Director of Clinical Compliance Audit - Quality

PACS

7d • $130,000 - $150,000 • Remote

About The Position

Reporting to the Senior Director of Clinical Compliance Audits, the Director of Clinical Compliance Audit – Quality is responsible for directing the Quality auditing program, as well as conducting routine audits or investigations of regulatory quality of care practices related to skilled nursing facilities. This role ensures adherence to federal, state, and local regulations and supports quality improvement initiatives.

Requirements

• Associate or Bachelor’s degree required, Master’s degree preferred.
• Active RN or other associated healthcare license.
• QAPI Certified Professional (QCP) or Certified Professional in Healthcare Quality (CPHQ) required. Certificate in Healthcare Compliance preferred.
• 10+ years experience in clinical practice and progressive regional leadership in a dedicated Quality of Care position.
• Extensive experience conducting clinical record reviews and regulatory investigations.
• Deep knowledge of the conditions or participation for skilled nursing facilities, QAPI, CMS Critical Elements Pathways, CASPER Reports, CMS 5-star Quality rating system.
• Experience leading root-cause analysis (RCA).
• Supervises audit staff, collaborates with operations and other business support staff.
• Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage audits, investigations and education initiatives.
• Possesses strong attention to detail.
• Ability to effectively prioritize and execute tasks in a fast‑paced, dynamic environment.
• Excellent time management, personal integrity and ability to maintain confidentiality.

Nice To Haves

• Master's degree preferred.
• Certificate in Healthcare Compliance preferred.

Responsibilities

• Develop audit tools to assess facility QAPI programs and quality of care outcomes to identify trends, root causes, and systemic compliance risks associated with resident outcomes.
• Conduct focused audits in response to complaint investigations and survey deficiencies.
• Conduct root cause analyses and develop performance improvement projects to reduce regulatory risk for facilities.
• Support quality of care investigations.
• Partner with Risk Management and Clinical Operations to analyze adverse events and sentinel events for compliance and quality concerns.

Benefits

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree