Compliance Manager - Hospice - RN

Laurus•Milford, MI

14h•Remote

About The Position

Clinical Compliance Manager -Hospice - RN Position Summary The Clinical Compliance Manager is responsible for executing clinical compliance audits, monitoring regulatory adherence, and supporting survey readiness across assigned hospice locations. This role identifies compliance risks through medical record review, operational audits, and regulatory monitoring, and works collaboratively with clinical leadership to implement corrective actions. The Clinical Compliance Manager translates audit findings into practical education and coaching for clinical staff, ensuring sustained compliance with CMS Conditions of Participation, accrediting body standards, and applicable state and federal regulations. Essential Duties & Responsibilities Clinical Compliance Audits Conduct routine, focused, and for-cause clinical compliance audits in accordance with established audit tools and methodology. Perform detailed medical record reviews to assess compliance with CMS Conditions of Participation, accreditation standards, and internal policies. Identify documentation gaps, regulatory risks, and patterns of non-compliance across clinical disciplines. Maintain accurate, timely audit documentation and tracking to support trend analysis and reporting. Risk Identification & Corrective Action Analyze audit findings to identify systemic issues, repeat deficiencies, and areas of elevated compliance risk. Collaborate with clinical leadership to develop corrective action plans that are practical, measurable, and sustainable. Monitor corrective actions through completion and validate effectiveness through follow-up audits. Escalate high-risk findings and unresolved issues to the Director of Compliance. Education & Field Support Translate audit findings into targeted, role-specific education for clinical staff and leaders. Provide real-time coaching and mentoring to clinical staff related to documentation standards and regulatory expectations. Participate in the development and delivery of compliance education related to audit outcomes, regulatory changes, and survey readiness. Reinforce best practices for defensible, audit-ready clinical documentation. Survey Readiness & Regulatory Support Support ongoing survey readiness activities across assigned locations. Participate in mock surveys, tracers, and focused reviews as directed. Serve as a compliance resource during surveys, audits, ADRs, and regulatory inquiries. Assist in preparation of documentation and responses related to audits, surveys, or investigations. Collaboration & Communication Work collaboratively with Quality, Education, Clinical Operations, and Leadership teams to support compliance initiatives. Communicate audit findings and expectations clearly, professionally, and in a non-punitive manner. Provide routine updates and reports to the Director of Compliance regarding audit results, trends, and risk areas. Qualifications Required Registered Nurse (RN) license, active and in good standing. Minimum of 6-8 years of hospice or post-acute clinical experience. Working knowledge of CMS Conditions of Participation and accreditation standards. Experience with medical record review, audits, or quality/compliance activities. Strong clinical documentation skills and attention to detail. Preferred Experience in hospice compliance, quality, or survey preparation roles. Multi-state hospice experience (Michigan, Ohio, Indiana preferred). Prior participation in surveys, audits, ADRs, or corrective action processes. Compliance or quality certification (e.g., CHC, CHPC, CHPN) preferred but not required. Key Competencies Clinical documentation review and regulatory interpretation Audit execution and issue identification Education and field coaching Professional communication and collaboration Organization, time management, and follow-through Ability to work independently in a remote environment Working Conditions Primarily remote with travel to assigned hospice locations as needed. May require availability during surveys, audits, or regulatory events. This classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of the employees under her/his supervision. The use of a particular expression or illustration describing duties shall not exclude other duties not mentioned that are of a similar kind or level of difficulty.

Requirements

Registered Nurse (RN) license, active and in good standing.
Minimum of 6-8 years of hospice or post-acute clinical experience.
Working knowledge of CMS Conditions of Participation and accreditation standards.
Experience with medical record review, audits, or quality/compliance activities.
Strong clinical documentation skills and attention to detail.

Nice To Haves

Experience in hospice compliance, quality, or survey preparation roles.
Multi-state hospice experience (Michigan, Ohio, Indiana preferred).
Prior participation in surveys, audits, ADRs, or corrective action processes.
Compliance or quality certification (e.g., CHC, CHPC, CHPN) preferred but not required.

Responsibilities

Conduct routine, focused, and for-cause clinical compliance audits in accordance with established audit tools and methodology.
Perform detailed medical record reviews to assess compliance with CMS Conditions of Participation, accreditation standards, and internal policies.
Identify documentation gaps, regulatory risks, and patterns of non-compliance across clinical disciplines.
Maintain accurate, timely audit documentation and tracking to support trend analysis and reporting.
Analyze audit findings to identify systemic issues, repeat deficiencies, and areas of elevated compliance risk.
Collaborate with clinical leadership to develop corrective action plans that are practical, measurable, and sustainable.
Monitor corrective actions through completion and validate effectiveness through follow-up audits.
Escalate high-risk findings and unresolved issues to the Director of Compliance.
Translate audit findings into targeted, role-specific education for clinical staff and leaders.
Provide real-time coaching and mentoring to clinical staff related to documentation standards and regulatory expectations.
Participate in the development and delivery of compliance education related to audit outcomes, regulatory changes, and survey readiness.
Reinforce best practices for defensible, audit-ready clinical documentation.
Support ongoing survey readiness activities across assigned locations.
Participate in mock surveys, tracers, and focused reviews as directed.
Serve as a compliance resource during surveys, audits, ADRs, and regulatory inquiries.
Assist in preparation of documentation and responses related to audits, surveys, or investigations.
Work collaboratively with Quality, Education, Clinical Operations, and Leadership teams to support compliance initiatives.
Communicate audit findings and expectations clearly, professionally, and in a non-punitive manner.
Provide routine updates and reports to the Director of Compliance regarding audit results, trends, and risk areas.