Compliance Specialist (In-house)

Community Healthcare of Texas•Fort Worth, TX

About The Position

The Hospice Quality Improvement Coordinator is a resource for all service lines, including palliative care and hospice services. This role is responsible for the clinical staff education program, including assessing learning needs, long-range planning, curriculum development, presenting and coordinating education, and new-hire orientation for clinical staff. The coordinator oversees internally identified quality initiatives and the Hospice Quality Reporting Program (HQRP), executes compliance initiatives, and helps ensure regulatory compliance across service lines. The role also assists with compliance with Exposure and Emergency Plans and supports infection-control practices aligned with Centers for Disease Control (CDC) and Texas Department of Health and Human Services (TDHHS) standards and guidelines. The coordinator serves as a primary resource for infection-control issues and collaborates with the VP of Quality & Compliance and executive leadership, including developing and revising policies and procedures.

Requirements

Degree in Nursing and licensure to practice in Texas as an LVN or RN.
Demonstrated skill in education program planning, implementation, and evaluation.
Experience in hospice quality and educating staff on hospice quality measures, improvement, and compliance initiatives.
Five years of experience working as a nurse.
Knowledge of hospice regulations and standards.
Knowledge of infection-control practices and standards.

Nice To Haves

Three or more years of hospice leadership experience.

Responsibilities

Assess clinical staff learning needs and adjust the training curriculum accordingly.
Monitor regulatory requirements and best practices and incorporate them into the clinical training curriculum.
Develop curriculum and presentations, and conduct training.
Coordinate clinical staff orientation and follow up with new staff to reinforce or provide additional training.
Coordinate execution of the QAPI plan, including collecting, compiling, tracking, trending, and analyzing data; prepare reports and make recommendations based on studies and reports.
Conduct educational activities related to quality management and performance improvement.
Participate in orientation and staff development activities, including new leader orientation related to PI and QA.
Coordinate, provide guidance for, and develop new goals for Performance Improvement Projects (PIPs).
Assist with compliance activities, including maintaining knowledge of Home Care Home Base software to produce reports and assist with survey preparation, ADR responses, and routine chart audits.
Serve as the primary resource for infection-control issues, collaborating with the VP of Quality & Compliance and executive leadership, including developing and revising policies and procedures.
Assist with compliance related to Exposure and Emergency Plans and infection-control practices.
Perform other duties as assigned.