Corporate Compliance Office

Good Shepherd Hospice•Dallas, TX

About The Position

We are seeking a Corporate Compliance Officer to join our executive team and play a key role in managing the agency’s compliance, quality, education efforts, and Regional Quality Assurance Nurses. The Corporate Compliance Officer is responsible for the Agency Compliance Program, maintaining administrative policies, overseeing collection and reporting, and leading preparation for Agency CHAP accreditation. This position is also available during Medicare and State Surveys as needed. In addition, the Compliance Officer coordinates and oversees the Agency’s Quality Assessment Performance Improvement (QAPI) Committee and attends Board of Director meetings quarterly to present Performance Improvement information. As a trusted partner to leadership, you will ensure regulatory excellence, safeguard accreditation, and champion a culture of quality improvement across all regions. This is a high-impact role with direct visibility to both the Board of Directors and the leadership team. If you are a Registered Nurse currently licensed in the Oklahoma, Missouri, Texas, and Kansas & have a minimum of two years’ experience in hospice Compliance and previous clinical experience in home health, long-term care, oncology, or geriatric nursing, we would love for you to apply!

Requirements

Registered Nurse currently licensed in the Oklahoma, Missouri, Texas, and Kansas.
A minimum of two years’ experience in hospice Compliance and previous clinical experience in home health, long-term care, oncology, or geriatric nursing.
Knowledge of Hospice Conditions of Participation
Knowledgeable of Hospice State Regulations
Knowledge and ability to deal with a variety of personalities and situations.
Knowledge of confidentiality with patient information.
Strong planning, analysis, problem solving, and project management skills.
Exhibits active listening skills
Management experience.
Knowledge of conducting investigations, quality reviews, and writing plans of correction.

Nice To Haves

Utilization Review, Compliance, QI experience preferred.
Previous experience in dealing with Hospice Compliance, Hospice Electronic Medical Record audits.
Demonstrated commitment to the hospice philosophy of care.

Responsibilities

Updates Policy and Procedure Manual with new and/or revised policies as changes in programs, services, and regulations occur
Facilitates Agency policy approval for new and revised polices through Senior Leadership.
Plans, prepares and leads the Compliance Program.
Facilitates quarterly comprehensive chart audits for all locations, developing criteria to monitor compliance with regulations and past survey deficiencies.
Facilitates prebilling monthly chart audits for new admissions and patient stays greater than 180 days.
Facilitates Utilization Management audits of all stays greater than 180 days and all new admissions.
Tracks ongoing Agency Performance Improvement Project and Plans of correction monitored and reviewed quarterly for improvement.
Reports Compliance including audit reports, Performance Improvement and plans of correction to the Board quarterly.
Monitors the Compliance Hot line and updates the disclosure log and facilitates the corrective action plan with the Governing Board.
Conduct investigations as needed.
Insure timely follow up and resolution of complaints or concerns.
Attends quality reviews and surveys for assigned locations.
Assists in writing plans of correction for statements of deficiencies.
Demonstrated knowledge of Federal Hospice Condition of Participations, State regulations and Standards.
Follow up on annual fees and application process for re-survey in a timely manner to assure that there is no lapse in Agency’s accreditation status.
Design/annually update clinical orientation program for current and new employees.
Oversee the administration and reporting to Deyta Consumer Assessment of Health Care Provider and Systems beginning 2015.
Report agency status of other CMS report, including PEPPER and NCLOS reports.
Demonstrated ability to communicate with of all levels of hospice staff, including the Board of Directors.
Strong planning, analysis, problem solving, and project management skills.
Ability to design and implement effective staff education and training programs.