Compliance Officer
About The Position
The Chief Compliance Officer of Hospice serves as the lead regulatory and compliance resource for the organization, providing strategic oversight of the hospice compliance program while supporting operational excellence and quality outcomes. This role partners with executive leadership, clinical teams, and operational departments to ensure ongoing compliance with federal, state, accreditation, and payer requirements, including Medicare Conditions of Participation, state licensure regulations, and accrediting body standards. The consultant functions as the organization’s designated Compliance Officer, responsible for developing, implementing, monitoring, and continuously improving the compliance program while providing proactive regulatory guidance that supports safe, effective, and compliant hospice operations.
Requirements
- RN, BSN preferred; other healthcare or regulatory backgrounds considered based on hospice experience.
- Minimum of 5 years of hospice leadership, compliance, quality, or regulatory experience.
- Strong knowledge of: Medicare Hospice Conditions of Participation
- State hospice licensure regulations
- Accrediting body standards (CHAP)
- Hospice billing and documentation requirements
- QAPI and survey readiness processes
- Experience managing or supporting hospice surveys and plans of correction.
- Strong analytical, organizational, and communication skills.
- Ability to work collaboratively with executive leadership and interdisciplinary teams.
- Proficiency in policy development, auditing, and regulatory interpretation.
Responsibilities
- Serve as the organization’s Compliance Officer and primary resource for regulatory guidance.
- Develop, implement, and continuously evaluate the hospice compliance program.
- Ensure adherence to CMS Conditions of Participation, state regulations, payer requirements, and accreditation standards.
- Monitor regulatory updates and interpret changes affecting hospice operations.
- Partner with the Quality team to develop corrective action plans and oversee implementation.
- Conduct ongoing compliance risk assessments and internal audits.
- Lead compliance investigations and support timely resolution of issues.
- Maintain clear reporting structures and escalation pathways.
- Provide real‑time regulatory support to leadership and operational teams.
- Assist departments in designing compliant workflows and improving processes.
- Interpret regulatory requirements to guide operational decision‑making.
- Collaborate with clinical leadership to ensure documentation meets compliance and quality standards.
- Review and maintain policies, procedures, forms, and workflows for regulatory alignment.
- Support development of operational standards and best practices.
- Participate in mock surveys, tracers, and internal compliance audits.
- Prepare staff and leadership for survey interviews and regulatory reviews.
- Coordinate responses to survey findings, deficiencies, and plans of correction.
- Track ongoing readiness initiatives and monitor regulatory risk areas.
- Partner with QAPI leadership to support quality and performance initiatives.
- Identify compliance trends, operational risks, and opportunities for improvement.
- Assist in developing quality indicators, dashboards, and monitoring tools.
- Analyze audit findings and recommend sustainable corrective actions.
- Support integration of compliance and quality initiatives across departments.
- Deliver engaging compliance and regulatory training to staff and leaders.
- Develop educational materials on hospice regulations, documentation, and operational compliance.
- Support onboarding and ongoing competency programs.
- Educate teams on ethical practices, reporting obligations, and compliance expectations.
- Conduct chart audits and operational reviews to ensure regulatory adherence.
- Evaluate documentation for accuracy, completeness, and billing support.
- Review contracts, agreements, and organizational documents for compliance implications.
- Maintain organized, detailed records of audits, investigations, and compliance activities.
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What This Job Offers
Job Type
Part-time
Career Level
Senior
Education Level
Associate degree
