Hospice Operations and Compliance Specialist

RESPONSIBILITIES Ensures compliance with all state, federal, and Joint Commission referral/intake regulatory requirements. Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy and compliant with all relevant guidelines. Establishes and maintains positive working relationships with current and potential referral sources. Ensures a seamless transition of patients to home care by providing direct oversight of patient education, preparation for home care, plan of care initiation, and coordination of care with multiple service providers. Reviews clinical documentation to help determine home health appropriateness and ensure compliance with billing and regulatory standards. Assists in the preparation of accruals for QAPI quarterly. Attends case conference meetings with home health personnel to facilitate coordination of care and discuss interdisciplinary group involvement. Tracks and updates team members on new hospitalizations, hospital holds, and resumptions of care. Communicates with patients, families, and caregivers regarding home health services, ensuring clear understanding of compliant procedures and expectations. Coordinates with physicians and referral sources (as appropriate) regarding home health plans of care, ensuring all necessary accruals are managed and recorded. Assists in ensuring that patients are seen in a timely manner and works with physicians to receive updated start of care orders when necessary, maintaining compliance with patient timelines and service delivery. Cross-trains to provide back-up coverage for scheduling and intake coordination when needed. Filters calls from field staff and assists with questions to support field staff, handle urgent needs, and order medications while ensuring compliance with all protocols. Assists the Clinical Director and other supervisory home health personnel in the planning, implementation, and evaluation of in-service and continuing education programs. Assists in formulating, revising, implementing, and evaluating organizational policies, procedures, goals, and objectives, both short and long-range, ensuring compliance with industry standards. Assists in the screening and interviewing process of new employees and makes recommendations for employment. Helps with the orientation of new employees, ensuring they are well-versed in compliant practices and accrual management. Other tasks and responsibilities as assigned by the Clinical Manager and/or Executive Director. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Graduate of an accredited practical nurse or vocational nursing program. Three years nursing experience. Community health/home health or medical/surgical experience is preferred. Currently licensed as an LPN/LVN in the State. Complies with accepted professional standards and practice. Demonstrates good verbal and written communication, and organization skills. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Possesses and maintains current CPR certification.

Salary 65k-85k

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at

JR53287