Compliance Director

CATHOLIC HOSPICE INC.

COMPLIANCE DIRECTOR FULL TIME - MONDAY TO FRIDAY MIAMI LAKES, FL.

Summary & Objective The Director of Compliance is responsible for designing and implementing policies, programs and processes to ensure the organization is compliant will all federal, state and accreditation standards, guidelines and regulations.

The Director of Compliance will ensure the highest degree of quality is adhered to in the care of patients.

They will also be responsible for providing indirect patient care services primarily by performing medical record reviews according with the policies and procedures of the organization.

Essential Functions * Auditing of electronic charts for placement and content of all forms as well as assuring that all charting is compliant with current federal, state, CHAP, and local standards, regulations, and guidelines.

* Provide ongoing staff direction and support, ensuring that the electronic medical record is utilized in the correct manner and perform the needed corrections.

* Maintain records and reports regarding quality assurance, training, and records correction.

* Oversight of the plans of the QAPI program, including but not limited to quality assurance, performance improvement, medical records, and regulatory compliance.

* Ensures that data-driven performance management and quality improvement programs are designed and implemented in a manner that aligns with an organization's overall strategy.

* Develops and implements organizational risk management policies and procedures.

* Works with top executives to develop performance improvement programs that support long-term goals.

* Measures and evaluates data to determine the ultimate impact of the programs on both the medical operation and the health of patients.

* Actively participates in continuing education programs, staff meetings, conferences, agency in-services and community events as requested/required by their supervisor.

* Acts as a resource for all staff in the organization on quality management and performance improvement techniques.

* Oversees the education department with assessing and planning the ongoing education needs with emphasis on compliance and competence.

* Oversees all activities related to clerical support for the Quality Assurance/Performance Improvement and Health Information Management Departments.

* Assists in the policy and procedure development of the clinical educational program.

* Implements and coordinates programs for risk identification, risk analysis and risk control.

Risk identification is accomplished in whole or in part through inspection and audit, review of incident reports; performance improvement activities; patient/resident/family grievances; third party reports and regulations; security reports; staff interviews; physician complaints/referrals; and outside request for records.

* Facilitates risk control by determining and correcting problems in clinical care, safety and security of facility buildings, service, and equipment, improving the care or process.

* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Other Duties * Collaborates and coordinates sharing of information with appropriate personnel organizationally, and with other agencies regarding findings, surveys, regulations.

* Establish and maintain effective partnerships across organizational boundaries.

* Coordinates several projects at the same time while prioritizing competing demands on time frames.

* Ability to synthesize complex or diverse information.

* Maintains knowledge of industry trends and clinical standards to ensure compliance.

* Typically solves problems by considering courses of action within the framework of management's goals and standards.

* Typically expected to provide status reports to Senior Management.

* Participate in educational activities related to hospice and palliative care.

* Ability to travel to any location throughout South Florida and expand territory as business needs dictate.

* Promotes positive employee engagement, teamwork, mutual respect and safety work practices.

* Maintain your required licenses, certifications and mandatory skill updates.

* Comply with all policies, local, state and federal laws and regulations.

* Provide other duties of healthcare team member.

* Perform other duties as assigned.

Supervisory Responsibility * Several direct reports.

Works collaboratively with all levels of organization.

Physical Requirements * Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.

Disclaimer The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee.

Other duties, responsibilities and activities may change or be assigned at any time.

EEOC Statement CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Requirements Knowledge & Experience Requirements * Bachelor's Degree in related field.

Master's Degree Preferred.

* 5-7 years of experience in a healthcare organization.

Hospice and Palliative preferred.

* Extensive knowledge of scope of hospice procedures (COPs), compliance auditing, laws, regulations and guidelines related to hospice and palliative care required.

* Certification in Health Care Compliance and Privacy preferred.

* Must have knowledge of computer office/clinical EMR software.

* Must be able to read, write and understand the English language.