Dir of Quality & Compliance

Samaritan • Mt Laurel, NJ

2d

About The Position

Provide leadership and oversight of Samaritan’s quality assurance, compliance, performance improvement, and regulatory readiness initiatives to ensure alignment with organizational goals and regulatory requirements. Interpret regulatory and accreditation standards, translating requirements into effective policies, procedures, education, and monitoring plans across the organization. Coordinate and oversee agency-wide Performance Improvement (PI) initiatives to support clinical excellence, patient safety, and quality outcomes. Manage internal and external audits, including data collection, analysis, reporting, and follow-up action planning. Oversee survey preparedness and accreditation processes, including Medicare, Medicaid, and Joint Commission readiness and response activities. Direct the clinical education program to ensure education initiatives support compliance, quality outcomes, and workforce development. Serve as the organization’s Privacy Officer and Compliance Officer, ensuring adherence to applicable privacy and compliance regulations. Oversee the medical records department to ensure documentation practices meet regulatory and accreditation standards. Facilitate Board Quality & Compliance Committee meetings, including preparation of reports and presentation of quality and compliance metrics. Collaborate effectively with clinical leaders, administrative teams, and staff at all levels of the organization. Participate in clinical and administrative committees as appropriate. Perform other duties as assigned.

Requirements

• RN with BSN required; Master’s degree preferred
• Active New Jersey RN license required, along with a valid NJ driver’s license and auto insurance
• Minimum of five (5) years of experience in healthcare quality and compliance, with hospice experience preferred
• Strong leadership, communication, and organizational skills
• Demonstrated ability to analyze data, manage organizational change, and utilize electronic medical record (EMR) systems effectively
• Solid understanding of hospice philosophy and regulatory standards impacting end-of-life care

Nice To Haves

• Master’s degree preferred
• hospice experience preferred

Responsibilities

• Provide leadership and oversight of Samaritan’s quality assurance, compliance, performance improvement, and regulatory readiness initiatives
• Interpret regulatory and accreditation standards, translating requirements into effective policies, procedures, education, and monitoring plans
• Coordinate and oversee agency-wide Performance Improvement (PI) initiatives
• Manage internal and external audits, including data collection, analysis, reporting, and follow-up action planning
• Oversee survey preparedness and accreditation processes, including Medicare, Medicaid, and Joint Commission readiness and response activities
• Direct the clinical education program to ensure education initiatives support compliance, quality outcomes, and workforce development
• Serve as the organization’s Privacy Officer and Compliance Officer, ensuring adherence to applicable privacy and compliance regulations
• Oversee the medical records department to ensure documentation practices meet regulatory and accreditation standards
• Facilitate Board Quality & Compliance Committee meetings, including preparation of reports and presentation of quality and compliance metrics
• Collaborate effectively with clinical leaders, administrative teams, and staff at all levels of the organization
• Participate in clinical and administrative committees as appropriate
• Perform other duties as assigned

Benefits

• Medical, Dental, and Vision Benefits
• LTD, STD, and Life Insurance
• 403(b) retirement plan with 5% company match
• Qualifying employer under Public Service Student Loan Forgiveness
• Tuition and mileage reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Director