Clinica Compliance Manager - RN - Hospice

CorsoCare • Milford, MI

4d • Hybrid

About The Position

The Clinical Compliance Manager (RN) position 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, regulatory monitoring, and branch mock audits and works collaboratively with clinical leadership to implement corrective actions. The Clinical Compliance Manager (RN) 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.

Requirements

• Registered Nurse (RN) license in the state of practice, active and in good standing.
• Minimum of 6-8 years of hospice 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.
• 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

Nice To Haves

• Experience in hospice compliance, quality, or survey preparation roles.
• Multi-state hospice experience a plus (MI, OH, IN 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 Regional Director of Compliance and Denial Management.
• 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 Regional Director of Compliance and Denial Management regarding audit results, trends, and risk areas.

Benefits

• Competitive compensation, including Medical (BCBS), Dental, Vision and an HSA
• Continued Growth and Education from training, supportive leadership, and collaboration
• Generous PTO, Holiday and Sick Pay
• A company provided tablet with 24/7/365 IT support
• Tuition Reimbursement up to $2500 per year
• Pet Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed