Director, Compliance, Quality & Risk Care at Home

Tufts Medicine•Lowell, MA

2d•Onsite

About The Position

Care at Home is the region’s most trusted provider of home health and hospice care for infants, children and adults. Our care teams proudly serve 110 cities and towns in the Merrimack Valley, northeastern Massachusetts and southern New Hampshire. This position has overall responsibility for the Quality and Risk Management program. Responsible for regulatory compliance including external reporting requirements for the Department of Public Health (DPH). Provide oversight of risk management and patient safety processes to minimize risk to the organization and provide a culture of safety and healing. In conjunction with the medical staff and system leadership, directs and coordinates Safety, Quality, and Performance Improvement initiatives. Collaborate closely with medical staff leadership to ensure physician competency and quality patient care.

Requirements

Bachelor’s degree in Nursing, Physical Therapy, Occupational Therapy or related field.
Current state license in clinical field.
Five (5) years progressive leadership experience in Home Care system management overseeing Compliance, Quality, Patient Safety, or related area.
Working knowledge of healthcare quality and patient safety management, data sets and databases, benchmarking, outcome measurement, team development.
Knowledge of regulatory compliance, quality improvement science and analytics.
Working knowledge of home care and hospice regulations, Oasis and Hope assessment tools and data sets, industry best practice and performance metrics, and ICD-10 coding protocols.
Possess strong analytic skills, ability to interpret data; facility with using Excel.
Sound critical thinking/decision-making skills and the ability to function well under pressure.
Ability to cooperate in working with others to facilitate problem resolution with focus on process or system improvement.
Excellent verbal, written and presentation communication skills and ability to build relationships.
Highly developed organizational, interpersonal, and management skills.
Proficiency with Microsoft office applications.
Good leadership skills.
Knowledge of credentialing and peer review.
Ability to lead/facilitate change and motivate staff and physicians.

Nice To Haves

Master’s degree in nursing, public health, health administration, or related field.
Ten (10) years progressive leadership experience in Home Care/Hospice system management overseeing Compliance, Quality, Patient Safety, or related area.

Responsibilities

Initiates and oversees the development of a comprehensive Safety, Quality, and Performance Improvement program inclusive of the analysis and trending of data related to initiatives.
Provides strategic oversight for patient safety and quality committees with accountability for distribution of organizational communication.
Provides overall direction necessary to ensure clinical services are provided in accordance with standards established through state and federal regulations, including National Patient Safety Goals, and are evidence-based.
Accesses organizational compliance related to clinical care in collaboration with entity leadership and staff.
Identifies areas of vulnerability and directs the development of strategies to enhance compliance.
In conjunction with medical staff and system leadership, directs and coordinates safety, quality, and performance improvement initiatives.
In collaboration with clinical staff and leadership, participates in the monitoring, reporting and improvement activities related to clinical guidelines, healthcare quality and safety initiatives, accreditation, and regulatory requirements.
Manage department staff in the performance of duties, setting standards, providing development and training, perform evaluations and set goals.
Prepare standard reports for leadership and board use.
Manage a team of coding clinicians, providing oversight of accuracy, performance metrics and consistent and timely submissions.
Defines and documents policies and procedures related to the standards established by the business that comply with applicable external legislation/regulations, but may also reflect a higher standard than the legally required minimum.
Responsibilities also include employee compliance training, auditing compliance, investigating complaints, and verifying that deficiencies are corrected.