competitive Compensation
• Employee Satisfaction
• Growth and Career Advancement
• Cookouts and Luncheons
• Culture of Respect and Empowerment

• Celebrating Individuality
• Recognizing Excellence

Benefits include but not limited to:

• Paid time off (vacation sick holiday)
• Medical Insurance
• FSA
• Dental
• Vision
• Life Insurance
• Long-term disability Insurance
• HRA
• 401(k)

From short term rehab and recovery to long term skilled nursing care hospice services restorative care and even respite care we are by your of your nursing home has been caring for area families since1989 providing top-quality skilled nursing care for short-term rehabilitation and long-term care. We focus on maximizing patient recovery comfort and independence for the highest possible quality of life. From post-surgery and post-hospital rehabilitation to long-term care for a chronic illness our highly skilled care teams provide compassionate attention and specialized care every step of the way.

This is a full-time 40-hour per week position. The Quality and Compliance Coordinator is a Registered Nurse or Medical Social Worker responsible for quality regulatory and compliance activities and standards for the organization. The Quality and Compliance Coordinator is primarily responsible for monitoring implementing and evaluating processes and programs to meet regulatory accreditation and standards-of-practice requirements.

Essential Job Functions

• Monitors the organizations quality improvement program.
• Compiles trends and reports quality data in the areas of patient care safety risk management infection control outcomes and customer satisfaction.
• Works collaboratively with Department Supervisors to ensure documentation is complete and consistent with care and reflects legal requirements. Completes clinical record reviews and data collection.
• Participates in the Quality Assurance Performance Improvement (QAPI) Committee and meetings.
• Coordinates implements and ensures processes are in place to monitor and evaluate safety risk management and infection control programs.
• Acts as a resource to staff in identifying safety risk management and infection control issues for patients and staff related to safety and infection control standards.
• Oversees staff immunizations to ensure they have been vaccinated per IHC policy to prevent the spread of diseases.
• Collaborates with the Educator to help identify skills for annual competence and provides in-service training support.
• Monitors and ensures organization compliance with regulatory and accreditation standards such as Medicare Conditions of Participation Health Accreditation Programs (CHAP) local state and federal requirements.
• Maintains current knowledge related to Medicare Conditions of Participation and CHAP standards related to infection control practices to ensure the organization is compliant with state federal and accreditation guidelines.
• Participates in administrative on-call rotation as an administrative resource to the clinical staff operating in the field during on-call hours.
• Works with the Executive Director to assess patient and family experience.
• Other duties as assigned by the Executive Director.

Qualifications

(Minimum qualifications will be considered required unless specifically stated otherwise)

Experience:

• Minimum of 3-5 years of clinical nursing or social work experience hospice preferred.
• Experience in health care quality improvement and/or compliance preferred

Education and Training:

(Acquired through formal education outside study training on jobs of lesser degree or by any combination of these. May be expressed in terms of formal educational equivalents):

• Bachelors Degree in Nursing Masters Degree preferred

OR

• Masters Degree in Social Work
• Has knowledge of state federal and CHAP regulations for hospice programs

License Certification & Registration:

• Possesses and maintains current CPR Certification.
• Current MA licensure: RN or LCSW
• Valid drivers license
• Hospice and Palliative Care Nurse or Social Worker Certification preferred

Other Requirements:

• Demonstrates excellent written and oral communication and public relations skills.
• Demonstrates autonomy organization assertiveness flexibility and cooperation in performing job responsibilities.
• Demonstrates excellent observation skills.
• Must be able to read write and speak the English language proficiently.
• Must have proficient computer skills (Excel PowerPoint)
• Handle multiple tasks and meet deadlines.
• Ability to plan organize develop implement and interpret the programs goals and objectives policies and procedures that relate to the compliance function.
• Must possess the ability to make independent decisions when circumstances warrant action.
• Must possess the ability to deal tactfully with personnel patients/ family members visitors government agencies/personnel and the general public.

Working Relationships:

• Title of direct supervisor: Executive Director
• Additional supervision received from: Clinical Manager Director of Quality
• Key Contacts (external/ internal):

Medical Director; Clinical Manager Education Director Referral/ Intake team; Interdisciplinary Team members; Human Resource Manager

Working Conditions

• Uniform / Dress Requirements (Beyond those requirements outlined within Policy No. C:3-015.1): None

Work Environment:

Working Conditions: Primarily office environment with expectation of occasional clinical field work as appropriate. May be exposed to extremes of heat and cold in all weather conditions. Must drive in various weather conditions on roads in varying repair.

• Subject to varying and unpredictable situations. Handles emergency or crisis situations.
• May be exposed to infections and contagious diseases. Contact with patients under a wide variety of circumstances. May be exposed to/occasionally exposed to patient elements. Subject to varying and unpredictable situations. Handles emergency or crisis situations. Travel required. OSHA exposure category:
• OSHA exposure category: Category II
  • Category I â Position includes tasks that involve exposure to blood body fluids tissues.
  • Category II âPosition includes tasks that involve no exposure to blood body fluids tissues but employment may require unplanned Category I tasks.
  • Category III â Position includes tasks that involve no exposure to blood body fluids tissues; would not be required to perform Category I tasks.

The above statements are intended to describe the general nature and level of work being performed by employees within this classification. They are not intended to be construed as an exhaustive list of all duties and responsibilities.

Required Experience:

IC