About The Position

Under the direction of the Director of Quality & Education, this role oversees the Infection Control and Employee Health programs at Treasure Coast Hospice. The position plays a key role in supporting the Quality Assurance Program through the generation, validation, tabulation, completion, and distribution of data and reports to ensure compliance with government and agency standards. The individual actively participates in the Quality Assessment & Assurance Committee and Quality Committee meetings and is responsible for evaluating and reporting chart audits. This role also provides staff training as needed to maintain high standards of care and regulatory compliance.

Requirements

  • Excellent ability to access, collect, interpret, validate, and track data utilizing exceptional organizational and communication skills.
  • Knowledge of QAPI, Conditions of Participation (CMS), Accreditation agencies, medical terminology, and state AHCA requirements and regulations.
  • Four years’ minimum experience working in a related health care field.
  • Attendance is a condition of employment.

Nice To Haves

  • 3 years’ hospice experience preferred.

Responsibilities

  • Responsible for communicating with designated agency departments to accumulate reported quality data of agency statistics, logs, audits, incidents, infections, and other information. This is measured by the successful completion of accurate reports in accordance with state, federal and regulatory agency requirements.
  • Participates in Quality Assurance & Assessment (QAA) and Quality Committee Meetings
  • Responsible for conducting chart audits as assigned by Director of Quality and Education to ensure that the organization’s programs and services are implemented at the highest standards and patients receive the highest quality of care. Evaluation and reporting of chart audits and providing education in conjunction with Education Department.
  • Assist in planning and operation of annual Clinical Skills Fair
  • Monitor trends in complaints to identify new quality measures and educational opportunities.
  • Conduct and monitor Employee Health requirements including but not limited to administration and monitoring of PPD skin test, FIT Testing, and Influenza vaccination.
  • Administer and read PPD’s for employees and volunteers as needed. Review and sign TB questionnaires when PPD’s are not indicated. Alert Human Resources regarding any TB follow-up if necessary.
  • Responsible for ongoing implementation and compliance of Treasure Coast Hospice infection control and employee health programs.
  • Responsible for policies and procedures within the organization related to infection control and employee health.
  • Responsible for coordinating the infection control program which includes surveillance; analysis of data; developing reports, policies and procedures.
  • Provides consultation and education to staff, physicians and community leaders with respect to Infection Prevention & Control and supervises Infection Control Program.
  • Ensure the infection prevention and control procedures meet county, state, and federal regulations, standards or guidelines.
  • Conduct risk assessments at least annually and as needed with consideration of served populations, regional vulnerabilities, relevant statistical data, and new and emerging infectious diseases.

Benefits

  • $4,500 sign on bonus
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