Director of Quality and Compliance

Grace Hospice•Minneapolis, MN

2d•$110,000 - $120,000•Onsite

About The Position

At Grace Hospice, we offer professional care with a personal touch by focusing on the patients and families, not the disease, while emphasizing quality of life and dignity. We have built our nonprofit hospice agency by going back to the original roots of hospice care-rich in spiritual, emotional, and physical care for those at their end of life. We are an equal opportunity, drug free organization striving for excellence, while offering competitive salaries and comprehensive benefits.

Requirements

Previous hospice experience
Graduate of accredited school of nursing for Registered Nurse; registered and licensed in the State of Minnesota
Excellent verbal and written communication skills
Strong organization skills-able to manage projects from initiation to implementation.
Strong leadership skills-provide clear leadership direction on quality projects, education to team on quality, compliance initiatives.
Competency with Microsoft Office programs, EMRs, CMS programs, other relative databases (example pharmacy) and database management and analysis.
Expert in current regulatory knowledge; Federal, State and Medicare COP’s

Responsibilities

Provide leadership and supervision for Quality Assurance Specialist, Education Specialist and Clinical Administrative Staff.
Maintains current knowledge related to Medicare Conditions of Participation and Minnesota Statutes to ensure that the agency is compliant with state and federal regulations, HIPAA compliance
Monitors the measurement, implementation, evaluation of the following quality measures, including but not limited to; Hospice Compare, HPCAHPS, CASPER, HIS and PEPPER
Responsible for infection control/surveillance program-collection, analysis and reporting for the agency’s infection control and adverse event reporting
Coordinates and leads QAPI meetings on an at least quarterly basis, publishes agendas and minutes and maintains QAPI records
Provides direction and coordination of quality improvement activities utilizing input from the team, current data trends and other methodologies
Compiles, trends and reports quality data in the following areas; patient care, safety risk management, infection control, patient and family satisfaction in a monthly data dashboard
Provide leadership guidance and support for new program development/opportunities.
Provides Quality and Compliance reports to the board of directors.
Assist with budgeting and staffing plans utilizing team input
Supervisor on-call responsibilities
Responsible for ensuring policies and procedures reflect local, state and federal standards and makes recommendations for policy changes to management and the governing board.
Acts as a resource to management and staff regarding standards, policies and regulations and provides training to leadership and staff as needed in these areas.
Receives and reads materials from CMS and MDH and participates in relevant teleconferences.