Manager Risk and Compliance

TriHealth•Blue Ash, OH

2h•Onsite

About The Position

Step into a meaningful role within our Hospice Care Team as a Manager of Risk and Compliance dedicated to supporting patients and families during some of life’s most vulnerable moments. You’ll serve as a trusted resource for nurses, physicians, caregivers, and loved ones, helping maintain comfort, dignity, and continuity of care. This opportunity is ideal for someone who is compassionate and confident working independently in a field-based or home‑care setting. A passion for supporting colleagues, providing calm reassurance, and upholding the highest standards of patient-centered care will make you an invaluable part of our hospice mission.

Requirements

Bachelor's Degree In healthcare or related field (Required)
4 - 5 years Experience in progressive healthcare leadership (Required)
Knowledge of CMS Hospice Conditions of Participation and related state and federal regulations.
Data collection, analysis and reporting.
Computer literate and ability to use Microsoft tools and Epic.

Nice To Haves

Master's Degree (Preferred)

Responsibilities

Monitors, communicates, and manages compliance and risk performance to ensure organizational goals are achieved.
Oversees development and implementation of training related to compliance and risk.
Develops effective processes and leverages tools and technology to ensure high-reliability standard work.
Effectively engages leaders, team members, and providers to continuously improve performance.
Collaborates and coordinates with internal functions including IS, data analytics, quality, education, and billing; and external functions including legal, fiscal intermediaries, and auditing agencies.
Oversees an effective audit plan to ensure all documentation is technically accurate and supports billing for the appropriate level of care.
Oversees requests for Additional Development Requests (ADRs) and any other medical record-related requests.
Contributes to annual risk assessment.
Implements, executes, and maintains the Risk Management Plan.
Proactively identifies and mitigates risk vulnerabilities, monitors risk areas, and responds swiftly to resolve risks.
Contributes to development of the HOC Compliance Plan.
Implements, executes, and maintains the HOC Compliance Plan to ensure compliance with all rules and regulations, applicable laws and accreditation standards.
Ensures any new programs and changes to existing programs comply with all rules and regulations, laws, and standards.
Participates in Joint Commission readiness by ensuring policies and practices are consistent and compliant.
Effectively leads documentation specialists and medical records teams.
Chairs the Compliance and QAPI Committees.
Participates in HOC Navigators Board Quality & Compliance Committee, Joint Commission Continued Readiness Committee, Policy & Procedure Committee, and other groups as needed.